Report 2011 - Deepalaya

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measure was lost, or maybe because the health worker has done a mistake while copying. Considering the number of weeks of supplementation for these women, if the iron tablets have been correctly taken, it is possible to find such increase in Hb. Hopefully, these data reflect the reality. Actually, an Hb test costs 20/- Rs to the patient and only one test at the beginning of the pregnancy is not of any use if we want to know if Hb is increasing or not. We must recommend to any pregnant woman to do at least 2 times this test, in order to see the evolution of their Hb during the pregnancy and to be able to adjust the given doses of iron supplementation. Also, when the doctor prescribe iron and calcium supplementation to the patient, he/she should always be aware of the favorite choice of the patient. Some woman prefer tablets and some others prefer tonic to improve compliance. The color-matching technique called Sahli's method is the most commonly used in India to estimate the red cells mass in the blood by measuring the hemoglobin-Hb value. Basically, it is a squared tube with marks of Hb% on one side and the corresponding percentage on the other side (100% = 14,5 gm%). There is a comparator with a flat surface and with a standard brown color. There is a dropper for HCL and for distilled water, and the Hb-pipetter is graduated every 0,02mL. Blood is added to HCl which converts Hb into acid hematin of a brown color. This color is then compared with the brown color of the comparator in a natural light. At this time, if our solution is darker than the comparator, we have to dilute it with distilled water until it matches. After this, it is possible to know the Hb value by looking the upper meniscus on the gm% scale. With this test we should wait for 10 minutes before reading the result to let the red blood cells interact with the acid solution. But this delay might not have been always respected because of the crowd during visits of the Mobile Clinic. Also if the blood is not mixed correctly with the HCl, we can get false low Hb value as well as if
there would be a calibration error in the tube or in the pipetter. Acid doesn’t convert all the hemoglobin into acid hematin so the Hb value obtained can be slightly lower that the real Hb of the patient. A visual error in matching color can also happen. Rinsing properly the pipette and the tube at least twice are important steps to improve the validity of the test but they're not always correctly done. Considering all this and according to what we have seen, this method is quite imprecise. Otherwise, it was always the same health worker who did the test so that there shouldn't be mistakes from differences in techniques. If an error is done by an health worker, we suppose this error would always be the same for every measurement done by this same person. With this technique a normal range of Hb value for a woman is between 11,0 and 16,0 gm%. As previously said in this section, 20 per cent of our data had severe anemia (Hb
Page 1 and 2: Research Project on anemia and preg
Page 3 and 4: PART 3 - ANALYSIS..................
Page 5 and 6: to see the contributing factors tha
Page 7 and 8: needs” 8 . The Body Mass Index (B
Page 9 and 10: especially amongst Hindus contribut
Page 11 and 12: PUBLIC WATER - SANITATION OF THE WA
Page 13 and 14: ANEMIA AND PREGNANCY Estimates from
Page 15 and 16: parity, too close pregnancies, maln
Page 17 and 18: supplementation to every pregnant w
Page 19 and 20: − to reduce mortality and morbidi
Page 21 and 22: Health cares are also provided to a
Page 23 and 24: Physical examination • Number of
Page 25 and 26: Health status She doesn't have any
Page 27 and 28: Physical examination • Weight: 50
Page 29: Health status She doesn't think she
Page 32 and 33: S e e n e x t p a g e f o r 2 n d p
Page 34 and 35: according to the belief, would cure
Page 36 and 37: Age at first menses might also be a
Page 38 and 39: Water access “As of 2003, it was
Page 40 and 41: (74% 115 ). Knowing that most peopl
Page 44 and 45: PART 4 - RECOMMENDATIONS FOR DEEPAL
Page 46 and 47: AND THE ACCESSIBILITY OF THE CLINIC
Page 48 and 49: Annex 1- Statistics of India: Table
Page 50 and 51: least four times) 139 . Data from t
Page 52 and 53: many of these women were already an
Page 54 and 55: living in rural areas are affected
Page 56 and 57: Are you presently breastfeeding Whe
Page 58 and 59: Informations Date of the interview
Page 60 and 61: Pregnancy G 5,7 P 4,7 A 0,6 % of wo
Page 62 and 63: Delta weight Number of weeks of Ave
Page 64: 7043~piPK:437376~theSitePK:4607,00.

Report 2011 - Deepalaya

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