尼泊尔Sindhupalchowk地区农村孕妇贫血患病率的横断面研究

Biyas Thapa, Smriti Bohara, Sistu Kc, M. Sapkota, Bibek Dhakal, Binod Gaire
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摘要

背景:贫血是一个全球性的公共卫生问题,在世界各地,主要是发展中国家,如尼泊尔。贫血导致产妇死亡,同时出生体重过低,导致婴儿死亡率上升。根据地理区域的不同,孕妇贫血的患病率从27%到42%不等。作为尼泊尔政府国家贫血控制战略和铁强化方案的一部分,向孕妇免费提供铁和叶酸片。方法:采用横断面研究方法,对在马内克哈尔卡保健中心进行产前检查的孕妇进行调查。获取2018-2020年4月孕妇血红蛋白水平并进行分析。采用间接氰高铁血红蛋白法测定血红蛋白水平。结果:我们使用世界卫生组织(WHO)血红蛋白水平低于11 gm/dl的标准分类来确定孕妇贫血的患病率。结果显示,30.7% (n=63)孕妇贫血。其中4.76%为中度贫血(血红蛋白7 ~ 9.9gm/dl), 96.58%为轻度贫血(血红蛋白≥9.9mg/dl ~ <11gm/dl)。结论:该研究及其结果表明,16-19岁年龄组的妇女贫血患病率较高,而25-29岁年龄组的妇女贫血患病率最低。此外,研究显示,贫血的患病率在丘陵是实质性的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Anemia Among Pregnant Women in Rural Village of Sindhupalchowk District of Nepal - A Cross-Sectional Study
Background: Anemia is a global public health problem all around the world, principally the developing countries like Nepal. Anemia results in maternal mortality alongside low birth weight which contributes to an increased infant mortality rate. The prevalence of anemia ranges from 27% to 42% among pregnant women depending on geographical regions. Iron and folic acid tablets are supplied free of charge to pregnant women as part of the Nepal government's National Anemia Control Strategy and Iron Intensification Program.  Methods:  A cross-sectional study was carried out among pregnant women attending Manekharka health center for an antenatal checkup. Hemoglobin levels of pregnant women from April 2018-2020 were obtained and analyzed. Hemoglobin level was determined using the indirect cyanmethemoglobin method. Results:  We used the World Health Organization (WHO) standard classification of hemoglobin levels below 11 gm/dl to determine the prevalence of anemia in pregnant women. The result suggested that a total of 30.7%, (n=63) of the pregnant women were anemic. Among which 4.76% had moderate anemia (hemoglobin 7-9.9gm/dl) and 96.58% had mild anemia (hemoglobin ≥9.9mg/dl to <11gm/dl). Conclusion:  The study and its results suggest that the women in the age group 16-19 had a higher prevalence of anemia whereas the age group 25-29 had the lowest prevalence of anemia. Moreover, the study revealed that the prevalence of anemia in hills is substantial.
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