Inclusion Criteria:  All study participants will be adults between the reproductive ages of 18 to 45 years as defined by World Health Organization (WHO) Confirmed SCD status by Hb-electrophoresis in alkaline medium Pregnancy should be confirmed by urine or blood pregnancy test and pelvic ultrasound scan.  Exclusion Criteria:  All pregnant women without a confirmed Hb phenotype or electrophoresis report All pregnant women with SCD who present to the Greater Accra Regional Hospital or Tamale Teaching Hospital for acute admissions, labor, and delivery All pregnant women with SCD with undetermined Hb phenotypes on Hb electrophoresis.