{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:30:24Z","timestamp":1774611024638,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anemia"],"published-print":{"date-parts":[[2020,9,15]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Sickle cell disease (SCD) is one of the most common genetic diseases in the world. It combines, in its homozygous form, chronic hemolytic anemia, vasoocclusive complications, and susceptibility to infections. It is well known that the combination of pregnancy and sickle cell disease promotes the occurrence of complications that are sometimes fatal for the mother and\/or the fetus. <jats:italic>Objective<\/jats:italic>. The objective of the current study was to compare pregnancy outcomes among women with SCD with those of women without the diagnosis of SCD. <jats:italic>Materials and methods<\/jats:italic>. It was a case-control study carried out in four maternity hospitals in Brazzaville in 2 years (July 2017\u2013June 2019). It concerned 65 parturients with SS homozygous SCD. The mode of childbirth and maternal and perinatal morbidity and mortality were compared with those of 130 non-sickle cell pregnant women. <jats:italic>Results<\/jats:italic>. The average age was 27 years for SCD women and 31 years for non-SCD women. The average gestational age at delivery was 35 weeks for SCD women and 38 weeks for non-SCD women. From the logistic regression analysis using the comparison group as the reference group, there was excessive risk in SCD compared to non-SCD of infection (29.3% vs. 4.6%, OR\u2009=\u200921.7, 95% CI [7.6\u201362.7]; <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:math>), cesarean (63% vs. 35.4%, OR\u2009=\u20093.1, 95% CI [1.6\u20135.7]; <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:math>), prematurity (75.4% vs. 30.8%, OR\u2009=\u20098, 95% CI [3.0\u201323.2]; <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:math>), low birth weight (52.3% vs. 16.1%, OR\u2009=\u20094.7, 95% CI [2.4\u20139.4]; <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:math>), neonatal requiring admission to the intensive care unit (40.3% vs. 17.5%, OR\u2009=\u20093.2, 95% CI [1.6\u20136.3]; <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.01<\/mml:mn><\/mml:math>), and neonatal death (21.5% vs. 4.8%, OR\u2009=\u20094.3, 95% CI [1.5\u201312.2]; <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.01<\/mml:mn><\/mml:math>). <jats:italic>Conclusion<\/jats:italic>. The risk of pregnancy in patients with homozygous sickle cell anemia remains high, on both the maternal and fetal sides.<\/jats:p>","DOI":"10.1155\/2020\/1989134","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T23:31:25Z","timestamp":1600212685000},"page":"1-4","source":"Crossref","is-referenced-by-count":13,"title":["Pregnancy Outcomes among Patients with Sickle Cell Disease in Brazzaville"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4444-7547","authenticated-orcid":true,"given":"F. O.","family":"Galiba Atipo Tsiba","sequence":"first","affiliation":[{"name":"Hematology Department, University Hospital of Brazzaville (Congo), Brazzaville, Congo"},{"name":"Faculty of Health Sciences, Marien Ngouabi University of Brazzaville (Congo), Brazzaville, Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Itoua","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Marien Ngouabi University of Brazzaville (Congo), Brazzaville, Congo"},{"name":"Gynecology-Obstetrics Department, University Hospital of Brazzaville (Congo), Brazzaville, Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Ehourossika","sequence":"additional","affiliation":[{"name":"Gynecology-Obstetrics Department, University Hospital of Brazzaville (Congo), Brazzaville, Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. Y.","family":"Ngakegni","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Marien Ngouabi University of Brazzaville (Congo), Brazzaville, Congo"},{"name":"Pediatric Department, University Hospital of Brazzaville (Congo), Brazzaville, Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Buambo","sequence":"additional","affiliation":[{"name":"Gynecology-Obstetrics Department, University Hospital of Brazzaville (Congo), Brazzaville, Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. S. B.","family":"Potokoue Mpia","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Marien Ngouabi University of Brazzaville (Congo), Brazzaville, Congo"},{"name":"Gynecology-Obstetrics Department, University Hospital of Brazzaville (Congo), Brazzaville, Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Elira Dokekias","sequence":"additional","affiliation":[{"name":"Hematology Department, University Hospital of Brazzaville (Congo), Brazzaville, Congo"},{"name":"Faculty of Health Sciences, Marien Ngouabi University of Brazzaville (Congo), Brazzaville, Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","first-page":"454","volume":"70","year":"2010","journal-title":"Journal of Medicine in the Tropics"},{"key":"2","first-page":"449","volume":"70","year":"2010","journal-title":"Journal of Medicine in the Tropics"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0056541"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2014-11-607317"},{"issue":"5","key":"5","first-page":"243","volume":"91","year":"1996","journal-title":"Revue Francaise de Gynecologie et d\u2019 Obstetrique"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2013.04.006"},{"issue":"2","key":"7","first-page":"92","volume":"20","year":"2019","journal-title":"Health Sciences and Diseases"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-012-1216-3"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.13270"},{"issue":"4","key":"10","first-page":"416","volume":"28","year":"2012","journal-title":"Revue Cubana Hematology"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2012.11-0625"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/9069054"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1186\/s41043-017-0079-z"},{"issue":"2","key":"14","first-page":"83","volume":"7","year":"2018","journal-title":"GJRA"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.04.016"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.12816\/0008134"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9378(88)80003-6"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.2830420311"},{"issue":"3","key":"19","first-page":"123","volume":"5","year":"1994","journal-title":"Journal of Association for Academic Minority Physicians"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12961"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1007\/bf03017204"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/s0248-8663(15)60002-9"}],"container-title":["Anemia"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/anemia\/2020\/1989134.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/anemia\/2020\/1989134.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/anemia\/2020\/1989134.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T23:31:28Z","timestamp":1600212688000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/anemia\/2020\/1989134\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,15]]},"references-count":22,"alternative-id":["1989134","1989134"],"URL":"https:\/\/doi.org\/10.1155\/2020\/1989134","relation":{},"ISSN":["2090-1267","2090-1275"],"issn-type":[{"value":"2090-1267","type":"print"},{"value":"2090-1275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,15]]}}}