Vera Gamboa Ligia, Quintal Duarte Rommel, González Martínez Pedro, Castillo Gumersindo Vázquez
Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán, Yucatán, Mexico.
Ginecol Obstet Mex. 2009 Dec;77(12):544-9.
To determine the prevalence of iron-deficiency anaemia among rural pregnant women in Valladolid, Yucatan, Mexico.
A descriptive study was carried out from March to May 2006. A clinical-epidemiological survey, a complete blood count test and a ferritin test were applied to a non-random sample conformed by 51 rural pregnant women.
Thirty five point two percent of the 51 pregnant women studied presented anaemia, which was more frequent during the second and third trimester, 25.6% of which were adolescents. Abnormal iron profile was found in 41% of the women, 30% (9/51) presented iron-deficiency anaemia which was more frequent in the third trimester. The women with iron-deficiency anaemia had had an average of four pregnancies. No significant difference was found between multiparity and anaemia (square Chi, p = 9.29).
The prevalence of iron-deficient anaemia was 17.64% in this group, more frequent during the third trimester. The hematological alterations were more frequent in multipara women. In a quarter of the sample, pregnancy occurred during adolescence; two events that need greater amounts of iron. The creation of nutritional programs since childhood and the incorporation of ferritin in prenatal care is fundamental for the adequate development and security of both mother and child.
确定墨西哥尤卡坦州巴利亚多利德农村地区孕妇缺铁性贫血的患病率。
于2006年3月至5月开展一项描述性研究。对由51名农村孕妇组成的非随机样本进行了临床流行病学调查、全血细胞计数检测和铁蛋白检测。
在研究的51名孕妇中，35.2%出现贫血，在孕中期和孕晚期更为常见，其中25.6%为青少年。41%的女性铁指标异常，30%（9/51）出现缺铁性贫血，在孕晚期更为常见。缺铁性贫血的女性平均怀孕4次。经产妇与贫血之间未发现显著差异（卡方检验，p = 9.29）。
该组缺铁性贫血患病率为17.64%，在孕晚期更为常见。经产妇血液学改变更为常见。在四分之一的样本中，怀孕发生在青少年时期；这两种情况都需要更多的铁。自儿童期起制定营养计划并在产前护理中加入铁蛋白检测对母婴的充分发育和安全至关重要。
