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与绝对血红蛋白相比,血红蛋白的变化作为出生体重的决定因素:来自东印度的二次数据分析

Amandeep Kaur¹, Semanti Das², Farhad Ahamed¹

¹Department of Community Medicine and Family Medicine, AIIMS Kalyani, West Bengal, India.

Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine

|September 29, 2025

概括

怀孕期间母亲血红蛋白水平的变化,而不是绝对水平,显著影响新生儿出生体重. 这一发现为管理怀孕健康和预测婴儿结果提供了新的见解.

科学领域:

产科和妇科产科和妇科
孕产妇和胎儿医学孕产妇和胎儿医学
公共卫生营养公共卫生营养

背景情况:

低出生体重 (LBW) 是婴儿健康和发育的关键决定因素.
母亲贫血是已知的LBW风险因素,但其在妊娠阶段的影响尚不清楚.
了解妊娠期间的血红蛋白动态对于改善分娩结果至关重要.

研究的目的:

为了研究孕期三季度母体血红蛋白度变化与新生儿出生体重之间的关联.
为了比较血红蛋白水平变化的影响与绝对血红蛋白水平对出生体重的影响.
确定在农村产前护理环境中低出生体重的潜在预测因素.

主要方法:

对226名参加月度产前护理 (ANC) 的母亲的二次数据分析.
录取标准:从怀孕第一季度到产后完成ANC.
分析的重点是母亲的血红蛋白在三个月的变化和与出生体重的相关性.

主要成果:

在226次交付中,有46次交付导致了LBW.
在血红蛋白变化 (第1到第3季度和第2到第3季度) 和出生体重之间发现了显著的关联.
在特定三季度的贫血严重程度和出生体重之间没有显著的关联.

结论:

怀孕期间血红蛋白度的变化似乎比绝对水平对出生体重更为关键.
这些发现可以指导更新的临床治疗策略,治疗怀孕期间的贫血.
需要进一步的研究来阐明这些观察的基础上的生物机制.

关键词:

产前护理产前护理出生的体重出生时的体重.血红蛋白的变化血红蛋白的变化孕产妇的贫血症产妇的贫血症新生儿新生儿的新生儿

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