MODERN VIEWS TO THE PROBLEMS OF ANEMIA IN PREGNANCY

Askarova Fotima Kudratovna, Yakhshinorov Islombek Nodirjonovich
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Abstract

The paper explores how hemoglobin measured from cord blood at birth is related to anemia during pregnancy among women living in a hypertension zone in Gabon. The type of anemia was to be tested as a risk factor for adverse outcomes in pregnancy. High and low hemoglobin anemia were defined and compared with normal hemoglobin at delivery and with pregnancy without anemia. Anemia in pregnancy is a life-threatening state with increased risks of adverse outcomes to mother and infant. Although this could be detected by caesarean section, women with anemia were likely to have complex labor and the doubling of hemorrhage after pre-labor rupture of membrane suggests a causal relation. Tiredness increased throughout pregnancy for anemic women, but four obstetric outcomes were not worse than non-anemic women. Fetal growth was physiology at delivery was poor but expressed breast milk after a complicated peripartum did not show difference in content or volume. Anemia would appear to worsen outcome of already complicated pregnancies, including development of pre-eclampsia and a doubling of the need for hospitalization. A recent systematic review has shown clear benefits to correcting anemia on reducing decreased birth weight preterm infant mortality, but pregnant are a difficult group to treat. This supplement will also show the effectiveness of using various interventions to prevent and treat anemia and improving women's overall knowledge of anemia for better self-care.
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对孕期贫血问题的现代观点
本文探讨了在加蓬高血压区生活的妇女中,出生时脐带血测得的血红蛋白与孕期贫血的关系。贫血类型将作为孕期不良后果的风险因素进行检测。对高血红蛋白和低血红蛋白贫血进行了定义,并与分娩时血红蛋白正常和无贫血妊娠进行了比较。妊娠贫血是一种危及生命的状态,会增加母婴发生不良后果的风险。虽然这可以通过剖腹产检查出来,但贫血的产妇很可能会有复杂的分娩过程,而且产前破膜后出血量增加了一倍,这表明两者之间存在因果关系。贫血妇女在整个孕期的疲倦感增加,但四项产科结果并不比非贫血妇女差。分娩时胎儿的生长和生理状况不佳,但在复杂的围产期后,母乳的含量和体积并无差异。贫血似乎会使已经很复杂的妊娠结果恶化,包括先兆子痫的发展和住院需求的加倍。最近的一项系统综述显示,纠正贫血对降低出生体重不足的早产儿死亡率有明显的益处,但孕妇是一个难以治疗的群体。本增刊还将介绍使用各种干预措施预防和治疗贫血的效果,以及提高妇女对贫血的整体认识以更好地自我保健的效果。
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