Factors associated with anemia in pregnant women admitted to reference hospitals Puno (Peru).
DOI:
https://doi.org/10.12873/442cuevaKeywords:
Anemia, Associated factors, Hemoglobin, Pregnant, IronAbstract
Introduction: Anemia in pregnant women constitutes a public health problem in the world, due to the increase in iron needs, due to the expansion of the erythrocyte mass of the placenta and the fetus. Objective: To determine the associated factors with anemia in pregnant women from reference hospitals of Puno-Perú 2018. Materials and methods. It was a descriptive and retrospective study. A sample of 3192 perinatal medical records was obtained from the Perinatal Information System (SIP) database. Considering the variables hemoglobin level, maternal age, gestational age, pregestational BMI, interpregnancy period, parity and level of education. The effect of the trimester of gestation on the hemoglobin level was determined using one-way analysis of variance (ANOVA) and multiple comparison of means using Tukey's test. The relationship between the presence of anemia and the factors evaluated was determined using the Chi square test, considering statistical differences when the p value was less than 0.05. The statistical analysis was performed using the Minitab statistical package, version 20. Results: 31.4% of anemia was found in the evaluated population, finding a significant association between the presence of anemia, gestational age, pregestational BMI and parity (p<0.001). The percentage of anemic pregnant women differs significantly between gestational age groups (p<0.05), and between parity groups (p<0.05), being lower in primiparous and higher in highly multiparous. There is no significant difference in the percentage of anemic pregnant women between age groups, interpregnancy period and level of education (p>0.05). Discussion: A greater frequency of anemia has been demonstrated in pregnant women as gestational age advances, becoming more critical in the third trimester as well as in thin pregnant women with BMI <18.5 and multiparous. Conclusions: Gestational anemia was associated with the factors gestational age, pregestational BMI and parity.
References
Barba-Oropeza F, Cabanillas-Gurrola J. Factores asociados a la anemia durante el embarazo en un grupo de gestantes mexicanas. Arch en Med Fam [Internet]. 2007;9(4):170–5. Available from: https://www.medigraphic.com/pdfs/medfam/amf-2007/amf074d.pdf
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity [Internet]. Geneva: World Health Organization; 2011. (WHO/NMH/NHD/MNM/11.1). Available from: https://iris.who.int/bitstream/handle/10665/85839/WHO_NMH_NHD_MNM_11.1_eng.pdf
MINSA. Norma Técnica-Manejo Terapéutico y Preventivo de la anemia en niños, adolescentes, mujeres gestantes y puérperas [Internet]. Lima: Ministerio de Salud del Perú; 2017. Available from: https://bvs.minsa.gob.pe/local/MINSA/4190.pdf
Donoso E, Carvajal JA, Vera C, Poblete JA. La edad de la mujer como factor de riesgo de mortalidad materna, fetal, neonatal e infantil. Rev Med Chil [Internet]. 2014;142(2):168–74. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200004&lng=en&nrm=iso&tlng=en
Soto J. Factores asociados a anemia en gestantes hospitalizadas del Hospital San José. Rev Peru Investig Matern Perinat [Internet]. 2020;9(2):31–3. Available from: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/203
Ribot B, Ruiz-Díez F, Abajo S, March G, Fargas F, Arija V. Prevalence of anaemia, risk of haemoconcentration and risk factors during the three trimesters of pregnancy. Nutr Hosp [Internet]. 2018;35(1):123–30. Available from: https://www.nutricionhospitalaria.org/index.php/articles/01045/show
Imai K. Parity-based assessment of anemia and iron deficiency in pregnant women. Taiwan J Obstet Gynecol [Internet]. 2020;59(6):838–41. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1028455920302217
Zavala-García A, Ortiz-Reyes H, Salomon-Kuri J, Padilla-Amigo C, Preciado Ruiz R. Periodo intergenésico: Revisión de la literature. Rev Chil Obstet Ginecol [Internet]. 2018;83(1):52–61. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262018000100052&lng=en&nrm=iso&tlng=en
Espinola-Sánchez M, Sanca-Valeriano S, Ormeño-Julca A. Factores sociales y demográficos asociados a la anemia en mujeres embarazada en Perú. Rev Chil Obstet Ginecol [Internet]. 2021;86(2):192–201. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262021000200192&lng=en&nrm=iso&tlng=en
FAO, IFAD, UNICEF, WFP, WHO. The State of Food Security and Nutrition in the World 2021. Transforming food systems for food security, improved nutrition and affordable healthy diets for all. [Internet]. Rome: FAO; 2021. Available from: http://www.fao.org/documents/card/en/c/cb4474en
FAO, IFAD, PAHO, UNICEF, WFP. Latin America and the Caribbean – Regional Overview of Food Security and Nutrition 2021: Statistics and trends [Internet]. Santiago: FAO; 2021. Available from: http://www.fao.org/documents/card/en/c/cb7497en
MINSA. Estado nutricional de gestantes que acceden a los establecimientos de salud del Ministerio de Salud. Informe Gerencial Nacional 2022. [Internet]. Lima; 2022. Available from: https://cdn.www.gob.pe/uploads/document/file/4628853/Informe Gerencial SIEN-HIS Gestantes 2022.pdf
Yi S-W, Han Y-J, Ohrr H. Anemia before pregnancy and risk of preterm birth, low birth weight and small-for-gestational-age birth in Korean women. Eur J Clin Nutr [Internet]. 2013;67(4):337–42. Available from: https://www.nature.com/articles/ejcn201312
Camaschella C. Iron-Deficiency Anemia. Longo DL, editor. N Engl J Med [Internet]. 2015;372(19):1832–43. Available from: http://www.nejm.org/doi/10.1056/NEJMra1401038
Martínez LM, Jaramillo LI, Villegas JD, Álvarez LF, Ruiz C. Physiological anemia versus pathological anemia in pregnancy. Rev Cuba Obstet y Ginecol [Internet]. 2018;44(2):1–12. Available from: https://www.medigraphic.com/pdfs/revcubobsgin/cog-2018/cog182q.pdf
INEI. Puno. Resultados definitivos. Tomo I. [Internet]. Lima: Instituto Nacional de Estadística e Informática; 2018. Available from: https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1563/21TOMO_01.pdf
Acosta J, Rodríguez I, Valencia M, Flores A. Memoria sobre la geología económica de la región Puno [Internet]. Lima; 2011. Available from: https://hdl.handle.net/20.500.12544/3525
Fernández J, Rodríguez ML, González de la Oliva G, Pérez D, Ortega L. Perinatal Outcomes of Patients with Anemia at the Beginning of Pregnancy (January 2015-December 2016). Rev Cuba Obstet y Ginecol [Internet]. 2017;43(2):1–8. Available from: https://www.medigraphic.com/pdfs/revcubobsgin/cog-2017/cog172e.pdf
Taipe-Ruiz BR, Troncoso-Corzo L. Anemia en el primer control de gestantes en un centro de salud de Lima, Perú y su relación con el estado nutricional pregestacional. Horiz Médico [Internet]. 2019;19(2):6–11. Available from: http://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/970
MINSA. Guía técnica para la valoración nutricional antropométrica de la gestante [Internet]. Primera ed. Aguilar LÁ, Lázaro ML, editors. Lima: Ministerio de Salud, Instituto Nacional de Salud; 2019. Available from: https://repositorio.ins.gob.pe/handle/20.500.14196/1159
MINSA. Manual de Usuario. Historia Clínica Electrónica. Primer Nivel. Atención prenatal. [Internet]. Lima; 2019. Available from: https://www.minsa.gob.pe/sihce/manuales/MU_ATENCION_PRENATAL.pdf
Organización Panamericana de la Salud. Salud sexual y reproductiva. Guías para el continuo de atención de la mujer y el recién nacido. [Internet]. Cuarta ed. Washington, D.C.: OPS; 2019. Available from: https://iris.paho.org/bitstream/handle/10665.2/51740/9789275321355_spa.pdf
Herrera C, Calderón N, Carbajal R. Influencia de la paridad, edad materna y edad gestacional en el peso del recién nacido. Rev Peru Ginecol y Obstet [Internet]. 2015;43(2):158–63. Available from: http://51.222.106.123/index.php/RPGO/article/view/1060
Narea VE, Rodríguez KÁ, Bohórquez M, Jiménez GE. Complicaciones maternas en pacientes con periodo intergenésico corto, Hospital Matilde Hidago de Procel. Pro Sci Rev Prod Ciencias e Investig [Internet]. 2021;4(33):62–8. Available from: http://www.journalprosciences.com/index.php/ps/article/view/305
INEI. Indicadores de Educación por Departamento: 2008-2018 [Internet]. Lima: Instituto Nacional de Estadística e Informática; 2019. Available from: https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1680/
Gómez-Sánchez I, Rosales S, Agreda L, Castillo A, Alarcón-Matutti E, Gutiérrez C. Nivel de hemoglobina y prevalencia de anemia en gestantes según características socio-demográficas y prenatales. Rev Peru Epidemiol [Internet]. 2014;18(2):1–6. Available from: https://www.redalyc.org/pdf/2031/203131877003.pdf
Carvajal JA, Ralph CA. Manual de Obstetricia y Ginecología [Internet]. Octava ed. Chile: Pontifica Universidad Católica de Chile, Facultad de Medicina, Escuela de Medicina; 2017. Available from: https://medicina.uc.cl/wp-content/uploads/2018/04/Manual-Obstetricia-Ginecologia-2017.pdf
Vricella LK. Emerging understanding and measurement of plasma volume expansion in pregnancy. Am J Clin Nutr [Internet]. 2017 Dec;106(Suppl 6):1620S-1625S. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002916522027332
Rosas-Montalvo M, Ortiz-Zaragoza M, Dávila-Mendoza R, González-Pedraza-Avilés A. Prevalence and etiology of anemia in pregnant women given care in a first level clinic. Rev Hematol Mex [Internet]. 2016;17(2):107–13. Available from: https://www.medigraphic.com/pdfs/hematologia/re-2016/re162f.pdf
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