Sharma Susmita, Kaur Sukhbir Pal, Lata Gagan
Department of Obstetrics and Gynaecology, Adesh Medical College and Hospital, Mohri, Shahbad, Haryana India.
Indian J Hematol Blood Transfus. 2020 Jan;36(1):129-134. doi: 10.1007/s12288-019-01187-6. Epub 2019 Sep 16.
Anemia is a significant public health problem during pregnancy and its prevalence varies in different cohorts. Correct identification of this problem in a given population is important for implementation of various health schemes. This study was carried out at a tertiary care hospital in Haryana. The prevalence of anemia in females at the time pregnancy diagnosis during first trimester was studied. The study period was January 2018 to June 2019. Severity of anemia was categorized as mild (hemoglobin 10-10.9 gm/dl), moderate (hemoglobin 7-9.9 gm/dl) and severe (hemoglobin < 7 gm/dl) as per the WHO definition. Relevant review of literature on prevalence of anemia in pregnancy in different Indian states was done. The median age of 388 females with diagnosis of pregnancy during first trimester was 27 years. Mean hemoglobin concentration was 10.47 gm/dl. 264 (68%) females had anemia. Out of these 191 (72.3%) had mild anemia, 65 (24.6%) had moderate anemia and eight had severe anemia. Out of the total study population, 270 (69.58%) were from rural and 118 (30.41%) were from urban background. Among the anemic pregnant females, 179 (67.8%) belonged to rural areas and 85 (32.20%) belonged to urban areas. Out of 264 patients with anemia, 87 (32.95%) patients were primigravida and 177 (67.04%) were multiparous females. The results of literature review showed a high prevalence of anemia in the other Indian states also. There is high prevalence of anemia in females at the time of diagnosis of pregnancy. Rates of anemia are higher in females with higher parity.
贫血是孕期一个重要的公共卫生问题，其患病率在不同人群中有所差异。在特定人群中正确识别这一问题对于实施各种健康计划至关重要。本研究在哈里亚纳邦的一家三级护理医院开展。研究了孕早期妊娠诊断时女性贫血的患病率。研究期间为2018年1月至2019年6月。根据世界卫生组织的定义，贫血严重程度分为轻度（血红蛋白10 - 10.9克/分升）、中度（血红蛋白7 - 9.9克/分升）和重度（血红蛋白<7克/分升）。对印度不同邦孕期贫血患病率的相关文献进行了综述。388例孕早期诊断为妊娠的女性的中位年龄为27岁。平均血红蛋白浓度为10.47克/分升。264例（68%）女性患有贫血。其中191例（72.3%）为轻度贫血，65例（24.6%）为中度贫血，8例为重度贫血。在整个研究人群中，270例（69.58%）来自农村，118例（30.41%）来自城市背景。在贫血的孕妇中，179例（67.8%）属于农村地区，85例（32.20%）属于城市地区。在264例贫血患者中，87例（32.95%）为初产妇，177例（67.04%）为经产妇。文献综述结果显示，印度其他邦贫血患病率也很高。妊娠诊断时女性贫血患病率很高。经产次数较多的女性贫血率更高。
