KHẢO SÁT THỰC TRẠNG THIẾU MÁU CỦA SẢN PHỤ TRƯỚC MỔ LẤY THAI

Abstract

Background: Timely diagnosis and treatment of anemia during pregnancy are essential to protect both the mother and the fetus from potential adverse outcomes related to complications of this condition. Objective: To determine the prevalence of anemia in pregnant women before cesarean section and to identify the causes leading to the inadequate management of anemia in these patients. Methods: A cross-sectional study was conducted on all pregnant women undergoing cesarean section at Hung Vuong Hospital from March 2024 to May 2024. Results: Among the 480 pregnant women surveyed, 73 had chronic anemia before cesarean section (15.2%), including 59 cases of mild anemia (80.8%) and 14 cases of moderate anemia (19.2%). The main causes of inadequate anemia management were: no antenatal care (2.7%), unrecorded causes of anemia (13.7%), fewer than five prenatal visits during pregnancy (16.9%), taking iron supplements fewer than five times per week (30%), consuming iron supplements with a dosage of less than 60 mg/day (58%), not taking iron after meals (26%), taking iron with drinks that reduce iron absorption (40%), lack of nutritional counseling (87.7%), and not consuming all four essential food groups daily (23.3%). Conclusion: The prevalence of chronic anemia in pregnant women before cesarean section at Hung Vuong Hospital remains relatively high (15.2%). Therefore, it is essential to provide nutritional counseling and guide pregnant women on the appropriate timing and accompanying beverages when taking iron supplements.