{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:24:48Z","timestamp":1764253488960,"version":"3.46.0"},"reference-count":12,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T00:00:00Z","timestamp":1696377600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>Twin pregnancies in homozygous sickle cell patients are not only uncommon in our setting but are most often associated with adverse maternal\u2013fetal outcomes especially in primary healthcare facilities where most of these cases initially present due to financial constraints, though lacking the necessary technical platform (including blood banks) to properly manage them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>We are reporting the case of the preterm management of sickle cell crises in a twin pregnancy with poor antenatal care uptake in a primary healthcare facility devoid of a blood bank in Cameroon. Ngungi Fely, a 21\u2010year\u2010old HbSS patient, of the Bakweri tribe G3P0020, blood group O rhesus positive, was admitted at our health facility at 33 3\/7\u2009weeks' gestation with twin pregnancy, clinical anemia (hemoglobin 3.3\u2009g\/dL), the pulse rate of 123 beats\/min, the respiratory rate of 38 breaths per min, the temperature of 39.2\u00b0C, and altered state of consciousness. She has a history of two spontaneous abortions (16 and 18\u2009weeks\u2019 gestation) and has attended three antenatal care (ANC) visits (18, 24, and 28\u2009weeks\u2019 gestation) for the index pregnancy. She underwent cesarean delivery of two live\u2010born babies at 35 4\/7\u2009weeks' gestation and received 9\u2009units of compatible blood (before, during, and after the cesarean) partly with the help of the \u201cBlood Track Program\u201d (which uses text messages to seek blood donors). The babies were referred to a secondary healthcare facility and the mother and babies' outcomes were uneventful. Sickle cell disease (SCD) in pregnancy is difficult to manage in primary care settings in Cameroon because of a poor technical platform. A multidisciplinary approach to the management of SCD in pregnancy is the mainstay in secondary and tertiary healthcare centers. The \u201cBlood Track Program\u201d is a good initiative that should be extended nationwide in Cameroon to reduce the burden of acquiring blood for transfusion, particularly in primary care centers devoid of blood banks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.7983","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T23:41:00Z","timestamp":1696462860000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preterm management of sickle cell crisis in a twin pregnancy with suboptimal antenatal care in a primary healthcare facility: A case report from Cameroon and literature review"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8306-9788","authenticated-orcid":false,"given":"William Ntchompbopughu","family":"Tih","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Health Sciences University of Buea  Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William Ako","family":"Takang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Health Sciences University of Bamenda  Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4485-9517","authenticated-orcid":false,"given":"Thomas Obinchemti","family":"Egbe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Health Sciences University of Buea  Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.26502\/fjhs.027"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.4236\/ijcm.2019.108032"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13048-021-00927-5"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.14154"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.25356"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1743657"},{"key":"e_1_2_16_8_1","unstructured":"National Blood Transfusion Program. 2013. Accessed on Apr 13 2022.https:\/\/www.afro.who.int\/news\/national\u2010blood\u2010transfusion\u2010program\/"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109x(22)00048-1"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.937690"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/1119-3077.116895"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2015-68.5.469"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.17140\/WHOJ-1-105"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7983","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:21:36Z","timestamp":1764253296000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7983"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/ccr3.7983"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7983","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"2023-06-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7983"}}