| Revue: | Archivos en medicina familiar |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000333040 |
| ISSN: | 1405-9657 |
| Autores: | Barba-Oropeza, F1 Cabanillas-Gurrola, JC1 |
| Instituciones: | 1Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar 1, Ciudad Obregón, Sonora. México |
| Año: | 2007 |
| Periodo: | Oct-Dic |
| Volumen: | 9 |
| Número: | 4 |
| Paginación: | 170-175 |
| País: | México |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en español | Objetivo: Identificar los factores asociados a la anemia durante el embarazo en mujeres gestantes. Material y Métodos: Estudio de casos y controles; se revisaron expedientes clínicos y se realizó entrevista directa a embarazadas con parto ocurrido en febrero y marzo de 2005. Por cada paciente con anemia se seleccionaron dos controles de la misma base institucional. La muestra se determinó con la fórmula de comparación de proporciones modificada. Se buscaron asociaciones por medio de la razón de momios, χ2 y regresión logística. Resultados: Se incluyeron 60 pacientes con anemia y 120 sin anemia. Se identificaron nueve factores asociados con anemia de 23 investigados: deficiencia de hierro RM 15.4 (IC 95% 6.740-35.18), suplementación de hierro inadecuada RM 5.4 (IC 95% 2.770-10.60), disfunción familiar RM 3.8 (IC 95% 1.920-7.714), falta de orientación nutricional RM 3.7 (IC95%1.950- 9.400), nivel socioeconómico bajo RM 3.5 (IC 95%1.581-9.590), IMC pregestacional bajo RM 3.1 (IC 95%1.586-6.093), alimentación deficiente RM 2.6 (IC 95%1.590-5.848), antecedente de tres o más partos RM 2.5 (IC 95%1.333-5.518) y control prenatal inadecuado RM 2.4 (IC 95% 1.755-4.103). Conclusiones: La anemia en el embarazo se asoció fundamentalmente con factores relacionados a la deficiencia de hierro, con pobres condiciones de vida y hábitos nutricionales deficientes y alteraciones de la dinámica familiar |
| Resumen en inglés | 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 |
| Disciplinas: | Medicina |
| Palabras clave: | Ginecología y obstetricia, Hematología, Medicina general y familiar, Anemia, Embarazo, Factores asociados |
| Keyword: | Medicine, General practice and family health, Gynecology and obstetrics, Hematology, Anemia, Pregnancy, Associated factors |
| Texte intégral: | Texto completo (Ver HTML) |
