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Evidence-based obstetric management of women with sickle cell disease in low-income countries.


ABSTRACT: Pregnancy in women with sickle cell disease (SCD) is fraught with complications, some of which are life-threatening. Managing pregnancy in these women can be challenging, especially with poor resources, which is often the case in low-income countries. In Nigeria, for instance, up to 90% of patients pay out of pocket for medical care due to the poorly developed health insurance system, and this worsens the morbidity and mortality associated with this condition. We describe a pragmatic approach to routinely managing pregnant women with SCD in the antenatal period, showing the feasibility of effective management of these high-risk pregnancies in limited-resource settings. We also present the case of a pregnant Nigerian woman with SCD who has intrauterine growth restriction (IUGR) and acute ch

SUBMITTER: Afolabi BB 

PROVIDER: S-EPMC9821549 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature