The early diagnostic and prevention of defficiency of micronutrients (iodine and iron) during period of gestation
All over the world, the iodine and iron deficiency condition is positioned as risk factor of health disorder. The objective. To evaluate effectiveness ofprogram ofprevention of iodine deficiency and methods of early diagnostic of iron deficiency conditions in Tyumen oblast. Materials and methods. The retrospective analysis was applied concerning prevalence of iodine deficiency in pregnant women from 1999 to 2009. The sampling of120 pregnant women was examined in 2009. In every trimester of gestation the supply of iodine and iron was evaluated. Results and discussion. In Tyumen, during 1999-2009 of implementation ofprogram of iodine deficiency median of ioduria in pregnant women increased from 92.8 to 123.75 mkg/l. The rate of diffused nontoxic goiter significantly decreased from 17.8 to 0.8%. The high prevalence of latent iron deficiency (57.5%) is detected in the first trimester of pregnancy. The positive evaluation of diagnostic significance of detection of soluble receptors to transferrin is given. Conclusion. The implementation of program of prevention of iodine deficiency in Tyumen made it possible to eliminate iodine deficiency of grave and medium degree of severity in pregnant women. The high prevalence of latent iron deficiency in established in the first trimester ofpregnancy. The effectiveness of analysis of main indicators of iron deficiency - soluble receptors to transferrin is proved for anemia diagnostic.