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西孟加拉邦一所农村医学院产前诊所孕妇贫血及其危险因素的研究。

A study on anemia and its risk factors among pregnant women attending antenatal clinic of a rural medical college of West Bengal.

作者信息

Sinha Anuradha, Adhikary Moumita, Phukan Jyoti P, Kedia Sonal, Sinha Tirthankar

机构信息

Department of Pathology, Purulia Government Medical College, Purulia, West Bengal, India.

Department of Microbiology and Pathology, Rampurhat Government Medical College, Rampurhat, West Bengal, India.

出版信息

J Family Med Prim Care. 2021 Mar;10(3):1327-1331. doi: 10.4103/jfmpc.jfmpc_1588_20. Epub 2021 Apr 8.

Abstract

BACKGROUND

Anemia is the commonest nutritional deficiency disorder in the world, particularly in developing countries. Though anemia is easily treatable and largely preventable disease if timely detected, it still continues to be significantly prevalent among pregnant women.

AIM

The aim of this study was to measure the extent of anemia in pregnancy and to assess the association of risk factors with anemia.

STUDY DESIGN

Hospital-based cross-sectional descriptive study.

MATERIALS AND METHODS

A total of 200 women were selected among pregnant women attending antenatal clinic. Sampling was done by selecting every fifth woman visiting antenatal clinic within the duration of two months on alternate days. Data were collected using a predesigned, pretested semi-structured schedule. Hemoglobin concentrations were also recorded for each patient. Data were analyzed using Chi-square test and 'T' test of significance. A value of < 0.05 was considered significant.

RESULTS

We found overall prevalence of anemia to be 90% among pregnant women. Most of the anemic patients (60.5%) belong to moderate severity according to the World Health Organization classification. Three factors namely socioeconomic status, gravida and time of 1 antenatal visit were significantly associated with prevalence of anemia in pregnancy ( < 0.05).

CONCLUSION

In this study, a high prevalence of anemia was found in pregnant women. Low socioeconomic status, multigravida and delayed visit to antenatal clinic were significantly associated with anemia in pregnancy. So, awareness and education programs should be generated to make people come to know about anemia, its complications during pregnancy and ways to prevent it.

摘要

背景

贫血是世界上最常见的营养缺乏症,在发展中国家尤为如此。尽管贫血如果能及时发现,很容易治疗且在很大程度上可以预防,但在孕妇中仍然普遍存在。

目的

本研究的目的是测量孕期贫血的程度,并评估风险因素与贫血的关联。

研究设计

基于医院的横断面描述性研究。

材料与方法

在产前门诊就诊的孕妇中总共选取200名女性。抽样方法是在两个月的时间内每隔一天选取第五位前来产前门诊就诊的女性。使用预先设计、经过预测试的半结构化问卷收集数据。还记录了每位患者的血红蛋白浓度。使用卡方检验和显著性“T”检验对数据进行分析。P值<0.05被认为具有显著性。

结果

我们发现孕妇中贫血的总体患病率为90%。根据世界卫生组织的分类,大多数贫血患者(60.5%)属于中度严重程度。社会经济状况、妊娠次数和首次产前检查时间这三个因素与孕期贫血患病率显著相关(P<0.05)。

结论

在本研究中,发现孕妇贫血患病率很高。社会经济地位低、多产妇和产前门诊就诊延迟与孕期贫血显著相关。因此,应开展宣传和教育项目,使人们了解贫血、其在孕期的并发症以及预防方法。

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