Abdelgadir M A, Khalid A R, Ashmaig A L, Ibrahim A R M, Ahmed A-Aziz M, Adam I
Faculty of Medicine, Ribat University, Khartoum, Sudan.
J Obstet Gynaecol. 2012 Jan;32(1):42-4. doi: 10.3109/01443615.2011.617849.
A cross-sectional study was conducted between August and September 2010 at the antenatal care clinic of the Araba Waeshreen Hospital (Geizera), central Sudan. Sociodemographic, medical, obstetric and use of pica information were gathered. Body mass index (BMI) was calculated. Haemoglobin levels were measured and blood films and stools were examined for malaria and schistosomiasis. Out of the 292 women, 119 (40.8%) had anaemia (HB < 11 g/dl); eight (2.7%) had severe anaemia (HB < 7 g/dl). One patient had a positive blood film for malaria. A total of 38 (13.0%) out of the 292 pregnant women had S. mansoni infections. While age, parity, gestational age, education, occupation, interpregnancy interval and BMI were not associated with anaemia, pica (OR = 1.7, 95% CI = 1.0-2.9, p = 0.02) and S. mansoni infections (OR = 2.8, 95% CI = 1.2-6.7, p = 0.01) were significantly associated with anaemia using univariate and multivariate analyses. The high prevalence of anaemia among these women needs to be controlled through preventive measurement of S. mansoni infections and health education to prevent practising pica.
2010年8月至9月期间,在苏丹中部盖泽拉的阿拉巴·瓦什林医院产前保健诊所开展了一项横断面研究。收集了社会人口统计学、医学、产科及异食癖相关信息。计算了体重指数(BMI)。测量了血红蛋白水平,并对血片和粪便进行疟疾及血吸虫病检测。在292名女性中,119名(40.8%)患有贫血(血红蛋白<11 g/dl);8名(2.7%)患有严重贫血(血红蛋白<7 g/dl)。1例患者血片检测疟疾呈阳性。292名孕妇中共有38名(13.0%)感染曼氏血吸虫。单因素和多因素分析显示,年龄、产次、孕周、教育程度、职业、妊娠间隔及BMI与贫血无关,而异食癖(比值比=1.7,95%置信区间=1.0 - 2.9,p = 0.02)和曼氏血吸虫感染(比值比=2.8,95%置信区间=1.2 - 6.7,p = 0.01)与贫血显著相关。这些女性中贫血的高患病率需要通过对曼氏血吸虫感染进行预防性检测及开展健康教育以预防异食癖行为来加以控制。