Oral Demir İlacının Akılcı Kullanımının Gebelikte Hemogram Düzeyine Etkisi

Amaç: Bu çalışmada gebelikte oral demir ilaçlarının akılcı kullanımı ve hemogram düzeyini etkileyen faktörlerin belirlenmesi amaçlanmıştır. Gereç ve Yöntem: Araştırma, Türkiye’nin İstanbul ilinde bulunan bir hastanede 15 Şubat-30 Eylül 2019 tarihleri arasında yapılmıştır. Tanımlayıcı tipteki bu çalışma 303 düşük riskli gebenin katılımıyla gerçekleştirilmiştir. Tüm katılımcılar gebelik sırasında oral demir takviyesi almıştır. Veriler “Katılımcı Bilgi Formu” ve “Akılcı İlaç Kullanım Ölçeği” kullanılarak toplanmıştır. Bulgular: Gebelerin yaş ortalaması 30,58±5,63 yıl idi. Katılımcıların %37,6’sının gebelik öncesi, %19,5’inin ilk trimesterde ve %32,3’ünün üçüncü trimesterde hemoglobin düzeylerinin 11g/dl’nin altında olduğu tespit edilmiştir. Birinci trimester anemi durumu ile üçüncü trimester hemoglobin ve hematokrit düzeyleri arasında anlamlı ilişki bulunmuştur (p=0,000). Üçüncü trimester hemoglobin ve hematokrit değerlerine göre oral demir ilacının düzenli kullanımı ile fetüsün gebelik haftası ile uyumu arasında anlamlı ilişki gözlenmiştir (p=0,003; p=0,001). Gebelerin eğitim düzeyi, gelir durumu algısı ile Akılcı İlaç Kullanım Ölçeği puan ortalamaları arasında anlamlı ilişki saptanmıştır (p=0.000; p=0.028). Sonuç: Gebelikte düzenli oral demir ilacı kullanımı üçüncü trimester hemoglobin ve hematokrit değerlerini ve fetal gelişimi olumlu yönde etkilemiştir. Gebelere demir ilaçlarının doğru-akılcı kullanımının önemi hemşire ve ebeler tarafından anlatılmalı ve vurgulanmalıdır.

Anahtar Kelimeler:

Anemi, hemoglobin, demir eksikliği anemisi, gebelik.

The Effect of Rational Iron Medication Use on Pregnancy Hemogram

Objective: This study aims to determine the rational use of oral iron drugs during pregnancy and the factors affecting the hemogram level. Material and Method: The research was conducted at a hospital in Istanbul, Turkey between February 15 and 30 September 2019. This descriptive study was carried out with the participation of 303 low-risk pregnant women. All participants received oral iron supplements during pregnancy. The data were collected using the participant information form and Rational Medicine Use Scale. Results: The mean age of the pregnant women was 30.58±5.63 years. 37.6% of the participants were found to have haemoglobin levels below 11g/dl before pregnancy, 19.5% in their first trimester, and 32.3% in their third trimester. A significant relationship was found between the first-trimester anemia status and the third-trimester haemoglobin and haematocrit levels (p=0.000). A significant relationship was observed between third-trimester haemoglobin and haematocrit values and regular use of oral iron medication, and compliance of fetus to gestational week (p=0.003; p=0.001). A significant relationship was detected between the education level of pregnant women, income status perception and the Rational Medicine Use Scale mean scores (p=0.000; p=0.028). Conclusion: Regular use of oral iron medication during pregnancy has affected third-trimester haemoglobin and haematocrit levels and fetal development positively. Nurses and midwives should explain and emphasize the importance of the correct-rational use of iron drugs for pregnant women.

Keywords:

Anemia, haemoglobin, iron-deficiency anemia, pregnancy.,

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