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Archives 2020
Myanmar Health Sciences Research Journal
Volume 32, Number 2
TITLE: Molecular Diagnosis of Haemoglobin E Among Pregnant Women Attending 300-Bedded Pyin Oo Lwin General Hospital
AUTHOR: Khin Moe Aung, Nandar Ko,Thei Thei Moe Han, Myint Myint Khaing, Htay Htay Kywe, Myitzu Tin Oung, Htwe Htwe, & Khin Saw Aye
SOURCE: Myanmar Health Sciences Research Journal, 2020; 32(2):105-111
ABSTRACT:
Haemoglobin E (HbE) is the most common Hb variant found among
Southeast Asian populations. Myanmar also has high prevalence of important haemoglobinopathies: HbE - 1 to 28.3% accounting for 1 to 4.9 births per 1000 infants with a major haemoglobinopathy. This study was
conducted to determine the prevalence of HbE among pregnant women attending 300-bedded PyinOoLwin General Hospital. This
hospital-based cross-sectional descriptive study was done in 2019.
A total400 apparently healthy pregnant women (17 to 44 years)
with the mean age 27.51 years (SE - 6.14 years) were
involved. Four milliliters of venous blood were collected andhaematological
parameters were determined by automated haematology analyzer (Pentra-60) and
blood film examinations were done. Then, hypochromic microcytic anaemia were
assessed for serum ferritin by fully automated immunology analyzer (Mini Vidas)
and molecular diagnosis of HbE was identified by using ARMS-PCR reaction. Data
entry and analysis was done by SPSS software 20.0 version. The overall prevalence of anaemia was 39.0% (156/400) in which iron deficiency anaemia
(IDA) was occurred in 70 women (17.5%) and the rest (86, 21.5%) were not iron deficient anaemia,
respectively. The overall percentage of HbE in this study was found to be 27.6% (43/156) among the HMA pregnant women. The ratio of IDA:
non-IDA cases among the pregnant women were 1: 1.2. Therefore, this study
highlighted that one of the main causes of anaemia was haemoglobinopathy and
remains a common health problem among pregnant women. For prevention of thalassaemia
major in maternal child health care units in our country, prenatal screening and family counseling of beta and alpha thalassaemia carriers inpregnant women
is highly recommended.
SUBJECT HEADINGS: HbE, ARMS-PCR, Pregnant women, Anaemia
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