Монголын Анагаахын Сэтгүүлүүдийн Холбоо (МАСХ)
Эх барих, эмэгтэйчүүд, хүүхэд судлалын сэтгүүл, 2012, 1(11)
Ургийн архины хам шинжийн тохиолдол
( Судалгааны өгүүлэл )

М.Баялаг, Д.Наранбат, О.Амаржаргал, М.Пүрэвтогтох

ЭХЭМҮТ

 
Абстракт

Background: Fetal alcohol syndrome is the most common cause of preventable mental retarda- tion and birth defects among newborns and characterized by pre-and/or postnatal growth deficiency, central nervous system dysfunction and a unique cluster of facial anomalies. The incidence of fetal alcohol syndrome is estimated at 0.3 - 2 per 1000 live births. This study was a first study in Mongolia and the purpose of this study was to determine the incidence and prevalence of fetal alcohol syndrome among newborns and to describe some characteristic women who have children with fetal alcohol syndrome.

Materials and methods: We conducted a survey to determine the incidence of fetal alcohol syndrome among newborns at National Center for Maternal and Child Health from 2000-2002. We com- pared mothers who had children with fetal alcohol syndrome (43 mothers) with mothers who had chil- dren that did not have fetal alcohol syndrome (86 mothers). The 4 digit diagnostic score that adopted by the American Consortium of Fetal Alcohol syndrome for fetal alcohol syndrome was used. Statistical analysis was done using descriptive and logistic regression analysis using STATA 7 software

Results: The incidence of fetal alcohol syndrome among newborns was estimated at 4 per 1000 live births. Compared with control mothers, 43 mothers who had children with fetal alcohol syndrome were younger (OR=2.6 95% CI 1.6-4.2), less educated (OR=2.2 95% CI 1.7-11.3), had unwanted preg- nancy (OR=3.1 95% CI 1.5-9.2), had late first antenatal care visit (OR=3.8 95% CI 2.6-7.8) and had more induced abortion (OR=3.1 95% CI 1.5-9.2). Case mothers had drunk heavily during first trimester than control mothers.

Conclusion: The incidence of fetal alcohol syndrome in Ulaanbaatar is high compared to other countries which seems to be related to high consumption of alcohol in general population as well as to numerious number of alcohol producing companies. Stopping the consumption of alcohol during pregnancy can prevent fetal alcohol syndrome completely. There is need for exploring this syndrome in the whole country and implementing public health prevention programmes among population.



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