title: [Anemia at delivery in Lome (Togo): prevalence, risk factors and consequences in newborn infants].
abstract: A prevalence study was carried out on 125 mothers and their newborns in Lome (Togo): at delivery 48% of the mothers and 30% of the newborns were anaemic according to WHO criteria. Iron deficiency was the major determinant of anaemia in the mothers, as three out of four showed at least one biochemical indicator of iron deficiency. Folate deficiency was detected in 68% of the mothers but did not influence their haematological parameters. Severe iron deficiency in the mothers (serum iron < 7 mumol/l) was associated with a decrease in serum iron in the newborns, thus demonstrating an impaired iron transfer to the fetus. Folate supplementation of the mothers during pregnancy improved their newborn's folate status. A systematic ferro-folic supplementation is needed during pregnancy and would be beneficial to both mothers and newborns. Supplements could be given to women at prenatal care clinics. Attendance in these centers by 98% of pregnant women in Lomé allows us to anticipate a good coverage for such an intervention.
authors.affiliation: ORSTOM Unité de Recherches Maladies de la Dénutrition, Lome, Togo.
authors.forename: M C
authors.initials: MC
authors.lastname: Dop
authors.forename: I
authors.initials: I
authors.lastname: Blot
authors.forename: J L
authors.initials: JL
authors.lastname: Dyck
authors.forename: K
authors.initials: K
authors.lastname: Assimadi
authors.forename: A K
authors.initials: AK
authors.lastname: Hodonou
authors.forename: A
authors.initials: A
authors.lastname: Doh
mesh_terms: D000293:Adolescent; D000328:Adult; D000747:Anemia, Hypochromic / Q000453:epidemiology*; D003710:Demography; D005260:Female; D005494:Folic Acid Deficiency / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D008431:Maternal-Fetal Exchange; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D014037:Togo / Q000453:epidemiology
vernacular_title: L'anémie à l'accouchement à Lomé (Togo): prévalence, facteurs de risque et répercussions chez le nouveau-né.