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Table 1 Study characteristics and risk of bias assessment

From: Iron stores in pregnant women with sickle cell disease: a systematic review

Author (year), country

Objective studied

Mean Age

Mean Gestational age

Study design

Recent Transfusion (< 6 months)

Hemoglobin genotype (number of participants)

Sample size

Diagnostic method

Diagnostic criteria

Participants with IDA

Prevalence

Bias

Akinyanju et al. (1987), Nigeria [13]

1,3

22.8

NA

Randomized control trial

None

SS (11)

SC (3)

14

Bone marrow iron stain

Grade

0–1/5

3

21.43 ± 4.49

Selection bias: unclear

Reporting bias: unclear

Performance bias: unclear

Detection bias: unclear

Attrition bias: Low

Anderson et al. (1972), Jamaica [22]

1

25.27

16.93

Cross sectional study

Nonea

SS (7)

SC (6)

S-thalassemia (2)

15

Bone marrow iron stain

Serum iron

TIBCb

Grade

0–1/3

< 50 ng/dl

< 240 μg/dl

10

1

1

66.67 ± 15.94

6.67 ± 0.87

6.67 ± 0.87

Fair

Oluboyede et al. (1980), Nigeria [14]

1

NA

23.3

Case control study

None

SS (10)

SC (12)

22

Bone marrow iron stain

Grade

0–1/3

14

63.34 ± 12.78

Fair

Roopnarinegnh (1976), Spain [23]

1

NA

28.67

Cross sectional study

None

SS (5)

SF (1)

6

Bone marrow iron stain

Negative &

weakly positive

5

83.33 ± 25.04

Fair

Aken’ova et al. (1977), Nigeria [24]

1

NA

NA

Cross sectional study

NA

SS

10

Serum ferritin

Serum iron

< 150 ng/dl

< 50 ng/dl

3

3

30 ± 8.52

30 ± 8.52

Fair

  1. aThree patients had been transfused at least once; 5 years, 3 years and 6 months prior to the pregnancy, bTotal iron binding capacity, NA: not provided in study, IDA; iron deficiency anaemia, SS; Haemoglobin SS, SC; Haemoglobin SC, SF; Haemoglobin SF, Prevalence is reported with ± confidence intervals