Harsha Kumar Hn, Gupta S, Ruhela S, Tanya S
Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.
Ann Med Health Sci Res. 2014 Sep;4(5):775-9. doi: 10.4103/2141-9248.141564.
Anemia in the postnatal period is a common problem, which has been subject of research recently. Though, it is a common problem, it is a less researched topic in India. Hence, this study was undertaken.
The aim was to know the clinic-social factors associated with anemia in the postpartum period.
This is a retrospective record-based study conducted in Government Lady Goschen Hospital, Kasturba Medical College, Mangalore. All the women in the postpartum period who had hemoglobin (%) <11 g/dl were included for the study. Information about various social and clinical factors was collected on a pretested semi-structured proforma. Multivariate analyses were used to get adjusted odds ratio. P < 0.05 was considered to be significant.
About 16.7% (165/988) had moderate anemia. The rest that is 83.3% (823/988) had mild anemia. Multivariate analysis reveals that following factors were significantly associated with moderate anemia: Illiterate mothers, parity (≥3), short interpregnancy interval (<3 years), presence of anemia in the antenatal period, late diagnosis in the antenatal period and poor compliance with treatment.
Majority had mild anemia. Further research should be focused to (1) reasons for persistence of anemia from antenatal to postpartum period. (2) Find out the reason for failure to come for follow-up in the postpartum period even though services are free.
产后贫血是一个常见问题，近期一直是研究的主题。尽管它是个常见问题，但在印度却是一个较少被研究的课题。因此，开展了本研究。
目的是了解产后贫血相关的临床 - 社会因素。
这是一项在芒格洛尔卡斯图尔巴医学院政府戈申夫人医院进行的基于回顾性记录的研究。所有产后血红蛋白（%）<11 g/dl的女性均纳入研究。通过预先测试的半结构化表格收集有关各种社会和临床因素的信息。采用多变量分析以获得调整后的优势比。P < 0.05被认为具有统计学意义。
约16.7%（165/988）患有中度贫血。其余83.3%（823/988）患有轻度贫血。多变量分析显示，以下因素与中度贫血显著相关：文盲母亲、多胎次（≥3）、妊娠间隔短（<3年）、孕期贫血、孕期诊断延迟以及治疗依从性差。
大多数人患有轻度贫血。进一步的研究应聚焦于：（1）从产前到产后贫血持续存在的原因。（2）找出即使服务免费产后仍不来随访的原因。
