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目的了解该地区孕产妇贫血发生状况及其影响因素,提出有效的干预措施。方法对2652例孕妇贫血状况进行回顾性调查分析。结果孕妇贫血发生率为20.44%,贫血发生率随孕周增大而增高,差异有非常显著意义(χ2=19.25,P<0.001),且孕中、晚期贫血发生率高于孕早期贫血发生率;农村孕妇贫血发生率高于城市(χ2=125.64,P<0.001);贫血孕妇的妊高征、产后出血、低出生体重儿、围产儿死亡发生率与非贫血孕妇比较,差异有非常显著意义(χ2=391.70,χ2=178.16,χ2=35.30,χ2=13.93,P<0.001)。结论加强育龄妇女的健康教育,纠正孕前贫血;加强孕期营养监测和指导,提高孕妇的膳食质量,积极治疗贫血孕妇,降低因贫血引起的围产期并发症。
Objective To understand the status of maternal anemia in the area and its influencing factors and put forward effective interventions. Methods A retrospective analysis of 2652 cases of anemia in pregnant women. Results The incidence of anemia in pregnant women was 20.44%. The incidence of anemia increased with gestational weeks increasing. The difference was significant (χ2 = 19.25, P <0.001). The incidence of anemia in early pregnancy was higher than that in early pregnancy (Χ2 = 125.64, P <0.001). The difference of pregnancy-induced hypertension, postpartum hemorrhage, low birth weight infants and perinatal death among pregnant women with anemia was significant compared with non-anemic pregnant women (χ2 = 391.70, χ2 = 178.16, χ2 = 35.30, χ2 = 13.93, P <0.001). Conclusions Strengthen health education for women of childbearing age and correct anemia before pregnancy. Strengthen nutrition monitoring and guidance during pregnancy to improve the quality of pregnant women’s diet, actively treat pregnant women with anemia and reduce perinatal complications caused by anemia.