{"title":"三级保健医院妊娠间隔短的妇女贫血的频率。","authors":"M. Masood, N. Nazar, M. A. Khan","doi":"10.7176/jmpb/67-05","DOIUrl":null,"url":null,"abstract":"Background; The time interval between pregnancies is considered to be an important and modifiable risk factor in terms of adverse perinatal outcomes. This study was done to determine the frequency of anemia in pregnant women having short interpregnancy interval. Materials and methods; All the pregnant women with short interpregnancy interval were registered from Department of Gynecology and Obstetrics, Nishtar Hospital Multan, Pakistan. Examination was done including general physical examination. Those with interpregnancy interval less than 6 months were included in study. Detailed history was taken regarding parity, duration of pregnancy. Duration of gestation was estimated according to patients last menstrual period. Three ml venous blood sample was drawn and sent to the pathology laboratory of Nishtar Hospital Multan for Hb levels analysis. Data was entered and analyzed by SPSS version 20. Results; Mean age of our study cases was noted to be 27.83 ± 4.95 years (with minimum age of our study cases was 21 years while maximum age was noted to be 38 years). Of these 90 study cases, 51 (56.7%) were from rural areas, 73 (81.1%) were normal weight 11(12.2%) were overweight and 6 (6.7%) were obese. Seventy eight (86.7%) were illiterate. Of these 90 study cases, 73 (81.1%) were having poor socioeconomic status, 11 (12.2%) were diabetic and 17 (18.9%) were hypertensive. Mean body mass index (BMI) of our study cases was noted to be 22.31 ± 2.07 Kg/m2. Mean gestational age of our study cases was noted to be 24.02 ± 8.31 weeks. Mean Hb level was noted to 10.67 ± 0.893 g/dl (with minimum Hb level was 9.6 g/dl while maximum Hb level was 12.5 g/dl). Mean interpregnancy interval was 4.23 ± 0.98 months (with minimum interpregnancy interval was 2.5 months while maximum interpregnancy interval was 6 months). Anemia was noted in 74 (82.2%) our study cases and only 23 (25.6%) of our study cases were taking iron supplements. Conclusion; Short interpregnancy interval less than 6 months is related with adverse pregnancy outcomes. Very high frequency of anemia was noted in our study cases having interpregnancy interval less than 6 months. Anemia was significantly associated with residential status, hypertension and iron supplementation. Birth spacing is an issue which women should have some control over. Educational interventions, including birth control, should be applied during prenatal visits and following delivery. Keywords ; Short interpregnancy Interval, anemia, hemoglobin. DOI : 10.7176/JMPB/67-05 Publication date :August 31st 2020","PeriodicalId":16339,"journal":{"name":"Journal of Medicine, Physiology and Biophysics","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"FREQUENCY OF ANEMIA AMONG WOMEN PRESENTING WITH SHORT INTER-PREGNANCY INTERVAL AT A TERTIARY CARE HOSPITAL.\",\"authors\":\"M. Masood, N. Nazar, M. A. Khan\",\"doi\":\"10.7176/jmpb/67-05\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background; The time interval between pregnancies is considered to be an important and modifiable risk factor in terms of adverse perinatal outcomes. This study was done to determine the frequency of anemia in pregnant women having short interpregnancy interval. Materials and methods; All the pregnant women with short interpregnancy interval were registered from Department of Gynecology and Obstetrics, Nishtar Hospital Multan, Pakistan. Examination was done including general physical examination. Those with interpregnancy interval less than 6 months were included in study. Detailed history was taken regarding parity, duration of pregnancy. Duration of gestation was estimated according to patients last menstrual period. Three ml venous blood sample was drawn and sent to the pathology laboratory of Nishtar Hospital Multan for Hb levels analysis. Data was entered and analyzed by SPSS version 20. Results; Mean age of our study cases was noted to be 27.83 ± 4.95 years (with minimum age of our study cases was 21 years while maximum age was noted to be 38 years). Of these 90 study cases, 51 (56.7%) were from rural areas, 73 (81.1%) were normal weight 11(12.2%) were overweight and 6 (6.7%) were obese. Seventy eight (86.7%) were illiterate. Of these 90 study cases, 73 (81.1%) were having poor socioeconomic status, 11 (12.2%) were diabetic and 17 (18.9%) were hypertensive. Mean body mass index (BMI) of our study cases was noted to be 22.31 ± 2.07 Kg/m2. Mean gestational age of our study cases was noted to be 24.02 ± 8.31 weeks. Mean Hb level was noted to 10.67 ± 0.893 g/dl (with minimum Hb level was 9.6 g/dl while maximum Hb level was 12.5 g/dl). Mean interpregnancy interval was 4.23 ± 0.98 months (with minimum interpregnancy interval was 2.5 months while maximum interpregnancy interval was 6 months). Anemia was noted in 74 (82.2%) our study cases and only 23 (25.6%) of our study cases were taking iron supplements. Conclusion; Short interpregnancy interval less than 6 months is related with adverse pregnancy outcomes. Very high frequency of anemia was noted in our study cases having interpregnancy interval less than 6 months. Anemia was significantly associated with residential status, hypertension and iron supplementation. Birth spacing is an issue which women should have some control over. Educational interventions, including birth control, should be applied during prenatal visits and following delivery. Keywords ; Short interpregnancy Interval, anemia, hemoglobin. 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引用次数: 0
摘要
背景;怀孕之间的时间间隔被认为是一个重要的和可改变的危险因素,就不利的围产期结局而言。本研究旨在确定妊娠间隔较短的孕妇贫血的发生频率。材料和方法;所有解释间隔较短的孕妇均登记于巴基斯坦木尔坦Nishtar医院妇产科。检查包括一般体格检查。翻译间隔小于6个月者纳入研究。详细记录了胎次、妊娠期。根据患者最后一次月经估计妊娠期。抽取静脉血3 ml送到木尔坦Nishtar医院病理实验室进行Hb水平分析。数据录入和分析采用SPSS version 20。结果;我们研究病例的平均年龄为27.83±4.95岁(我们研究病例的最小年龄为21岁,最大年龄为38岁)。90例病例中,农村51例(56.7%),体重正常73例(81.1%),超重11例(12.2%),肥胖6例(6.7%)。文盲78人(86.7%)。在90例研究病例中,73例(81.1%)社会经济状况较差,11例(12.2%)患有糖尿病,17例(18.9%)患有高血压。我们研究病例的平均体重指数(BMI)为22.31±2.07 Kg/m2。本研究病例的平均胎龄为24.02±8.31周。平均Hb水平为10.67±0.893 g/dl(最低Hb水平为9.6 g/dl,最高Hb水平为12.5 g/dl)。平均解释间隔为4.23±0.98个月(最小解释间隔2.5个月,最大解释间隔6个月)。74例(82.2%)的研究病例出现贫血,只有23例(25.6%)的研究病例服用了铁补充剂。结论;妊娠间隔短,小于6个月与不良妊娠结局有关。在我们的研究病例中,解释间隔小于6个月的贫血发生率很高。贫血与居住状态、高血压和补铁显著相关。生育间隔是一个女性应该有所控制的问题。应在产前检查和分娩后实施教育干预,包括节育。关键字;短解释间隔,贫血,血红蛋白。DOI: 10.7176/JMPB/67-05出版日期:2020年8月31日
FREQUENCY OF ANEMIA AMONG WOMEN PRESENTING WITH SHORT INTER-PREGNANCY INTERVAL AT A TERTIARY CARE HOSPITAL.
Background; The time interval between pregnancies is considered to be an important and modifiable risk factor in terms of adverse perinatal outcomes. This study was done to determine the frequency of anemia in pregnant women having short interpregnancy interval. Materials and methods; All the pregnant women with short interpregnancy interval were registered from Department of Gynecology and Obstetrics, Nishtar Hospital Multan, Pakistan. Examination was done including general physical examination. Those with interpregnancy interval less than 6 months were included in study. Detailed history was taken regarding parity, duration of pregnancy. Duration of gestation was estimated according to patients last menstrual period. Three ml venous blood sample was drawn and sent to the pathology laboratory of Nishtar Hospital Multan for Hb levels analysis. Data was entered and analyzed by SPSS version 20. Results; Mean age of our study cases was noted to be 27.83 ± 4.95 years (with minimum age of our study cases was 21 years while maximum age was noted to be 38 years). Of these 90 study cases, 51 (56.7%) were from rural areas, 73 (81.1%) were normal weight 11(12.2%) were overweight and 6 (6.7%) were obese. Seventy eight (86.7%) were illiterate. Of these 90 study cases, 73 (81.1%) were having poor socioeconomic status, 11 (12.2%) were diabetic and 17 (18.9%) were hypertensive. Mean body mass index (BMI) of our study cases was noted to be 22.31 ± 2.07 Kg/m2. Mean gestational age of our study cases was noted to be 24.02 ± 8.31 weeks. Mean Hb level was noted to 10.67 ± 0.893 g/dl (with minimum Hb level was 9.6 g/dl while maximum Hb level was 12.5 g/dl). Mean interpregnancy interval was 4.23 ± 0.98 months (with minimum interpregnancy interval was 2.5 months while maximum interpregnancy interval was 6 months). Anemia was noted in 74 (82.2%) our study cases and only 23 (25.6%) of our study cases were taking iron supplements. Conclusion; Short interpregnancy interval less than 6 months is related with adverse pregnancy outcomes. Very high frequency of anemia was noted in our study cases having interpregnancy interval less than 6 months. Anemia was significantly associated with residential status, hypertension and iron supplementation. Birth spacing is an issue which women should have some control over. Educational interventions, including birth control, should be applied during prenatal visits and following delivery. Keywords ; Short interpregnancy Interval, anemia, hemoglobin. DOI : 10.7176/JMPB/67-05 Publication date :August 31st 2020