Debnath Arpita, Debbarma Asish, Debbarma Saru Kumar, Bhattacharjya Himadri
Department of Community Medicine, Agartala Government Medical College, Agartala, Tripura, India.
Department of Biochemistry, Agartala Government Medical College, Agartala, Tripura, India.
J Family Med Prim Care. 2021 Jan;10(1):283-288. doi: 10.4103/jfmpc.jfmpc_1499_20. Epub 2021 Jan 30.
Anaemia is an important cause of maternal morbidity and mortality in India. According to National Family Health Survey-4, the prevalence of anaemia among pregnant women in Tripura was 54.4%, but the proportion of anaemic women attending antenatal clinics is not known.
To find out the proportion of anaemia and associated factors among pregnant women attending antenatal clinic at Agartala Government Medical College.
This hospital-based cross-sectional study was conducted among 200 pregnant women attending the antenatal clinic of Agartala Government Medical College from 14 July to 7 August 2019 chosen by consecutive sampling.
Majority (69.5%) of the women were aged either ≤ 25 years, 94.5% were Hindu, 37% belonged to scheduled caste community, 58.5% from a rural area, 28% belonged to BG Prasad's class II socioeconomic status and 52.5% had only primary education. The proportion of anaemia was found to be 60%. It was 63.3% among ≤ 25 years age group and 62.9% among those who studied up to primary level. Mean (SD) Hb level was 9.9 ± 0.6 g%. Among the anaemic, 57.5% were primigravida and 45% were carrying the third trimester of pregnancy. Only 1% of the study women reportedly consumed either 200 or more number of iron tablets. Age < 25 years, (OR = 1.824, 95% CI = 1.231-2.108, = 0.003), holding BPL or similar ration cards (OR = 3.482, 95% CI = 1.201-5.371, = 0.031) and getting at <18 years (OR = 4.482, 95% CI = 2.317-6.451, = 0.003) were identified as the significant predictors of anaemia during pregnancy.
The proportion of anaemia among attendees of the antenatal clinic was higher than the state prevalence of anaemia among pregnant women. Lower literacy, lower socioeconomic status, rural residence, etc., had significant associations with anaemia in this population.
贫血是印度孕产妇发病和死亡的重要原因。根据第四次全国家庭健康调查,特里普拉邦孕妇贫血患病率为54.4%,但前往产前诊所就诊的贫血妇女比例尚不清楚。
了解在阿加尔塔拉政府医学院产前诊所就诊的孕妇中贫血的比例及相关因素。
本基于医院的横断面研究于2019年7月14日至8月7日对阿加尔塔拉政府医学院产前诊所的200名孕妇进行,采用连续抽样法。
大多数(69.5%)妇女年龄≤25岁,94.5%为印度教徒,37%属于在册种姓群体,58.5%来自农村地区,28%属于BG普拉萨德二级社会经济地位,52.5%仅接受过小学教育。贫血比例为60%。≤25岁年龄组中为63.3%,小学及以下学历者中为62.9%。平均(标准差)血红蛋白水平为9.9±0.6 g%。在贫血者中,57.5%为初产妇,45%处于妊娠晚期。据报告,只有1%的研究对象服用过200片或更多的铁片。年龄<25岁(比值比=1.824,95%置信区间=1.231 - 2.108,P = 0.003)、持有贫困线以下或类似配给卡(比值比=3.482,95%置信区间=1.201 - 5.371,P = 0.031)以及<18岁生育(比值比=4.482,95%置信区间=2.317 - 6.451,P = 0.003)被确定为孕期贫血的重要预测因素。
产前诊所就诊者中的贫血比例高于该邦孕妇贫血患病率。低识字率、低社会经济地位、农村居住等与该人群贫血有显著关联。