2016年班加罗尔马辛市卫生中心地区被动吸烟孕妇的贫血情况

Hapisah Hapisah, Tri Tunggal
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摘要

妊娠期贫血会增加妊娠和分娩并发症的风险,如孕产妇死亡、早产、低体重和围产期死亡率。导致贫血的因素有很多,包括孕妇接触到香烟烟雾中含有的焦油、自由基和一氧化碳,这些都是无意中直接吸入的。一氧化碳直接与母体血红蛋白结合,所以血红蛋白结合一氧化碳的能力比氧气强得多。在被动吸烟中吸入烟草烟雾,叶酸水平要低得多,暴露于酸性吸烟会破坏红细胞中的铁代谢。铁对血红蛋白的形成非常有用,叶酸和铁的缺乏会导致胎儿缺陷和贫血。研究目的了解Banjarmasin市卫生院2016年被动吸烟孕妇贫血发生率。研究方法采用病例对照研究设计。2016年班雅马辛市卫生中心的人口均为孕妇。样本为120人,其中60例孕妇贫血,对照组为60例不符合纳入排除标准的孕妇贫血。结果显示,36名孕妇暴露于香烟烟雾中,病例组24名(40%),对照组12名(20%)。孕妇被动吸烟与贫血发生率有显著相关,p值= 0.028 0.05,OR α < 2.67 (CI-6.034 1.178)。暴露于香烟烟雾的孕妇患贫血的风险是未暴露于香烟烟雾的孕妇的2.67倍。关键词:被动吸烟者;妊娠期贫血
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Anemia ibu hamil pada perokok pasif Di wilayah puskesmas kota banjarmasin tahun 2016
Anaemia in pregnancy increases the risk of complications in pregnancy and childbirth, e.i. maternal death, prematurity, LBW, and perinatal mortality. Many factors cause anaemia, including when pregnant woman got exposure from tar, free radicals and carbonmonoxide contained in cigarette smoke that is inhaled directly by unintentionally. CO is directly bound in maternal hemoglobin so the ability of hemoglobin to be much greater binds CO than oxygen. Inhaling tobacco smoke in passive smoking, has far lower levels of folic acid, exposure to acid smoking causes a disruption of iron metabolism in red bloodcells. Iron very useful in the formation of hemoglobin, deficiencies of folic acid and iron can cause defects in the fetus and anaemia. Research purpose to know the incidence of anaemia in pregnant women passive smokers in Banjarmasin City Health Center 2016. Research method uses a case control study design. Population is all pregnant women in Banjarmasin City Health Center 2016. Samples were 120 people, composed of 60 cases pregnant women anaemia, and control were 60 pregnant women anaemia which doesn’t meet the criteria of inclusion and exclusion. Results showed 36 pregnant women were exposed to cigarette smoke, 24 respondents (40%) had a case group and 12 respondents (20%) in control group. There is a meaningful relationship between pregnant women passive smokers with incidence of anemia, value of p = 0.028 0.05 and OR α < 2.67 (CI-6.034 1.178). Exposure to cigarette smoke are at risk of 2.67 times against the incidence of anaemia pregnant woman than not exposed. Keywords: passive smokers, anemia in pregnancy
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