NEW METHOD OF PREVENTION OF IRONDEFENSE ANEMIA IN PREGNANT TEENS

The paper presents an assessment of the effectiveness of the method proposed by the authors for the prevention of iron deficiency anemia in minor pregnant women. In the first stage, 593 histories of childbirth were retrospectively analyzed (group 1 — minors 13-15 years (n = 49), 2 group — minors 16-17 (n = 434), 3rd group — middle reproductive age (n = 110) ). In the second stage, a prospective study of the frequency and structure of anemia of pregnant women was carried out (group 1 — minors aged 13-15 years (n = 17), group 2 — minors 16-17 (n = 127), 3rd group — women of middle reproductive age (n = 110)). At the III stage, minor pregnant women were divided into two groups: in 1 (main) group (n = 144), iron deficiency anemia was prevented according to the method we proposed; in the 2nd group (comparison group) traditional therapy with iron preparations was carried out at the appearance of signs of anemia. The essence of the proposed method is that an minor pregnant woman, without waiting for laboratory signs of anemia, is examined for ferritin in venous blood, and at a value below 35 ng/ml, oral iron preparations are prescribed in conventional preventive doses for a period of 3 months, and if through three months the content of ferritin in the venous blood is again below 35 ng/ml — the intake of iron-containing preparations continues for another 3 months. The use of the proposed method contributed to a significant decrease in the incidence of anemia in minor pregnant women. The proposed method of preventing iron deficiency anemia in minor pregnant women helps to reduce the frequency and severity of anemia in this complex category of patients. 

1. Гуркин Ю.А., Суслопаров Л.А. Основы ювенильного акушерства. СПб.; Фолиант. 2005; 352 c. Gurkin Yu.A., Susloparov L.A. Fundamentals of juvenile obstetrics. St. Petersburg .: Folio. 2005; 352 p. [in Russian].

2. Hertrampf E., Olivares M., Letelier А. Situacion de la nutrition de hierro en la embarazada adolescente al inicio de la gestation. Revista Medica de Chile. 1994; 122(12): 1372-1377.

3. Klerman L.V. Adolescent pregnancy and parenting: controversies of the past and lessons for the future. Journal of Adolescent Health. 1993; 14(7): 553-561.

4. Joshi M., Gumashta R. Weekly iron folate supplementation in adolescent girls — an effective nutritional measure for the management of iron deficiency anaemia. Glob. J. Health Sci. 2013; 5, (3): 188-194.

5. Миров И.М., Усачева О.А., Шевлякова Т.В. Беременность и роды у юных женщин. Актуальные вопросы здоровья населения центра России: сборник научных трудов РязГМУ. Рязань. 2002; 2: 59-63. Mirov I.M., Usacheva O.A., Shevlyakova T.V. Actual issues of public health in the center of Russia: a collection of scientific papers of the RyazGMU. Ryazan. 2002; 2: 59-63. [in Russian].

6. Шадчнева Е.В. Особенности течения беременности и родов у подростков: автореф. дис. ... канд. мед. наук. М. 2006; 20 с. Shadchneva E.V. Features of the course of pregnancy and childbirth in adolescents: avtoref. dis. ... cand. med. sciences. M. 2006; 20 p. [in Russian].

7. Способ профилактики железодефицитной анемии у несовершеннолетних беременных женщин: патент РФ № 2616264 / Е.С. Михайлин, Л.А. Иванова, А.Г. Савицкий, П.Н. Кротин, И.В. Берлев, заявка № 2016111426 от 28.03.2016, опубл. 13.04.17, Бюл. № 11. A method for preventing iron deficiency anemia in minor pregnant women: RF patent No. 2616264 / E.S. Mikhaylin, L.A. Ivanova, A.G. Savitsky, P.N. Krotin, I.V. Berlev, application number 2016111426 dated March 28, 2016, publ. 13.04.17, Bul. № 11. [in Russian].

8. Брюхина Е.В. Беременность и роды у девочек-подростков. Предупреждение осложнений, реабилитация: автореф. дисс. … д-ра мед. Наук. Челябинск. 1997; 40 с. Bryukhina E.V. Pregnancy and childbirth in adolescent girls. Prevention of complications, rehabilitation: avtoref.. diss. ... doc. med. sciences. Chelyabinsk. 1997; 40 p. [in Russian].

9. Ларюшева Т.М., Истомина Н.Г., Баранов А.Н. Сравнительная характеристика клинических показателей течения беременности и родов у женщин подросткового и оптимального биологического возраста. Журнал акушерства и женских болезней. 2016; LXV (1): 34-42. Laryusheva T.M., Istomina N.G., Baranov A.N. Comparative characteristics of clinical indicators of pregnancy and childbirth in adolescent women and women of optimal biological age. Journal of Obstetrics and Women’s Diseases. 2016; LXV (1): 34-42. [in Russian].

10. Баринов С.В., Шамина И.В., Тирская Ю.И. и др. Течение беременности и исходы родов в возрастном аспекте. Фундаментальная и клиническая медицина. 2016; 1, (2): 18—24. Barinov S.V., Shamina I.V., Tirskaya Yu.I. et al. The course of pregnancy and outcomes of childbirth in the age aspect. Fundamental and clinical medicine. 2016; 1, (2): 18-24. [in Russian].