public-health-2018-posters-accepted-abstracts

20 / 34

Page 121
Notes:
conferenceseries.com
Volume 8 J Community Med Health Educ, an open access journal
ISSN: 2161-0711 Public Health 2018
February 26-28, 2018
PUBLIC HEALTH AND NUTRITION
3rd World Congress on
February 26-28, 2018 London, UK
PREVALENCE OF ANTENATAL ANAEMIA AND ITS PREDICTORS IN AN AUSTRALIAN
POPULATION.
Siang Chye Chuaha
aUniversity of Newcastle, Australia
Antenatally, women with anaemia may experience fatigue, dyspnoea and dizziness. Severe anaemia in pregnancy is
associated with small for gestational age and preterm births. Postpartum, anaemia is associated with fatigue, irritability
and depression. The world health organization defines anaemia in pregnancy as Hb < 110 g/L. Iron deficiency accounts for the
majority of anaemia in pregnancy. Physiological iron requirement in pregnancy is three times higher than non-pregnant state.
Other less common causes include folic acid and vitamin B12 deficiency, thalassaemia and sickle cell. A retrospective study of all
pregnancies delivered at Maitland Hospital, Australia in 2015 and 2016 was performed. Antenatal patients are routinely offered
screening for anaemia at booking, second and third trimester. 2984 pregnancies were evaluated. The prevalence of antenatal
anaemia was 28.2% in our study population. Iron deficient anaemia was identified in 24.3% of our antenatal population. The
percentage of antenatal patients who had iron deficient anaemia for underweight, normal weight, overweight and obese was
24.6%, 21.3%, 18.3% and 16.4%. Odds ratio for iron deficient anaemia of overweight and obese compared to normal weight is
0.76, 95% CI (0.63-0.92) p = 0.005. The percentage of antenatal patients who had iron deficient anaemia < 20, 20-29 and ≥ 30
years old was 32.8%, 19.1% and 16.2%. OR 0.48 95% CI (0.35-0.66) p < 0.001 for age 20-29 and OR 0.40 95% CI (0.28-0.55) p
< 0.001 for age ≥ 30 compared to < 20 years of age. There is an increasing rate of iron deficient anaemia with lower age group
as well as lower BMI. Due to the high rates of iron deficient anaemia, we recommend routine antenatal screening for anaemia
and iron deficiency. We recommend that iron deficiency be corrected through diet modification, oral iron supplements and
IV iron transfusion.
Biography
Siang Chye Chuah is an obstetrician gynaecologist at Maitland Hospital and is a lecturer with the University of Newcastle. He has completed his masters in
reproductive medicine, public health and health management at the University of New South Wales.
Siang Chye Chuah, J Community Med Health Educ 2018, Vol 8
DOI: 10.4172/2161-0711-C1-033