古吉拉特邦Amreli地区孕妇贫血和血小板减少症患病率

P. Kagathara, Abhishek Godhani, Keval Rajeshkumar Pandya
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引用次数: 0

摘要

妊娠期贫血是印度的一个主要公共卫生问题。它导致产妇发病率和死亡率高、出生体重低和婴儿死亡率高。血小板减少症也会影响妊娠状态,并与先兆子痫一起,对母亲和婴儿都有很高的并发症风险。所以,它的目标应该保持在正常范围内。通过早期干预,可以降低产妇发病率和死亡率以及婴儿死亡率。目的:了解孕妇贫血和血小板减少症的患病率。材料和方法:本回顾性研究旨在评估妊娠女性贫血和血小板减少症的患病率。采用血液学分析仪对印度古吉拉特邦尚塔巴医学院和总医院500名孕妇的血液样本进行评估,以评估贫血和血小板减少症的发生频率。这是一项为期六个月的医院研究,从2020年8月到2021年1月。根据血红蛋白值将这些女性分为轻度(10-10.9 gm/dL)、中度(7-9.9 gm/dL)和重度(低于7 gm/dL)贫血。对于血小板减少症,所有女性根据血小板水平分为轻度(100-150×109 /L)、中度(50-100×109 /L)和重度(50×109 /L以下)三类。结果:本研究共纳入孕妇500例。其中,共有351名(70.2%)女性贫血,26名(5.2%)女性血小板减少。贫血孕妇以26 ~ 32岁年龄组最多(47%),其次为18 ~ 25岁年龄组(34%)和33 ~ 40岁年龄组(19%)。结论:诊断贫血和血小板减少症对孕妇及其后代的影响具有重要意义。妊娠期贫血在印度是一个具有挑战性的健康问题,特别是在农村地区。早期纠正贫血和血小板减少症可以降低产妇发病率和死亡率
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Prevalence of Anaemia and Thrombocytopenia in Pregnant Females in Amreli District, Gujarat
Introduction: Anaemia in pregnancy is a major public health problem in India. It leads to high maternal morbidity and mortality, low birth weight and high infant mortality. Thrombocytopenia can also affect the pregnancy state and along with preeclampsia, there is a high risk of complications to both mother and baby. So, it should be aimed to keep in normal range. With early intervention, maternal morbidity and mortality as well as infant mortality can be reduced. Aim: To assess the prevalence of anaemia and thrombocytopenia in pregnant females. Materials and Methods: This retrospective study was conducted to evaluate the prevalence of anaemia and thrombocytopenia in pregnant females. Blood samples of 500 pregnant females of Shantabaa Medical College and General Hospital, Gujarat, India were evaluated to assess the frequency of anaemia and thrombocytopenia using haematology analyser. It was hospital-based study done for six months, from August 2020 to January 2021. All these females were divided into mild (10-10.9 gm/dL), moderate (7-9.9 gm/dL) and severe degree (below 7 gm/dL) anaemia according to haemoglobin values. For thrombocytopenia, all females were divided into mild (100-150×109 /L), moderate (50-100×109 /L) and severe (below 50×109 /L) category according to platelet level. Results: Total 500 pregnant females were included in this study. Out of these, total 351 (70.2%) females were anaemic and 26 females (5.2%) were thrombocytopenic. Most of the anaemic pregnant females were from 26 to 32 years age group (47%) followed by 18 to 25 year age group (34%) and 33 to 40 year age group (19%). Conclusion: It is important to diagnose the effects of anaemia and thrombocytopenia in pregnant females and their offsprings. Anaemia in pregnancy is a challenging health problem in India, particularly in rural area. Early correction of anaemia and thrombocytopenia can reduce maternal morbidity and mortality
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