Barba-Oropeza F, Cabanillas-Gurrola JC

Language: Spanish
References: 11
Page: 170-175
PDF size: 216.46 Kb.

ABSTRACT

Objective: Our aim was to identify the factors associated with the anaemia during pregnancy in women. Materials and Methods: We carried out a case and control study; clinical files were reviewed and we conducted direct face-to-face interviews with pregnant women with a delivery during the months of February and March, 2005 who was cared for at Family Medicine Unit 1 (UMF) 1 during the first postpartum week. For each patient with anaemia, two controls from the same institutional base were selected. Sample size was determined with the modified proportions comparison formula. Associations were sought by means of odds ratio (OR), χ² test, and logistic regression. Results: A total of 60 patients with anaemia were included in the study, as were 120 subjects without anaemia. We identified the following nine anaemia-associated factors in 23 study participants: Iron deficiency, OR 15.4 95% confidence interval (95% CI), 6.740–35.18); inadequate iron supplementation, OR 5.4 (95% CI, 2.770–10.60); dysfunctional family, OR 3.8 (95% CI, 1.920–7.714); inappropriate nutritional guidance, OR 3.7 (95% CI, 1.950–9.400); low socioeconomic level, OR 3.5 (95% CI, 1.581–9.590); low pregestational Body mass index (BMI), OR 3.1 (95% CI, 1.586–6.093); deficient feeding, OR 2.6 (95% CI, 1.590–5.848); an antecedent of three or more childbirths, OR 2.5 (95% CI, 1.333–5.518), and inadequate prenatal control, OR 2.4 (95% CI, 1.755–4.103). Conclusions: Anaemia in pregnancy is associated fundamentally with factors related with iron deficiency, with poor nutritional status and habits with the participation of other factors such as non-attendance at prenatal control, poor daily life conditions, and changes in family dynamics.

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