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孕产妇贫血:泰米尔纳德邦农村地区的一个长期问题。

Maternal anaemia: a persistent problem in rural Tamil Nadu.

作者信息

Rajaratnam J, Abel R, Ganesan C, Jayaseelan S A

机构信息

Christian Medical College and Hospital, RUHSA Campus, P.O., Vellore District 632209, Tamil Nadu, India.

出版信息

Natl Med J India. 2000 Sep-Oct;13(5):242-5.

Abstract

BACKGROUND

The incidence of maternal anaemia continues to be high (over 70%) in India in spite of a major nationwide intervention programme. This study was carried out in June 1996 on a representative sample of pregnant women from K.V. Kuppam and Gudiyatham blocks of Vellore district, Tamil Nadu, India.

METHODS

Haemoglobin (Hb) estimations were done in a sample of 895 pregnant women in both the blocks while serum ferritin (SF) levels were estimated on a subsample of 445 pregnant women.

RESULTS

The prevalence of maternal anaemia (Hb < 11 g/dl) was 69.3% (35.8% moderately anaemic, 30.2% mildly anaemic and 3.3% severely anaemic). The mean Hb was 10.1 g/dl. Prevalence of iron deficiency was 36.3% [SF < 12 micrograms/L, mean SF 24.3 micrograms/L (range: 1.5-153 micrograms/L)]. Iron deficiency anaemia as defined by Hb < 11 g/dl and SF < 12 micrograms/L was 29.5%.

CONCLUSION

The prevalence of maternal anaemia and iron deficiency anaemia continues to be high in spite of planned interventions implemented at the national level.

摘要

背景

尽管印度开展了一项大规模的全国性干预计划,但该国孕产妇贫血的发生率仍然很高(超过70%)。本研究于1996年6月对来自印度泰米尔纳德邦韦洛尔区K.V.库帕姆和古迪亚瑟姆街区的有代表性的孕妇样本进行。

方法

对两个街区的895名孕妇样本进行血红蛋白(Hb)测定,同时对445名孕妇的子样本进行血清铁蛋白(SF)水平测定。

结果

孕产妇贫血(Hb<11 g/dl)的患病率为69.3%(中度贫血占35.8%,轻度贫血占30.2%,重度贫血占3.3%)。平均Hb为10.1 g/dl。缺铁患病率为36.3%[SF<12微克/升,平均SF 24.3微克/升(范围:1.5 - 153微克/升)]。根据Hb<11 g/dl和SF<12微克/升定义的缺铁性贫血为29.5%。

结论

尽管在国家层面实施了规划好的干预措施,但孕产妇贫血和缺铁性贫血的患病率仍然很高。

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