بررسی شیوع عفونت ادراری بدون علامت و کم خونی در زنان باردار سه ماهه اول

نوع مقاله: اصیل پژوهشی

نویسندگان

1 استادیار گروه زنان، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، کردستان، ایران

2 دانشیار گروه زنان، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، کردستان، ایران.

3 استادیار گروه میکروبیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، کردستان، ایران.

4 استادیار گروه بهداشت، دانشکده بهداشت، دانشگاه علوم پزشکی کردستان، کردستان، ایران.

چکیده

مقدمه: عفونت ادراری و کم خونی از عوامل خطر بسیار مهم در بارداری هستند که می توانند منجر به بروز عوارضی مانند زایمان زودرس، تولد نوزاد کم وزن، افزایش مرگ و میر جنین و فشار خون بارداری شوند. مطالعه حاضر با هدف بررسی شیوع عفونت ادراری بدون علامت و کم خونی در زنان باردار سه ماهه اول انجام شد.
روش‌کار: مطالعه حاضر یک مطالعه مقطعی و توصیفی تحلیلی است که در سال 1388 در 5 مرکز بهداشتی درمانی شهر سنندج انجام شد. معیارهای ورود به مطالعه زنان باردار سه ماهه اول بارداری و معیارهای خروج از مطالعه شامل داشتن عفونت واضح ادراری، سابقه سنگ کلیوی، ناهنجاری های دستگاه ادراری، مصرف آنتی بیوتیک در 14 روز اخیر و چند قلویی بود. از افراد مورد مطالعه کشت نمونه ادرار انجام شد و مقدار هموگلوبین نیز سنجش شد. داده ها پس از گردآوری با استفاده از نرم افزار آماری SPSS (نسخه 5/11) و تست های آماری کای دو و تی مورد تجزیه و تحلیل قرار گرفت. مقادیرp کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته‌ها: در مطالعه حاضر 1500 زن باردار مورد بررسی قرار گرفت که میانگین سنی آنان 1/6±4/28 سال و میانگین هموگلوبین آنان 89/0±43/12 میلی گرم بر دسی لیتر بود. 107 نفر (1/7%) از بیماران میزان هموگلوبین زیر 11 میلی گرم در دسی لیتر داشتند. بین کم خونی با تعداد بارداری (905/0=p) و تعداد زایمان (432/0=p) ارتباط معنی داری مشاهده نشد. 114 نفر (6/7%) کشت ادرار مثبت داشتند. بین عفونت ادراری و کم خونی ارتباط معنی داری مشاهده شد (001/0>p). بین نتیجه کشت ادرار و تعداد بارداری و زایمان و همچنین بین آنمی و تعداد بارداری و تعداد زایمان های قبلی ارتباط معنی داری مشاهده نشد (05/0<p).
نتیجه‌گیری: در سه ماهه اول بارداری بین عفونت ادراری و کم خونی رابطه معنی داری وجود دارد اما بین کم خونی و تعداد بارداری و زایمان ارتباط معنی داری وجود ندارد.

کلیدواژه‌ها


عنوان مقاله [English]

Evaluating the Prevalence of Asymptomatic Urinary Tract Infection and Anemia in Pregnant Women in First Trimester

نویسندگان [English]

  • Nasrin Soofizadeh 1
  • Fariba Farhadifar 2
  • Enayatollah Kalantar 3
  • Sirous Shahsavari 4
1 Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Kordestan University of Medical Sciences, Kordestan, Iran.
2 Associate Professor of Obstetrics and Gynecology, Faculty of Medicine, Kordestan University of Medical Sciences, Kordestan, Iran.
3 Assistant Professor of Microbiology, Faculty of Medicine, Kordestan University of Medical Sciences, Kordestan, Iran.
4 Assistant Professor of Health, Faculty of Health, Kordestan University of Medical Sciences, Kordestan, Iran.
چکیده [English]

Introduction: Urinary tract infection and anemia are the important risk factors during pregnancy that can lead to serious complications such as preterm labor, low birth weight, increase in maternal and fetal mortality and hypertension in pregnancy. The aim of this study was evaluating the prevalence of asymptomatic urinary tract infection and anemia in pregnant women in first trimester.
Methods: This was a cross sectional study was done in 5 health centers of Sanandaj in 2009. The inclusion criteria was pregnant women in first trimester and the exclusion criteria were symptomatic UTI, history of renal stone, abnormality in urinary tract and antibiotic consumption in 14 days ago and multiple pregnancy. Urine culture and hemoglobin were checked. Data were analyzed by T test, chi square test and SPSS software version 11.5. P-value less than 0.05 was considered significant.
Results: In this study 1500 pregnant women were evaluated. The mean of age was 28.4±6.1 year and mean of hemoglobin was 12.43±0.89 mg/dl. 107 subjects (7.1%) had hemoglobin less than 11 mg/dl. No significant relationship were seen between anemia and gravidity (p=0.905) and number of parity (p=0.432). 114 subjects (7.6%) had positive urine culture. There was seen a significant relationship between urinary tract infection and anemia (p<0.001). No significant relationship was seen between results of urine culture and parity and gravidity. Also no relationship was seen between anemia and gravidity and parity (p>0.05).
Conclusion: There is asignificant relationship between anemia and urinary tract infection in first trimester of pregnancybut not between anemia and gravidity and parity.

کلیدواژه‌ها [English]

  • Anemia
  • pregnancy
  • Urinary tract infection
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