泰米尔纳德邦哥印拜陀一家三级医院中6个月至2岁儿童的产妇营养意识和缺铁性贫血

Shahana Parvin Sheik, F. Saidalikutty
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摘要

目的:分析母亲在预防幼儿营养性贫血中的危险因素及重要作用。方法:在哥印拜陀进行为期2年的以医院为基础的横断面研究。使用预先测试的结构化验证工具,对6个月至2岁儿童的母亲进行访谈,以收集有关导致贫血的因素的信息,特别是关于孕产妇知识。结果:贫血多见于婴儿期后半期(67.2%),以男性为主(60.5%)。牛奶摄入量增加与低血红蛋白呈正相关(p=0.002)。有工作和受教育程度较低的母亲有更多的贫血儿童(p<0.05)。16%的母亲意识差,95.45%的孩子血红蛋白低(p<0.05)。结论:认识缺铁性贫血的发病因素对预防缺铁性贫血有重要作用。必须提倡纯母乳喂养,同时避免过量的牛奶摄入。在适当的时期用适合年龄的食物进行干预是必要的。产妇文盲与婴儿贫血呈正相关。提高医生对产妇的认识将为一个没有贫血的国家铺平道路。
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Maternal nutritional awareness and iron deficiency anemia in children aged 6 months–2 years in a tertiary care hospital in Coimbatore, Tamil Nadu
Objective: This study aims to analyze the risk factors and vital role of mothers in prevention of nutritional anemia in the early childhood. Methods: A hospital-based cross-sectional study done in Coimbatore for 2 years. Using a pre-tested structured validated tool, mothers of children aged 6 months–2 years were interviewed to collect information on factors contributing to anemia with special regard to maternal knowledge. Results: Anemia was more in the latter half of infancy (67.2%) with male predominance (60.5%). An affirmative association between increased cow’s milk intake and low hemoglobin was present (p=0.002). Employed and less educated mothers had more anemic children (p<0.05). Of 16% mothers classified as “poor” awareness, 95.45% children had low hemoglobin (p<0.05). Conclusion: Recognizing the causative factors plays an essential role in preventing iron deficiency anemia (IDA). Exclusive breastfeeding must be promoted, along with avoiding excessive cow’s milk intake. Intervening at the right period with age-appropriate foods becomes a necessity. Maternal illiteracy has a positive correlation with anemia in infants. Improving maternal awareness by the physicians will pave the road toward a nation free from anemia.
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