Impact of Short Birth Spacing on Maternal Anemia at District Head Quarters Hospital Nankana Sahib

Tayyab Naseem Bhatti, Muhammad Naeem, Nimra Urooj Akhtar, Asif Hanif
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Abstract

Short birth intervals are independently associated with increased risk of adverse maternal, perinatal, infant and child outcomes. Maternal anemia is one of the commonest complications of short birth spacing that further can enhance the risk of poor fetal and maternal outcome. Objective: To determine the effect of short birth spacing on maternal anemia at District Headquarters Hospital Nankana Sahib. Methods: This analytical cross-sectional study was done at Gynecology and obstetrics Department of District Headquarters Hospital Nankana sahib. A total of 135 pregnant women of 18 to 40 years’ age, 18 to 59 months of inter-pregnancy intervals were included. All the demographic and clinical data was collected according to predesigned questionnaire. Results: In this study all females were anemic, whereas there were 57(42.22%) females had mild anemia, 61(45.19%) females had moderate and 17(12.59%) females had severe anemia. There was association between severity of Hb levels with higher age group, lower socioeconomic status, previous history of vaginal + C-section and females with third trimester. Moreover, there was significantly negative correlation between Hb levels and higher gravida, p-value ≤ 0.05. Conclusions: Itis concluded from the results of our study that all mothers had different degrees of anemia. There was a statistically significant association between severity of Hb levels with higher age group, lower socioeconomic status, previous history of vaginal + C-section and females with third trimester (p < 0.05). While, no significant association and a negative correlation was found between Hb levels and multigravida (r = - 0.181 & p = 0.035).
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生育间隔短对南卡纳-萨希布地区总部医院产妇贫血症的影响
短生育间隔与孕产妇、围产期、婴儿和儿童不良结局风险的增加密切相关。产妇贫血是短生育间隔最常见的并发症之一,会进一步增加胎儿和产妇不良结局的风险。研究目的确定南卡纳-萨希布县总部医院的短生育间隔对产妇贫血的影响。研究方法这项分析性横断面研究在南卡纳-萨希布地区总部医院妇产科进行。共纳入 135 名年龄在 18 至 40 岁之间、怀孕间隔在 18 至 59 个月之间的孕妇。所有人口统计学和临床数据均根据预先设计的调查问卷收集。研究结果在这项研究中,所有女性都患有贫血,其中 57(42.22%)名女性患有轻度贫血,61(45.19%)名女性患有中度贫血,17(12.59%)名女性患有重度贫血。血红蛋白水平的严重程度与较高的年龄组、较低的社会经济地位、既往阴道 + 剖腹产史和怀孕三个月的女性有关。此外,Hb 含量与孕酮较高呈明显负相关,P 值小于 0.05。结论我们的研究结果表明,所有产妇都存在不同程度的贫血。血红蛋白水平的严重程度与高年龄组、较低的社会经济地位、既往的阴道+剖腹产史和怀孕三个月的女性之间存在统计学意义上的显著关联(p < 0.05)。而血红蛋白水平与多胎妊娠之间无明显关联且呈负相关(r = - 0.181 & p = 0.035)。
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