A Cross-sectional Study on Prevalence and Determinants of Preconception Anemia in Women of Reproductive Age Group at Gandhinagar, Gujarat, India

R. Khatri, Bhoomi Patel, J. Prajapati, Mallika V. Chavada, P. Verma
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Abstract

Introduction : Nutritional anemia is a major public health issue that affects women of all ages, notably those of reproductive age (15-49 years). Anemia has an adverse effect on the outcome of pregnancy including miscarriage, intrauterine growth retardation, low birth weight, post-partum hemorrhages and stillbirth. Objectives:It is to estimate prevalence of anemia and to investigate socio-demographic and obstetric factors associated with the prevalence of anemia during preconception period. Method: We conducted a crosssectional study among 306 reproductive age group (15-49 years) women who were residing in field practice area of Urban Health Training Center (UHTC) in sector-24, Gandhinagar, Gujarat, India who are planning to conceive within a year. Study participants were selected from the records of the female health worker according to our inclusion and exclusion criteria for the study. Results: Out of 306 participant women, 76% were found to be anemic, out of which, 31% had mild, 55% had moderate and 14% had severe level of anemia. Education level significantly associated (P < 0.05) with presence of anemia as women with lower level of education had higher presence of anemia – 81.97% in primary education group and 79.17% among illiterate women. BMI, parity and family type was also found to be significantly (P < 0.05) associated with the severity of anemia. Conclusion: Nearly three fourth Women who planned to conceive within a year had anemia. Out of women who had anemia, nearly three fourth had moderate to severe anemia. Education had significant association with presence of anemia and low BMI, Parity and type of family had significant association with severity of anemia.
印度古吉拉特邦甘地那加尔育龄妇女孕前贫血患病率及决定因素横断面研究
引言:营养性贫血是一个主要的公共卫生问题,影响所有年龄段的妇女,尤其是育龄妇女(15-49岁)。贫血对妊娠结局有不利影响,包括流产、宫内发育迟缓、低出生体重、产后出血和死胎。目的:评估贫血的患病率,并调查与孕前期贫血患病率相关的社会人口统计学和产科因素。方法:我们对居住在印度古吉拉特邦甘迪纳格尔24区城市健康培训中心(UHTC)实地实践区的306名育龄妇女(15-49岁)进行了横断面研究,这些妇女计划在一年内怀孕。根据我们的纳入和排除标准,从女性卫生工作者的记录中选择研究参与者。结果:在306名参与者中,76%的女性贫血,其中31%为轻度贫血,55%为中度贫血,14%为重度贫血。教育水平与贫血的存在显著相关(P<0.05),因为教育水平较低的女性贫血的存在率较高——小学教育组为81.97%,文盲女性为79.17%。BMI、产次和家庭类型也与贫血的严重程度显著相关(P<0.05)。结论:计划在一年内怀孕的女性中,近四分之三患有贫血。在患有贫血的妇女中,近四分之三患有中度至重度贫血。教育程度与贫血和低BMI显著相关,出生性别和家庭类型与贫血的严重程度显著相关。
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