Research On Risk Factors And Pregnancy Outcome Of Ethnic Minorities Iron Deficiency Anemia And Anemia Degree During Pregnancy In Changji

Objective: The essay is discussed about the risk factors of ethnic minorities (Huiand Kazak) and Han iron deficiency anemia and anemia degree during pregnancy, and itsimpact on pregnancy outcome in Changji, Xingjian Uyghur Autonomous, in order toprovide clinical basis of making suitable maternal perinatal health guide for the localparturient. Methods: It was adopted retrospective analysis and case-control study design.To make case group, it was selected300cases of pregnant women which were diagnosedof iron deficiency anemia in pregnancy (100Hui cases,100Kazak cases and100Hancases) in People’s Hospital obstetrics of Changji from Mar.2012to Jun.2013. To makecontrol study, it randomly selected300healthy pregnant women at the same hospitaldelivery as control group (100Hui cases,100Kazak cases and100Han cases). It wasinvestigated the influence of various factors to the Kazak, Han and Hui iron deficiencyanemia in pregnancy onset and then was compared between Kazak, Hui, and Han casegroup and control group to mother and newborn outcome respectively, in order to analyzethe influence of iron deficiency anemia during pregnancy to mother and newbornoutcomes. Results:1.In this study, through the single factor analysis of various nationalanemia, the study factors of the differences which contained statistical significances werescreened and analyzed, then the results of correlation analysis showed that IDA maternalparity and abortion of Hui and IDA maternal parity of Kazakh and Han positivelycorrelated with the degree of anemia; prenatal care, residential areas, cultural degree andeconomic independence among Hui, Kazakh, and Han IDA pregnant women werenegatively related with the degree of anemia.2. Multivariate logistic regression analysisshowed that residential area and cultural level was an independent risk factor of Hui and Kazak IDA pregnant women anemia; education level was an independent risk factor ofHan IDA pregnant women anemia.3. Used chi square test to compare Hui, Kazak and Hanpatients group and control group respectively, it was found that the Huiand Kazakmaternal preeclampsia, premature rupture of membranes, amniotic fluid contamination,puerperal infection rate increased and the amount of postpartum hemorrhage increased,however the newborn Apgar score decreased, so the difference was significant(P<0.05);Han maternal amniotic fluid pollution and puerperal infection rate increased, butbody weight of newborn infants reduced, so the difference was significant (P<0.05).Conclusion:1. Residential area and cultural level is a risk factor of Hui and Kazak IDApregnant women anemia; education level is a risk factor of Han IDA pregnant womenanemia.2. Hui and Kazak maternal preeclampsia, premature rupture of membranes,amniotic fluid contamination, puerperal infection rate increased and the amount ofpostpartum hemorrhage increased, however the newborn Apgar score decreased; Hanmaternal amniotic fluid pollution and puerperal infection rate increases, but body weightof newborn infants reduce. Therefore, it has important significance to take activeprevention of risk factors to intervene and control measures, so as to reduce maternalanemia.