Frequency and Concerning Factors on Term Infants with Anemia Whom Registered On a Family Health Center in Bolu Province

Yıl 2016, Cilt: 8 Sayı: 3, 181 - 186, 26.12.2016

Neslihan Erkuran Sebahat Gücük

https://doi.org/10.18521/ktd.281637

Öz

Objective: The purpose of this study is to determine the frequency of anemia in infants followed up our family health centre and the factors affecting.

Methods: Records of the families, followed up by our family health centre, between January and May 2015 were examined retrospectively for the study and data of 162 infants meeting the study criteria were evaluated. The height, weight, head circumference measurements, dietary patterns and blood measurements of infants in the controls in the ninth month and until that month were recorded. The Hb level of mothers were taken as the last level measured during the control in the last trimester. Infants with Hb<11.0 g/dl were accepted as anemic.

Results: The population distribution of the 162 infants between the ages of 9 and 24 months whose infant cards were examined in the study were 83 boys (51.2%) of and 79 girls (48.8%), respectively. 62.3% (n = 101) of the infants were given breast milk only until transition to supplementary food. The rate of transition to supplementary food was 5.26 ± 0.94 months. It was determined that hemoglobin levels were significantly higher above the average in the group receiving only breastmilk (p: 0.013). The relationship between Hb levels of the mothers and hemoglobin levels of the infants as measured during the lastfollow-up was significant (p: 0.01). The rate of Hb levels above 11 g/dl was significantly higher in infants taking iron supplement daily (p: 0.01).

Conclusions: In our study, we have determined that Hb values of the mother measured during the pregnancy controls affect Hb values of the infant and that Hb values of the infant get better up on the regular intake of breast milk and iron supplement recommended by the ministry of health and this is important as it indicates the significance of regular pregnant-infant controls and iron prophylaxis.

Anahtar Kelimeler

anemia, infant follow up, pregnant follow up

Bolu İl Merkezinde Bir Aile Sağlığı Merkezine Kayıtlı Çocuklarda Anemi Sıklığı ve Etkileyen Faktörler

Öz

Amaç: Çalışmamızın amacı aile sağlığı merkezimiz tarafından takip edilen bebeklerin anemi sıklığının ve bunu etkileyen faktörlerin belirlenmesidir.

Gereç ve Yöntem: Çalışma için aile sağlığı merkezimize takip edilen bebeklerin Ocak- Mayıs 2015 tarihleri arasındaki kayıtları retrospektif olarak incelendi ve çalışma kriterlerini sağlayan 162 bebeğin verileri değerlendirildi. Bebeklerin dokuzuncu aydaki ve bu aya kadar olan kontrollerindeki boy, kilo, baş çevresi ölçümleri, beslenme şekilleri ve kan ölçüm değerleri kaydedildi. Annenin Hb

düzeyi son trimester da kontrole geldiği son düzeyi olarak alındı. Hb<11.0 g/dl olan bebekler anemik olarak kabul edildi.

Bulgular: Çalışmada bebek kartları incelenen yaşları 9-24 ay arasında olan 162 süt çocuğunun 83’ü erkek (%51,2), 79’u kız (%48,8) idi. Ek gıdaya geçene kadar beslenme biçimleri %62,3’ünün (n:101) yalnızca anne sütü şeklindeydi. Ek gıdaya geçme ayı 5,26± 0,94 ay idi. Yalnızca anne sütü alan grupta Hb değeri ortalamasının anlamlı derecede yüksek olduğu saptandı.(p:0.013). Annenin son izlemde ölçülen Hb değeri ile bebeğin Hb değeri arasındaki ilişki anlamlıydı (p:0.01). Hemen hergün demir damlası kullanan bebeklerde Hb değeri 11 gr/dl’nin üstünde olma oranı anlamlı derecede fazla idi (p:0,01).

Sonuç: Çalışmamızda annenin gebeliğindeki izlemleri sırasında ölçülen Hb değerlerinin, bebeğin Hb değerlerini etkilediğini ve bebeğin anne sütü ve sağlık bakanlığının önerdiği gibi demir desteğini düzenli almasıyla Hb değerlerinin daha iyi olduğunu saptamış olmamız, düzenli yapılan gebe-bebek izlemlerinin ve demir desteğinin ne kadar önemli olduğunu göstermektedir.

Anahtar Kelimeler

anemi, bebek izlemi, gebe izlemi

Kaynakça

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