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低出生体重与贫血孕妇在三级医疗中心妇产科住院的关系。

Low-Birth-Weight among Term Newborns Born to Anaemic Pregnant Women Admitted to the Department of Obstetrics and Gynecology in a Tertiary Care Centre.

机构信息

Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, Nepal.

Department of Obstetrics and Gynecology, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Sep 1;61(265):703-705. doi: 10.31729/jnma.8262.

DOI:10.31729/jnma.8262
PMID:38289799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10579751/
Abstract

INTRODUCTION

Anaemia is one of the most common conditions which affects a significant proportion of pregnant women worldwide. These patients may have adverse effects on both the mother and the developing fetus. Detecting and timely treating anaemia in pregnancy help in the overall improvement of maternal and fetal health. The aim of the study was to find out the prevalence of low-birth-weight among term newborns born to anaemic pregnant women admitted to the Department of Obstetrics and Gynecology in a tertiary care centre.

METHODS

A descriptive cross-sectional study was conducted among pregnant women who were diagnosed with anaemia and admitted for delivery in the Department of Obstetrics and Gynecology after obtaining ethical approval from the Institutional Review Committee. Data was collected from 10 December 2022 to 10 March 2023. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

RESULTS

Among 300 newborns, the prevalence of low-birth-weight was 106 (35.33%) (29.92-40.74, 95% Confidence Interval). Among 106 newborn, 64 (60.37%) were male and 42 (39.62%) were female.

CONCLUSIONS

The prevalence of low-birth-weight among newborns born to term anaemic pregnant women admitted to the Department of Obstetrics and Gynecology in a tertiary care centre was found to be higher than in studies done in a similar settings.

KEYWORDS

anaemia; infant; low birth weight; morbidity; pregnancy.

摘要

简介

贫血是一种最常见的病症,影响着全球相当一部分孕妇。这些患者可能会对母亲和胎儿发育都产生不良影响。在妊娠期间检测和及时治疗贫血有助于全面改善母婴健康。本研究旨在了解在三级保健中心妇产科就诊的贫血孕妇所生足月新生儿中低出生体重的发生率。

方法

在获得机构审查委员会的伦理批准后,对在妇产科被诊断为贫血并接受分娩的孕妇进行了一项描述性横断面研究。数据收集时间为 2022 年 12 月 10 日至 2023 年 3 月 10 日。使用便利抽样法。点估计值在 95%置信区间内计算。

结果

在 300 名新生儿中,低出生体重的发生率为 106 例(35.33%)(29.92-40.74,95%置信区间)。在 106 例新生儿中,64 例(60.37%)为男性,42 例(39.62%)为女性。

结论

在三级保健中心妇产科就诊的贫血孕妇所生足月新生儿中,低出生体重的发生率高于在类似环境中进行的研究。

关键词

贫血;婴儿;低出生体重;发病率;妊娠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62f/10579751/f83ae88ea1fb/JNMA-61-265-703-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62f/10579751/fc22e3a6f5fd/JNMA-61-265-703-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62f/10579751/f83ae88ea1fb/JNMA-61-265-703-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62f/10579751/fc22e3a6f5fd/JNMA-61-265-703-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62f/10579751/f83ae88ea1fb/JNMA-61-265-703-g2.jpg

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本文引用的文献

1
Gender differences in survival among low birthweight newborns and infants in sub-Saharan Africa: a systematic review.撒哈拉以南非洲地区低出生体重儿和婴儿的生存性别差异:系统评价。
Int Health. 2022 Mar 2;14(2):122-131. doi: 10.1093/inthealth/ihab044.
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Hemoglobin levels and anemia evaluation among pregnant women in the remote and rural high lands of mid-western Nepal: a hospital based study.尼泊尔中西部偏远农村高地孕妇的血红蛋白水平和贫血评估:一项基于医院的研究。
BMC Pregnancy Childbirth. 2020 Mar 23;20(1):182. doi: 10.1186/s12884-020-02870-7.
3
Maternal Anemia and Low Birth Weight: A Systematic Review and Meta-Analysis.
母亲贫血与低出生体重:系统评价与荟萃分析。
Nutrients. 2018 May 12;10(5):601. doi: 10.3390/nu10050601.
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Maternal nutrition & low birth weight - what is really important?孕产妇营养与低出生体重——什么才是真正重要的?
Indian J Med Res. 2009 Nov;130(5):600-8.
5
Maternal anemia during pregnancy is an independent risk factor for low birthweight and preterm delivery.孕期母亲贫血是低出生体重和早产的一个独立危险因素。
Eur J Obstet Gynecol Reprod Biol. 2005 Oct 1;122(2):182-6. doi: 10.1016/j.ejogrb.2005.02.015.