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Iron status of pregnant women in rural and urban communities of Cross River State, south-south Nigeria

机译:南南南南南部农村与城市社区孕妇的熨斗状况

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Anaemia in pregnancy is a major public health problem in Nigeria. Iron deficiency is one of the major causes of anaemia in pregnancy. Inadequate iron intake during pregnancy can be dangerous to both baby and mother. Iron status of pregnant women was assessed in two rural and one urban communities in Cross River State Nigeria. Packed cell volume, haemoglobin, mean cell haemoglobin, mean cell haemoglobin concentration, red cell count, serum iron, total iron binding capacity, transferrin saturation, serum ferritin, soluble transferrin receptor and soluble transferrin receptor/ferritin ratio were measured in plasma/serum of 170 pregnant women within the age range of 15-45 years. Seventy participants were from antenatal clinic of University of Calabar Teaching Hospital Calabar (urban community), 50 from St Joseph Hospital Ikot Ene (rural community) in Akpabuyo Local Government Area and the remaining 50 from University of Calabar Teaching Hospital extension clinic in Okoyong (rural community), Odukpani Local Government Area of Cross River state. The prevalence of anaemia, iron deficiency, iron depletion and iron deficiency anaemia were found to be significantly higher (p0.05) among pregnant women from the two rural communities when compared to the urban community. it was also observed that the prevalence of anaemia, iron deficiency, iron depletion and iron deficiency anaemia were significantly higher (p0.05) among pregnant women from Akpabuyo 38(76.00%), 20(40.00%), 23(46.0%) , 16(32.00%) respectively followed by Okoyong 24(48.0%), 20(40.0%), 16(32.0%), 6(12.0) and then those from Calabar 14(20%),? 12(17.90%) , 14(20.0%). The mean haemoglobin and haematocrit were? significantly reduced (p0.01) in pregnant women from the two rural communities. Serum iron, serum ferritin and transferrin saturation showed no significant difference while total iron binding capacity and soluble transferrin receptor significantly (p0.01) increased among pregnant women from Okoyong when compared to those from Calabar. It was also shown that pregnant women in their third trimesters and multigravidae had the highest prevalence of iron depletion and iron deficiency anaemia while prevalence of iron deficiency and anaemia were higher in? primigravidae and the pregnant women in their second trimester. In conclusion, this study has shown that the prevalence of anaemia and iron deficiency anaemia are higher among pregnant women in the rural communities when compared to those in the urban areas.
机译:怀孕的贫血是尼日利亚的主要公共卫生问题。铁缺乏是妊娠期贫血的主要原因之一。怀孕期间的铁摄入量不足可能对婴儿和母亲来说都是危险的。孕妇的熨斗状况在河流河尼日利亚的两个农村和一个城市社区评估。在血浆/血清中测量了血红蛋白,平均细胞血红蛋白,平均细胞血红蛋白浓度,平均细胞血红蛋白浓度,红细胞计数,血清铁,总铁结合能力,转移素饱和度,血清铁蛋白,可溶性转移素受体/铁蛋白比170名孕妇在15-45岁的年龄范围内。七十名参与者来自卡拉巴尔大学的产犊诊所卡拉巴尔(城市社区),50名奥克帕布野伊科特·伊伊(农村社区),奥卡比亚地方政府地区,剩下的50位欧约松(农村)社区),Odukpani Cross River州地方政府领域。与城市社区相比,两国农村社区的孕妇中发现贫血,缺铁,铁耗尽和缺铁性贫血患病率明显高(P <0.05)。还观察到贫血,缺铁,铁耗尽和缺氧性贫血的患病率显着高(P <0.05)来自Akpabuyo 38的孕妇(76.00%),20(40.00%),23(46.0%), 16(32.00%)分别为Okoyong 24(48.0%),20(40.0%),16(32.0%),6(12.0),然后来自Calabar 14(20%),? 12(17.90%),14(20.0%)。平均血红蛋白和血细胞比容是?来自两家农村社区的孕妇显着减少(P <0.01)。血清铁,血清铁蛋白和转铁蛋白饱和度显示出没有显着差异,同时与卡拉巴尔的孕妇患有显着的铁结合能力和可溶性转化素受体显着(P <0.01)。还表明,孕妇在第三个三胞胎和多里勒的铁耗尽和缺铁性贫血的患病率最高,而铁缺乏和贫血患病率较高?血脂葡萄皮和孕妇在其第二个三个月。总之,本研究表明,与城市地区的人群相比,农村社区中孕妇的血症和缺铁性贫血的患病率较高。

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