ANAEMIA IN PREGNANCY: THE IMPACT ON MATERNAL AND FETAL HEALTH, INNOVATION, AND MANAGEMENT IN KEDUNGJATI PRIMARY HEALTH CARE

Alexandria Firdaus Al-Farisy
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Abstract

Anaemia is a common condition affecting a significant proportion of pregnant women worldwide, particularly in low- and middle-income countries. Anaemia is associated with adverse outcomes for both the mother and the developing fetus, including increased risk of preterm birth, low birth weight, and maternal mortality. Primary health care settings play a crucial role in the identification, management, and prevention of Anaemia in pregnant women. This review aims to provide an overview of the prevalence and impact of Anaemia on maternal and fetal health, as well as the current approaches to its management in primary health care settings. We conducted a comprehensive search of electronic databases for relevant studies published between 2010 and 2021, including systematic reviews, meta-analyses, and clinical practice guidelines. The results indicate that the prevalence of Anaemia in pregnancy varies widely depending on the population and the diagnostic criteria used, with rates ranging from 20% to 80%. Anaemia is associated with a range of adverse maternal and fetal outcomes, including increased risk of preterm birth, low birth weight, and maternal mortality. The management of Anaemia in primary health care settings involves a multifaceted approach, including iron and folic acid supplementation, dietary and lifestyle modifications, and close monitoring of maternal and fetal health. While the evidence base for the management of Anaemia in primary health care is relatively strong, there is a need for further research on the effectiveness and cost-effectiveness of interventions, as well as strategies to improve the identification and management of Anaemia in pregnant women.
妊娠贫血:克敦加提初级卫生保健对孕产妇和胎儿健康的影响、创新和管理
贫血是一种常见病,影响全世界相当大比例的孕妇,特别是在低收入和中等收入国家。贫血与母亲和发育中的胎儿的不良结局有关,包括早产、低出生体重和孕产妇死亡率的风险增加。初级卫生保健机构在识别、管理和预防孕妇贫血方面发挥着至关重要的作用。本综述旨在概述贫血的患病率和对孕产妇和胎儿健康的影响,以及目前初级卫生保健机构对其管理的方法。我们对2010年至2021年间发表的相关研究进行了全面的电子数据库检索,包括系统综述、荟萃分析和临床实践指南。结果表明,怀孕期间贫血的患病率因人群和使用的诊断标准而有很大差异,从20%到80%不等。贫血与一系列孕产妇和胎儿不良结局相关,包括早产风险增加、低出生体重和孕产妇死亡率。初级卫生保健机构的贫血管理涉及多方面的方法,包括补充铁和叶酸,改变饮食和生活方式,以及密切监测孕产妇和胎儿健康。虽然在初级保健中管理贫血的证据基础相对较强,但仍需要进一步研究干预措施的有效性和成本效益,以及改进孕妇贫血的识别和管理的战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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