{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:45:11Z","timestamp":1788911111963,"version":"build-2803163510"},"reference-count":24,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,4]]},"abstract":"<jats:p>To explore the educational practices of antenatal care providers toward pregnant women with sickle cell disease (SCD) and sickle cell trait (SCT), a survey was conducted among selected doctors and midwives who provide antenatal care at the outpatient clinic of the Obstetric Department of the Korle-Bu Teaching Hospital, Accra, Ghana. The study explored their practices of screening for and patient education about SCD and SCT. Of the 102 respondents, 100(98%) stated that they were knowledgeable in the medical and genetic aspects of the disease. Regarding screening, 82(80.4%) reported mandatory screening for SCD, 9(8.8%) did not offer screening as routine, and 11(10.8%) gave patients the choice. The majority (93.1%) always informed patients when the test was positive but health-care providers less than six years experience were less likely to communicate SCT status to patients without the trait (odds ratio [OR] = 0.41, 95% CI [0.18\u20130.93]). Nurses\/midwives were less likely to tell patients their carrier status (OR = 0.25, 95% CI [0.10\u20130.59]). There was also variation in referral practices for genetic counseling, with 26.5% always referring, 28.4% never doing so, and 45.1% only referring if the patient had questions. This may affect patients\u2019 awareness of this genetic condition. Therefore, continuous medical education on SCD\/SCT and standardization of counseling may help inform couples\u2019 family planning choices and reduce the burden of the disease on future generation and health care.<\/jats:p>","DOI":"10.4269\/ajtmh.18-0408","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T07:00:34Z","timestamp":1563865234000},"page":"684-688","source":"Crossref","is-referenced-by-count":9,"title":["Sickle Cell Education: A Survey of Antenatal Healthcare Givers"],"prefix":"10.4269","volume":"101","author":[{"given":"Serwah","family":"Aboagye","sequence":"first","affiliation":[{"name":"Cardiff School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Wales, United Kingdom;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalene","family":"Torto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwaku","family":"Asah-Opoku","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercy Anna","family":"Nuamah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel Antwi","family":"Oppong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Samba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Am J Trop Med Hyg","first-page":"936","article-title":"Pregnancy outcomes among patients with sickle cell disease at Korle-Bu Teaching Hospital, Accra, Ghana: retrospective cohort study","volume":"86","author":"Wilson","year":"2012"},{"key":"b2","series-title":"U.S National Library of Medicine","author":"NIH","year":"1997"},{"key":"b3","series-title":"Blood","first-page":"834","article-title":"Effect of a comprehensive clinical care programme on disease course in severely ill children with sickle cell anemia in a sub-Saharan Africa setting","volume":"102","author":"Rahimy","year":"2003"},{"key":"b4","series-title":"Anemia","first-page":"1","article-title":"Attitudes toward management of sickle cell disease and its complications: a national survey of academic family physicians","volume":"2015","author":"Mainous","year":"2015"},{"key":"b5","series-title":"Eur J Obstet Gynecol Reprod Biol","first-page":"138","article-title":"Pregnancy in sickle cell disease: maternal and fetal outcomes in a population receiving prophylactic partial exchange transfusions","volume":"152","author":"Ng\u00f4","year":"2010"},{"key":"b6","series-title":"J Clin Apher","first-page":"230","article-title":"Management of sickle cell anemia and pregnancy","volume":"6","author":"Koshy","year":"1991"},{"key":"b7","series-title":"Blood Rev","first-page":"157","article-title":"Sickle cell disease and pregnancy","volume":"9","author":"Koshy","year":"1995"},{"key":"b8","series-title":"Obstet Gynecol","first-page":"199","article-title":"Pregnancy in sickle cell disease: experience of the cooperative study of sickle cell disease","volume":"87","author":"Smith","year":"1996"},{"key":"b9","series-title":"Int J Gynaecol Obstet","first-page":"163","article-title":"The obstetric performance of sickle cell disease patients and homozygous hemoglobin C disease patients in Ile-Ife, Nigeria","volume":"37","author":"Dare","year":"1992"},{"key":"b10","series-title":"Ann Trop Med Parasitol","first-page":"3","article-title":"Sickle cell disease in Africa: burden and research priorities","volume":"101","author":"Makani","year":"2007"},{"key":"b11","series-title":"Management of Haemoglobin Disorders","author":"World Health Organization","year":"2008"},{"key":"b12","series-title":"Lancet","first-page":"142","article-title":"Global epidemiology of sickle haemoglobin in neonates: a contemporary geostatistical model-based map and population estimates","volume":"381","author":"Piel","year":"2013"},{"key":"b13","series-title":"Ann Ib Postgrad 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Americans: an overview","volume":"5","author":"Mandal","year":"2015"},{"key":"b18","series-title":"J Hematol Transfus","first-page":"1037","article-title":"Improving the healthcare model for management of adults with sickle cell disease in the PPACA Era","volume":"3","author":"Kanter","year":"2015"},{"key":"b19","series-title":"Afr J Prim Health Care Fam Med","first-page":"53","article-title":"Sickle cell knowledge, premarital screening and marital decisions among local government workers in Lle-Lfe, Nigeria","volume":"1","author":"Abioye-Kuteyi","year":"2009"},{"key":"b20","series-title":"J Pediatr Nurs","first-page":"194","article-title":"Information management in families who have a child with a genetic condition","volume":"24","author":"Gallo","year":"2009"},{"key":"b21","series-title":"Nurs Res","first-page":"352","article-title":"Reproductive health choices for young adults with sickle cell disease or trait: randomized controlled trial immediate posttest 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