DIỄN BIẾN TÌNH TRẠNG DINH DƯỠNG VÀ THIẾU MÁU Ở PHỤ NỮ NÔNG THÔN HUYỆN CẨM KHÊ, PHÚ THỌ NĂM 2011-2015

Abstract

The study described the change in nutritional and anemia status during pregnancy in 165 women rural women during 2011-2015 in Cam Khe district, Phu Tho province. Methods: Using anthropometric measurements and laboratory analysis of biochemical indicators related to anemia at 3 time points: the begining (pre-pregnancy), 16 and 32 weeks of pregnancy. Results: In women before pregnancy, the rate of CED: 27.1%, weight, height and BMI in average were 45.9 ± 4,8 kg, 153.0 ± 5,3 cm and 19,6 ± 1.6, respectively. Weight gain after 16 weeks and 32 weeks of pregnancy were 1.4 ± 3,7 kg and 7.6 ± 3,7 kg (p <0.001). The rate of acute malnutrition (according MUAC) at 3 time points were 3.0%, 7.9% and 9.0%, respectively. The average hemoglobin levels at 3 time points were 12.7 ± 1.2, 11.6 ± 1.1 and 11.7 ± 1.2 g/dL, respectively (p <0.001) . The rate of anemia before pregnancy was about 26.0%, higher than the rate of anemia among pregnant women at 16 weeks (24,0%) and at 32 weeks (23.3%) (p <0.001). Serum folate concentrations tended to increase while serum vitamin B12 levels decreased during pregnancy than when not pregnant. Lack of folate and vitamin B12 was not a problem in Vietnam women.