治疗缺铁性贫血妇女的怀孕结果:一项回顾性队列研究
Threebhorn Kamlungkuea1,2, Chutima Kaewchung3, Netjantra Sublon3
1Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Nutrients
|October 16, 2025
概括
怀孕期间缺铁性贫血 (IDA) 会增加早产,胎儿生长限制和低出生体重的风险. 即使有治疗,更密切的监测和优化管理对于更好的母亲和婴儿结果至关重要.
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
- 血液学 血液学 血液学
背景情况:
- 缺铁性贫血 (IDA) 是怀孕期间常见的并发症,对母亲和胎儿构成风险.
- 泰国北部在孕妇中患贫血的发病率很高.
- 不利的孕产妇和胎儿健康结果与怀孕期间的IDA有关.
研究的目的:
- 为了比较泰国北部有和没有IDA的妇女之间的怀孕结果.
- 确定在高流行地区怀孕期间与IDA相关的特定风险.
主要方法:
- 在Maharaj Nakorn Chiang Mai医院对单子妊娠 (2003-2024) 的回顾性队列研究.
- 包括在怀孕前半年被诊断患有IDA的妇女 (n=634).
- 与对照组进行低风险怀孕的比较 (n=28,132).
主要成果:
- IDA与更高的平等,更低的社会经济地位和更低的血红蛋白水平有关.
- IDA显著增加了早产的风险 (aOR 1.04).
- IDA与胎儿生长限制 (aOR 1.02) 和低出生体重 (aOR 1.05) 的风险增加有关.
结论:
- 即使在接受治疗时,IDA也可能会略微增加早产,胎儿生长限制和低出生体重的风险.
- 剩余风险表明贫血的纠正不完全,需要优化管理策略.
- 改善护理需要严格遵守,使用肠道铁,并解决营养不足.
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