Anemia em gestantes atendidas em Unidades Básicas de Saúde da região administrativa do Butantã, município de São Paulo, em 2006 e 2008 / Anemia in pregnant women assisted at Health Basic Units of Butantã administrative region, city of São Paulo, in 2006 and 2008

AUTOR(ES)

Edna Helena da Silva Machado

FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

15/04/2011

RESUMO

The present study verified the prevalence of anemia among pregnant women assisted in 13 Health Basic Units of the Health Technical Supervision in Butantã-SP. This is a cross-sectional study with secondary data from medical charts of 772 pregnant women, upon the first prenatal visit to the doctor, in 2006 (387 women) and 2008 (385 women). The study included pregnant women whose medical charts contained the following data: age, weight, gestational quarter, hemoglobin concentration and RDW upon the first prenatal visit and lack of chronic diseases. According to the gestational nutritional status, the largest prevalence of eutrophic women (61 %) was observed, followed by 21.5 % overweight and 10.8 % obese. The prevalence of anemia was 10.0 % in 2006 and 8.8 % in 2008, with no statistically significant difference between the values (p >0.05). As expected, the prevalence increased with the evolution of gestation. In 2006, the mean Hb values decreased from 12.6 (1.0) g/dL in the first quarter to 12.2 (1.1) g/dL in the second quarter and 11.5 (1.0) g/dL in the third quarter of pregnancy. The values were similar in 2008. The mean Hb distribution and RDW in both years showed no statistically significant differences (p >0.05). The pregnant women who were in the second quarter of pregnancy showed a 41 % larger risk of anisocytosis when compared to the ones who attended the first medical visit in the first quarter of pregnancy. This level of prevalence for anemia is classified as associated to a slight risk for the population, according to the World Health Organization.

ASSUNTO(S)

anemia anemia carência de ferro gestação gestation health policy iron deficiency política de saúde

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