The daily dietary iron intake of nine pregnant Nigerian women with confirmed iron deficiency anemia was determined. The daily dietary iron intake from hospital meals served to ten other pregnant women was also assessed to serve as a control. The mean daily iron intake of the group of anemic patients on home diet was 14.6 mg (range of individual means = 8.37-25.28 mg), whereas the group of patients served hospital meals had a mean daily dietary iron intake of 36.92 mg (range of individual means = 25.09-46.47 mg). It is, therefore, clear that the etiology of iron deficiency in the patients studied was mainly dietary. Thus, our pregnant patients, many of whom are on diets similar to those of the group studied, should receive iron supplements during pregnancy.

Anemia, Hypochromic↗

PubMedDate not supplied

Jaundice during pregnancy in Ibadan, Nigeria.

The clinical features of hepatitis during pregnancy and the effect of this complication on the mother and the fetus were evaluated in 45 patients with jaundice who were treated at the University College Hospital, Ibadan, Nigeria, from July 1976 to January 1978. Viral hepatitis was the cause of jaundice in 23 of the 45 patients in this prospective study. Three of these patients had the fulminant type of jaundice which resulted in maternal deaths. The peak incidence of the disease occurred in the last trimester. Hepatitis had a deleterious effect on the outcome of pregnancy; the effect was directly related to the severity of the disease, especially when associated with pyrexia. It is postulated that, by lowering resistance to infection, malnutrition may play a significant role in the pathogenesis of hepatitis during pregnancy.

Anemia, Hemolytic↗

PubMedDate not supplied

The relationship between hematocrit levels in gravidae and their newborn.

The changes in hematocrit levels during pregnancy in 90 Nigerian women, both anemic and nonanemic, were studied. The maternal levels at term were compared to the hematocrit levels of their newborns. The anemic patients received 200 mg of ferrous sulfate three times daily throughout pregnancy. Generally, the hematocrit level either decreased slightly or remained unchanged during the first half of pregnancy, with or without iron supplements. The decrease was, however, more noticeable in the nonanemic patients. Babies delivered by patients who remained anemic at term had hematocrit levels that were actually in the upper limits of the normally acceptable range.

Anemia↗

PubMedDate not supplied

Emergency obstetric admissions to the labour ward of the University College Hospital, Ibadan, Nigeria.

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Emergencies↗

PubMedDate not supplied

Controversies in community based education.

An attempt has been made to discuss in broad terms the subject of Community based Education. The approach adopted has been to critically examine five major controversial issues from opposing standpoints. Drawing from the literature and personal experience some light was shed on the worrying questions of each issue. Working conclusions upon which individuals can further ponder were reached. It is hoped that this presentation will refreshen the knowledge of some, answer many of the objective questions of a number of faculty staff (traditional and innovative) and stimulate the interest of those not yet exposed to Community Based Education.

Community Medicine↗