ASSESSMENT OF ANAEMIA INDUCE SPLENOMEGALY IN PREGNANT WOMEN USING RADIOHAEMATOLOGICAL INDICES IN A TROPICAL AFRICAN COMMUNITY
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Abstract
Objective: To assess the nexus between anaemia and splenomegaly among pregnant women in a tropical African region.
Methodology: Prospective longitudinal research employing an ultrasound scan (using a 3.5 MHz convex transducer) on 120 pregnant women was conducted to assess foetal biometry and maternal spleen. Laboratory tests consisting of packed cell volume (PCV), Reticulocyte counts, Erythrocyte Sedimentation Rate, and Malaria parasite were conducted to assess anaemia, bone marrow response, presence of infectious disease, and malaria parasite, respectively. Patients' age, weight, and height were recorded, and Body Mass Index (BMI) was calculated.
Results: Patients' ages ranged between 17 and 56 years with mean age and standard deviation (SD) of 26.12 ±3.7 with 66% in their third trimester. The mean and SD of the weight, height and BMI are 67.00 ±11.0, 1.57 ±0.16 and 24.02 ±1.50 respectively. Spleen length ranges from 12.1 cm to 18.5 cm with a mean of 14.88 ±2.0. PCV levels were found to be lower than the normal range with a mean % of 29.29 ±2.0.
Conclusion: The findings of this study, indicate a relationship between splenomegaly and anaemia among pregnant women without underlying health conditions or previous history of organomegaly. Wide-ranging research is recommended to gather additional information that can help reduce the incidence of anaemia and, consequently, maternal death in expectant mothers in low-income communities.
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