PDF(Pubmed)
Abstract：
BACKGROUND: Anaemia during pregnancy is common worldwide. In Australia, approximately 17% of non-pregnant women of reproductive age have anaemia, increasing to a rate of 25% in pregnant women. This study sought to determine the rate of screening for anaemia in pregnancy in regional New South Wales, and to determine whether screening and treatment protocols followed the recommended guidelines.
METHODS: This retrospective study reviewed antenatal and postnatal (48 h) data of women (n = 150) who had a live birth at Bathurst Hospital between 01/01/2020 and 30/04/2020. Demographic data, risk factors for anaemia in pregnancy, antenatal bloods, treatments provided in trimesters one (T1), two (T2) and three (T3), and postpartum complications were recorded. These were compared to the Australian Red Cross Guidelines (ARCG) using descriptive statistics.
RESULTS: Of the women with screening data available (n = 103), they were mostly aged 20-35yrs (79.6%), 23.3% were obese, 97.1% were iron deficient, 17% were anaemic and only a few (5.3%) completed the full pregnancy screening as recommended by the ARCG while a majority completed only partial screenings specifically Hb levels in T1 (56.7%), T2 (44.7%) and T3 (36.6%). Compliance to oral iron was largely undocumented, but constipation was a common side effect among the women. IV iron was administered in 14.0% of women, approximately 1.75x higher than the recommended rate.
CONCLUSIONS: This study provided useful information about compliance to screening and treatment guidelines for anaemia in pregnancy. We identified the need for improved documentation and communication between various health providers to ensure adequate antenatal care to prevent maternal complications during pregnancy. This will improve patient care and encourage further developments in maternal care, bridging the rural health gap.
METHODS: This retrospective study reviewed antenatal and postnatal (48 h) data of women (n = 150) who had a live birth at Bathurst Hospital between 01/01/2020 and 30/04/2020. Demographic data, risk factors for anaemia in pregnancy, antenatal bloods, treatments provided in trimesters one (T1), two (T2) and three (T3), and postpartum complications were recorded. These were compared to the Australian Red Cross Guidelines (ARCG) using descriptive statistics.
RESULTS: Of the women with screening data available (n = 103), they were mostly aged 20-35yrs (79.6%), 23.3% were obese, 97.1% were iron deficient, 17% were anaemic and only a few (5.3%) completed the full pregnancy screening as recommended by the ARCG while a majority completed only partial screenings specifically Hb levels in T1 (56.7%), T2 (44.7%) and T3 (36.6%). Compliance to oral iron was largely undocumented, but constipation was a common side effect among the women. IV iron was administered in 14.0% of women, approximately 1.75x higher than the recommended rate.
CONCLUSIONS: This study provided useful information about compliance to screening and treatment guidelines for anaemia in pregnancy. We identified the need for improved documentation and communication between various health providers to ensure adequate antenatal care to prevent maternal complications during pregnancy. This will improve patient care and encourage further developments in maternal care, bridging the rural health gap.
摘要：
背景：妊娠期贫血在全世界都很常见。在澳大利亚,约17%的育龄非孕妇患有贫血，孕妇的比例增加到25%。这项研究旨在确定新南威尔士州地区妊娠贫血的筛查率。并确定筛查和治疗方案是否遵循推荐的指南.
方法：这项回顾性研究回顾了2020年1月1日至2020年4月30日在巴瑟斯特医院活产的妇女（n=150）的产前和产后（48小时）数据。人口统计数据,妊娠期贫血的危险因素,产前血液,在妊娠早期(T1)提供的治疗，两个（T2）和三个（T3），记录产后并发症。使用描述性统计将这些与澳大利亚红十字会指南（ARCG）进行比较。
结果：在有筛查数据的女性中（n=103），他们大多年龄在20-35岁(79.6%)，23.3%的人肥胖，97.1％的人缺铁，17％为贫血，只有少数（5.3％）完成了ARCG建议的全面妊娠筛查，而大多数仅完成了部分筛查，特别是T1地区的Hb水平（56.7％）。T2（44.7%）和T3（36.6%）。口服铁的依从性基本上没有记录在案，但是便秘是女性常见的副作用。14.0%的女性服用静脉铁，大约比建议的费率高1.75倍。
结论：本研究提供了有关妊娠期贫血筛查和治疗指南依从性的有用信息。我们确定需要改善各种卫生提供者之间的文件和沟通，以确保充分的产前护理，以防止怀孕期间的产妇并发症。这将改善病人护理，并鼓励产妇护理的进一步发展，缩小农村卫生差距。
方法：这项回顾性研究回顾了2020年1月1日至2020年4月30日在巴瑟斯特医院活产的妇女（n=150）的产前和产后（48小时）数据。人口统计数据,妊娠期贫血的危险因素,产前血液,在妊娠早期(T1)提供的治疗，两个（T2）和三个（T3），记录产后并发症。使用描述性统计将这些与澳大利亚红十字会指南（ARCG）进行比较。
结果：在有筛查数据的女性中（n=103），他们大多年龄在20-35岁(79.6%)，23.3%的人肥胖，97.1％的人缺铁，17％为贫血，只有少数（5.3％）完成了ARCG建议的全面妊娠筛查，而大多数仅完成了部分筛查，特别是T1地区的Hb水平（56.7％）。T2（44.7%）和T3（36.6%）。口服铁的依从性基本上没有记录在案，但是便秘是女性常见的副作用。14.0%的女性服用静脉铁，大约比建议的费率高1.75倍。
结论：本研究提供了有关妊娠期贫血筛查和治疗指南依从性的有用信息。我们确定需要改善各种卫生提供者之间的文件和沟通，以确保充分的产前护理，以防止怀孕期间的产妇并发症。这将改善病人护理，并鼓励产妇护理的进一步发展，缩小农村卫生差距。
