Military medicine · 2012
Incidence of anemia among obstetric patients in an Appalachian teaching clinic.
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Turner Sarah, Seybold Dara, Celestine Charlsie, Williams David
Аннотация
OBJECTIVE: The purpose of this study is to determine the incidence of iron deficiency anemia in an obstetrics clinic with a secondary objective to determine predictors of iron deficiency anemia.
METHODS: This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, a clinic at Women and Children's Hospital. Data were collected on Women's Medicine Center patients who delivered at Women and Children's Hospital during a 1-year interval, through chart review linked with hospital database and birth certificate data for comorbidities.
RESULTS: Inclusion criteria were met by 685 patients. Anemia was present in 32/619 (5.2%) at intake and in 191/670 (28.5%) at delivery. The prevalence throughout pregnancy was 35.6%. Anemia was detected at first encounter or at 28 weeks in 123 (18.0 %) patients who were also tested at delivery. Of the 52 (42.3%) who received iron supplementation, 35(67.3 %) remained anemic at delivery. There were no statistically significant predictors.
CONCLUSION: Anemia continues to plague obstetrical patients and its prevalence in our patient population was surprisingly high. Further investigation is warranted to better understand the apparent ineffectiveness of iron supplementation.
METHODS: This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, a clinic at Women and Children's Hospital. Data were collected on Women's Medicine Center patients who delivered at Women and Children's Hospital during a 1-year interval, through chart review linked with hospital database and birth certificate data for comorbidities.
RESULTS: Inclusion criteria were met by 685 patients. Anemia was present in 32/619 (5.2%) at intake and in 191/670 (28.5%) at delivery. The prevalence throughout pregnancy was 35.6%. Anemia was detected at first encounter or at 28 weeks in 123 (18.0 %) patients who were also tested at delivery. Of the 52 (42.3%) who received iron supplementation, 35(67.3 %) remained anemic at delivery. There were no statistically significant predictors.
CONCLUSION: Anemia continues to plague obstetrical patients and its prevalence in our patient population was surprisingly high. Further investigation is warranted to better understand the apparent ineffectiveness of iron supplementation.