Yıl 2018, Cilt 3, Sayı 3, Sayfalar 108 - 112 2018-10-04

Adölesan gebelerde demir eksikliği anemisi; ilişkili faktörler ve etkilerinin incelenmesi
Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors

Alper Basbug [1] , Cemil Isik Sonmez [2]

18 36

Giriş: Adölesan gebelikler ve bu gebeliklerde görülen maternal ve fetal olumsuz sonuçlar küresel bir sağlık problemidir. Demir eksikliği anemisi ise bu olumsuz sonuçlara neden olabilecek faktörler arasında gösterilmektedir. Biz bu çalışma ile Düzce Üniversitesi Tıp Fakültesi Hastanesinde takip edilmiş adölesan gebeler arasındaki demir eksikliği anemisi sıklığını, bununla ilişikli olabilecek demografik ve sosyo-ekonomik özellikleri ve adölesan gebeliklerde görülen demir eksikliği anemisinin maternal ve fetal sonuçlar üzerine olan etkisini değerlendirmeyi amaçladık.

Yöntem: Retrospektif vaka-kontrol niteliğindeki bu çalışmaya Düzce Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Kliniğine başvuran 19 yaş altındaki toplam 122 gebe dahil edildi. Gebelerin sosyo-ekonomik özellikleri, hematolojik durumları ve demir eksikliği anemisi ile ilişkili olabilecek olumsuz maternal ve perinatal sonuçları değerlendirildi.

Bulgular: Çalışmaya dahil edilen kadınlar arasında anemi görülme oranı %29,5’di ve demir suplemantasyonu alan kadın oranı %56,5’di. Anemik grupta oral demir suplemantasyon oranı %33,3 iken non-anemik grupta %66,2 idi (p=0,01). Serum ferritin, hemoglobin değerleri anemik grupta daha düşük iken, demir bağlama kapasitesi non-anemik grupta daha düşüktü ve gruplar arasındaki fark istatistiksel olarak anlamlıydı (p=0,01, p=0,01, p=0,02; sırasıyla). Olumsuz perinatal sonuçlar açısından yalnızca preeklampsi; anemik grupta %11.4 oranında görülürken, non-anemik grupta %4,6 oranında görüldü. Gruplar arasındaki fark istatistiksel olarak anlamlıydı (p=0,01).

Sonuç: Adölesan gebelikte demir eksikliği anemisi sık karşılaşılan bir sorundur. Buna rağmen birçok anemik adölesan gebe demir tedavisi almamaktadır.  Demir eksikliği anemisi, demir suplemantasyonu ile tedavi edilirse bazı maternal ve perinatal sonuçlar üzerine olumlu etkileri olabilir. Gebelikte demir eksikliği anemisi ile mücadele için demir kullanımının yaygınlaştırılması gerekmektedir.

Introduction: Adolescent pregnancies and their maternal and fetal complications are a global health burden. Iron deficiency anemia is among the factors, which might contribute to these negative consequences. In this study, we aimed to evaluate the frequency of iron deficiency anemia among pregnant adolescents followed at the Düzce University Medical Faculty Hospital and to investigate its maternal and fetal effects.

Methods: A total of 122 pregnant women under 19 years of age were included in this case-control study. The socio-economic characteristics, hematological status, and adverse maternal and perinatal outcomes possibly related to iron deficiency anemia were evaluated.

Results: The incidence of anemia among the studied women was 29.5%, and 56.5% were receiving iron supplementation. Oral iron supplementation rate was 33.3% in the anemic group and 66.2% in the non-anemic group (p = 0.01). While the serum ferritin and hemoglobin levels were lower in the anemic group, iron binding capacity was lower in the non-anemic group, and the difference between the groups was statistically significant (p = 0.01, p = 0.01, and p = 0.02; respectively). Concerning adverse perinatal outcomes, preeclampsia was seen in 11.4% of the anemic group and 4.6% in the non-anemic group; the difference was statistically significant (p = 0.01).

Conclusions: Iron deficiency anemia is a common problem in adolescent pregnancy. However, many anemic pregnant adolescents do not receive iron treatment. Positive effects on some maternal and perinatal outcomes can be achieved by administering iron supplementation to these women. Iron use should be increased to combat iron deficiency anemia during pregnancy.

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Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Yayımlanma Tarihi Dec 2018
Dergi Bölümü Araştırma Makalesi (Original Article)
Yazarlar

Orcid: 0000-0003-1825-9849
Yazar: Alper Basbug
Kurum: Duzce University, School of Medicine, Department of Gynecology and Obstetrics, Duzce
Ülke: Turkey


Orcid: 0000-0001-7854-3804
Yazar: Cemil Isik Sonmez (Sorumlu Yazar)
Kurum: Duzce University, School of Medicine, Department of Family Medicine, Duzce
Ülke: Turkey


Bibtex @araştırma makalesi { fppc430110, journal = {FAMILY PRACTICE AND PALLIATIVE CARE}, issn = {2458-8865}, eissn = {2459-1505}, address = {SERNEV}, year = {2018}, volume = {3}, pages = {108 - 112}, doi = {10.22391/fppc.430110}, title = {Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors}, key = {cite}, author = {Sonmez, Cemil Isik and Basbug, Alper} }
APA Basbug, A , Sonmez, C . (2018). Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors. FAMILY PRACTICE AND PALLIATIVE CARE, 3 (3), 108-112. DOI: 10.22391/fppc.430110
MLA Basbug, A , Sonmez, C . "Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors". FAMILY PRACTICE AND PALLIATIVE CARE 3 (2018): 108-112 <http://www.fppc.com.tr/issue/39527/430110>
Chicago Basbug, A , Sonmez, C . "Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors". FAMILY PRACTICE AND PALLIATIVE CARE 3 (2018): 108-112
RIS TY - JOUR T1 - Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors AU - Alper Basbug , Cemil Isik Sonmez Y1 - 2018 PY - 2018 N1 - doi: 10.22391/fppc.430110 DO - 10.22391/fppc.430110 T2 - FAMILY PRACTICE AND PALLIATIVE CARE JF - Journal JO - JOR SP - 108 EP - 112 VL - 3 IS - 3 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.430110 UR - http://dx.doi.org/10.22391/fppc.430110 Y2 - 2018 ER -
EndNote %0 FAMILY PRACTICE AND PALLIATIVE CARE Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors %A Alper Basbug , Cemil Isik Sonmez %T Iron deficiency anemia in adolescent pregnancy: investigation of its effects and the related factors %D 2018 %J FAMILY PRACTICE AND PALLIATIVE CARE %P 2458-8865-2459-1505 %V 3 %N 3 %R doi: 10.22391/fppc.430110 %U 10.22391/fppc.430110
ISNAD Basbug, Alper , Sonmez, Cemil Isik . "Adölesan gebelerde demir eksikliği anemisi; ilişkili faktörler ve etkilerinin incelenmesi". FAMILY PRACTICE AND PALLIATIVE CARE 3 / 3 (Ekim 2018): 108-112. http://dx.doi.org/10.22391/fppc.430110