Knowledge on dietary patterns among pregnant women attending antenatal care check-up in Narayani hospital, Nepal

Background: Pregnancy is the period from conception to birth during which there is the requirements of diet that provide the required essential nutrients to keep the mother healthy and allow the fetus to grow and develop in favorable conditions. The objective of the study was to identify the knowledge on dietary pattern among pregnant women attending ANC checkup in Narayani sub-regional hospital. Methods: The study was of descriptive, cross sectional type. The random sampling technique was applied. The study design was conducted in Narayani sub-regional hospital in Parsa district, Nepal. Participants included 96 pregnant women using semi structured questionnaire through face to face interview. Data analysis was done both manually and with the help of SPSS. Results: The study showed that there were more women 56(58.3%) from rural areas than that of urban. About seven out of 10 pregnant women were between the ages of 20 to 35 years of age and the study showed that one-fifth of the pregnant women were married before legal age. The mean age of pregnant women was 24. 1 year. There were 6.2% of pregnant women who were illiterate and six out of 10(59.4%) pregnant women had agriculture as their main occupation. The total sampled 96 pregnant women interviewed all knew about nutrition and mostly the source of information was family, neighbors and friends (34.4%). Almost two-fourth (45.8%) of pregnant women still have the wrong perception regarding consumption of green vegetables and coldness (61.4%) is the main reason behind not consumption of green vegetables. The reason for consumption of processed food was because of easy availability and nine in ten pregnant women replied media influenced them to eat processed food. Two-third pregnant women replied right answer for reason of taking iron tabs. In the study found that there is no association between women literacy and knowledge on nutrition. About 6 in 10 (59.3%) sampled women had moderate knowledge on nutrition whereas only one forth-pregnant woman had high knowledge on nutrition. One-sixth pregnant women had low knowledge. Conclusions: The study revealed that, although every pregnant woman had some sorts of knowledge on nutrition, still there is lack of sufficient knowledge on dietary patterns during pregnancy and some wrong perceptions following diet consumption during pregnancy was found. Health education and awareness programs that influences to develop positive attitude can only ultimately brings changes in the behavior.

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KONSUMSI TABLET FE DAN PENGETAHUAN BERHUBUNGAN DENGAN ANEMIA PADA IBU HAMIL TRIMESTER III

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v11i2.371 ◽

2019 ◽

Vol 11 (2) ◽

pp. 17-28

Author(s):

Eka Ratna Sari ◽

Lusi Andriani ◽

PS. Kurniawati

Keyword(s):

Pregnant Woman ◽

Pregnant Women ◽

Health Workers ◽

Survey Design ◽

Sampling Technique ◽

World Health ◽

Dominant Factor ◽

Third Trimester ◽

Cross Sectional ◽

Significance Level

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.

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Gambaran Tingkat Pengetahuan Ibu Hamil tentang Gingivitis di Puskesmas Kakaskasen Tomohon

e-GIGI ◽

10.35790/eg.5.2.2017.17363 ◽

2017 ◽

Vol 5 (2) ◽

Author(s):

Heldin E. Kasiha ◽

Shirley E.S. Kawengian ◽

. Juliatri

Keyword(s):

Pregnant Woman ◽

Pregnant Women ◽

Sampling Technique ◽

Descriptive Study ◽

Oral Diseases ◽

Design Data ◽

Cross Sectional ◽

Poor Knowledge ◽

Level Of Knowledge ◽

Cross Sectional Design

Abstract: Pregnant woman are vulnerable to oral diseases. Several studies have claimed that level of knowledge can affect dental oral health. Several dental oral problems can occur in pregnant woman inter alia pregnancy gingivitis. Gingivitis during pregnancy is due to increased concentrations of estrogen and progesterone. This condition is characterized by changes in the interdental papillae which become reddish, swollen, easily bleed accompanied by pain. Additionally, the gingiva becomes particularly sensitive to toxins and irritants such as plaque and calculus resulted in inflammation of the gingiva. This study was aimed to obtain the level of knowledge about gingivitis among pregnant women. This was a descriptive study with a cross sectional design. Data were obtained by using questionnairres. There were 60 respondents in this study obtained by using total sampling technique. Data were presented in frequency distribution tables. The results showed that there where 28 pregnant women (46.7%) with good level of knowledge and 32 woman pregnant (53,3%) with poor knowledge. Conclusion: Pregnant women in Puskesmas Kakaskasen had poor level of knowledge about gingivitis.Keywords: pregnant woman, knowledge, gingivitis Abstrak: Wanita hamil merupakan salah satu kelompok yang rentan akan penyakit gigi dan mulut. Beberapa penelitian menyatakan bahwa tingkat pengetahuan dapat memengaruhi kesehatan gigi dan mulut. Efek kehamilan pada kesehatan gigi dan mulut antara lain gingivitis kehamilan yang disebabkan oleh peningkatan konsentrasi hormon estrogen dan progesteron. Keadaan ini ditandai dengan papila interdental yang memerah, bengkak, mudah berdarah, disertai rasa nyeri dengan gingiva yang sensitif khususnya terhadap toksin maupun iritan seperti plak dan kalkulus yang berakibat lanjut terjadinya inflamasi gingiva. Penelitian ini bertujuan untuk mendapatkan gambaran pengetahuan ibu hamil tentang gingivitis. Jenis penelitian ialah deskriptif dengan desain potong lintang. Data diperoleh dengan menggunakan kuesioner dan disajikan dalam bentuk tabel distribusi frekuensi. Terdapat 60 responden yang diperoleh menggunakan total sampling. Hasil penelitian menunjukkan 28 ibu hamil (46,7%) berpengetahuan baik dan 32 ibu hamil (53,3%) berpengetahuan kurang. Simpulan: Tingkat pengetahuan ibu hamil terhadap gingivitis di Puskesmas Kakaskasen masih kurang.Kata kunci: ibu hamil. pengetahuan, gingivitis

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Relationship of Ferritin Levels and Vitamin B12 Levels Pregnant Women Anemia on Baby Birth Weight

Journal of Midwifery ◽

10.25077/jom.3.2.94-102.2018 ◽

2018 ◽

Vol 3 (2) ◽

pp. 94

Author(s):

Citra Dewi Anitasari ◽

Arni Amir ◽

Defrin Defrin

Keyword(s):

Pregnant Woman ◽

Birth Weight ◽

Vitamin B12 ◽

Pregnant Women ◽

Ferritin Level ◽

Sampling Technique ◽

Micronutrient Deficiencies ◽

Cross Sectional ◽

A Value ◽

The Mean

Anemia in pregnancy is a health problem that usually occurs throughout the world. In developing countries, anemia during pregnancy is due to micronutrient deficiencies such as iron, vitamin B12 and folic acid. This was cross sectional study. The population of this study were all anemic pregnant women who came to Lubuk Buaya Health Center. The sample in this study based on inclusion criteria totalling 40 respondents taken by consecutive sampling technique. Examination of ferritin and vitamin B12 levels was carried out at the Andalas University Biomedical Laboratory using the ELISA method. Statistical test was performed using SPSS, normality test with Shapiro Wilk andSpearman test to see the relationship between ferritin and vitamin B12 levels to the baby's birth weight.The results of this study showed that the mean ferritin level of anemia pregnant woman with baby birth weight was 11.13 ± 6.37 with a value of p> 0.05, r = 0.280 and the mean vitamin B12 levels of anemic pregnant women with birth weight were 299, 53 ± 98.46 with a value of p> 0.05, r = 0.161.The conclusion of this study was that there is a non significant positive relationship between ferritin and vitamin B12 levels on the birth weight of the baby. It is recommended that pregnant women keep on consuming Fe tablets during pregnancy and further study is necessary to see pregnant woman adherence in consuming Fe tablets.

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PENGARUH USIA KEHAMILAN TERHADAP GANGGUAN TIDUR PADA IBU HAMIL DI PBM ERNA PENIWATI DESA BALONG KECAMATAN BALONG PONOROGO

Jurnal Delima Harapan ◽

10.31935/delima.v5i2.52 ◽

2018 ◽

Vol 5 (2) ◽

pp. 8-16

Author(s):

Ambika Kurnia Mustikawati

Keyword(s):

Pregnant Woman ◽

Sleep Disturbance ◽

Pregnant Women ◽

Sleep Disorders ◽

Sleep Disorder ◽

Gestational Age ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional ◽

Physical Comfort

Pregnancy is a valuable thing, but also one of the great stresses for a woman both physically and mentally. Physical comfort disorders at each stage of gestational age vary due to interrupt the rest of pregnant women. This sleep disorder causes hypertension, exhaustion and disrupt activity. Interview results, 7 out of 10 pregnant women said experiencing sleep disorders. The purpose of this study was to analyze the effect of gestational age on sleep disturbance.The research type is analytic with cross-sectional approach. Research location in PMB Erna Peniwati Desa Balong Kabupaten Ponorogo. The study was conducted on May 15 to June 10, 2018. Determination of the sample using a simple random sampling technique of 40. Dependent variable is sleep disturbance, while the independent variable is the age of pregnancy. Data collection techniques using questionnaires. Data analysis using Pearson test with the help of computer program SPSS 22,0 for windows.The results showed that from 40 respondents, half of which were 20 (50%) of pregnant women TM 3 had moderate sleep disorder and almost half that is as many as 12 (30%) pregnant women TM 2 had mild sleep disorder. Result of calculation using Pearson statistic test with significant level 0,01 that is p = 0,000 <α 0,01 meaning Ho rejected and H1 accepted, so there is influence between pregnancy age with sleep disorder in pregnant woman in PMB Erna Peniwati with correlation coefficient 0,572 indicating closeness strong influence.Different pregnancy rates affect sleep disturbance in each pregnant woman especially in the 3rd trimester pregnant women. It is expected to place the research to provide a solution for pregnant women so as to reduce the perceived sleep disturbance and respondents are expected to have a good way of dealing with sleep disorders for their health and the fetus and preparation for labor.

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Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/4317 ◽

2019 ◽

Vol 21 (1) ◽

Author(s):

Tabeta Seeiso ◽

Mamutle M. Todd-Maja

Keyword(s):

Antenatal Care ◽

Maternal Mortality ◽

Pregnant Women ◽

Rural Areas ◽

Geographic Location ◽

Sub Saharan Africa ◽

World Health ◽

Cross Sectional ◽

Danger Signs ◽

In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

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Prevalence of Trichomonas Vaginalis and its Correlation with Socio-demographic Variables in Pregnant Women in Al-Diwaniya,Iraq

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v9ispl1.1286 ◽

2018 ◽

Vol 9 (SPL1) ◽

Author(s):

Shiren Ali Al Hamzawi

Keyword(s):

Pregnant Women ◽

Rural Areas ◽

Trichomonas Vaginalis ◽

Cross Sectional Study ◽

Demographic Variables ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted ◽

Vaginal Swabs ◽

Low Education

Estimates of Trichomonas vaginalis prevalence in pregnant women are variable with few studies in Iraq.T. vaginalis is a worldwide prevalent sexually transmitted infection,but fortunately,it is very treatable. Researchers believed that pregnancy is one of the effective factors for T. vaginalis infection in women.A cross-sectional study performed in Obstetrics and Gynecology Department at Maternity and Children Teaching Hospital in Al-Diwaniya city on two hundred female pregnant patients between the ages of 16-45 years. These females had no intercourse for 2–3 days,not using drugs (antibiotics,antiprotozoal or steroids) for the last 15 days. Vaginal discharges of any type with or without itching,burning sensation or both were their main complaints. Vaginal swabs were taken from all participating patients for direct wet mount microscopy and culture for the detection of Trichomonas vaginalis infection. The study showed that twelve out of two hundred examined pregnant women (6%) presented with T. vaginalis infection. The infection was more in those with mothers’ age (26-35) years,housewives,low education,higher parity,and of rural residents. Other maternal variables were not significantly associated with T. vaginalis infection. The study showed a prevalence of (6%) of T. vaginalis infection in pregnant female attendees. Infection was more in those with mothers ’age (26-35) years,housewives,low educational level,higher parity,and living in rural areas.

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PENGETAHUAN IBU HAMIL TENTANG POSISI HUBUNGAN SEKSUAL PADA MASA KEHAMILAN

Jurnal Genta Kebidanan ◽

10.36049/jgk.v8i1.155 ◽

2018 ◽

Vol 8 (1) ◽

pp. 46

Author(s):

Ni Wayan Noviani ◽

Ni Komang Sari Suindani

Keyword(s):

Pregnant Women ◽

Sampling Technique ◽

Sexual Relationship ◽

Inclusion Criteria ◽

Sexual Relations ◽

Cross Sectional ◽

Descriptive Research ◽

Abstract Knowledge ◽

Medium Education ◽

Research Type

Abstract: Knowledge of Pregnant Women About Sexual Relations Position During Pregnancy. The purpose of this study was to determine the knowledge of pregnant women about the position of sexual relations during pregnancy in BPM Wahidah, S.ST Year 2017. This research type is descriptive research with cross sectional approach by using accidental sampling technique. The population of this study were pregnant women who did the examination in BPM Wahidah, S.ST. The number of samples is 50 respondents who meet the inclusion criteria. This research started from 6-21 february 2017. The result showed that pregnant woman's knowledge about the position of sexual relationship during pregnancy was mostly (54%) knowledgeable enough. A small percentage of respondents aged 20-35 years ie 11 people (22%) have enough knowledge, from the work showed that almost half of respondents ie 23 people (46%) who do not work have enough knowledge, from education showed that almost half of respondents or 16 people (32%) who have medium education have enough knowledge, and from parity shows that almost half of respondents are 14 people (28%) who are multiparous have enough knowledge. Abstrak : Pengetahuan Ibu Hamil Tentang Posisi Hubungan Seksual Pada Masa Kehamilan. Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan di BPM Wahidah, S.ST Tahun 2017. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan cross sectional dengan menggunakan teknik accidental sampling. Populasi penelitian ini adalah ibu hamil yang melakukan pemeriksaan di BPM Wahidah, S.ST.Jumlah sampel sebanyak 50 responden yang memenuhi criteria inklusi.Penelitian ini dimulai dari tanggal 6-21 februari 2017. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan sebagian besar (54%) berpengetahuan cukup. sebagian kecil responden umur 20-35 tahun yaitu 11 orang (22%) memiliki pengetahuan cukup, dari pekerjaan menunjukkan bahwa hampir setengahnya responden yaitu 23 orang (46%) yang tidak bekerja memiliki pengetahuan cukup, dari pendidikan menunjukkan bahwa hampir setengahnya responden atau 16 orang (32%) yang berpendidikan menengah mempunyai pengetahuan cukup, dan dari paritas menunjukkan bahwa hampir setengahnya responden yaitu 14 orang (28%) yang multipara memiliki pengetahuan cukup.

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Pengaruh Umur Ibu Hamil Dan Dukungan Keluarga Terhadap Kepatuhan Mengkonsumsi Tablet Besi (Fe) Dan Anemia Pada Ibu Hamil Di Puskesmas Kota Wilayah Selatan Kota Kediri

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v4i1.28 ◽

2017 ◽

Vol 4 (1) ◽

Author(s):

Dina Dewi Anggraini

Keyword(s):

Pregnant Women ◽

Health Center ◽

Family Support ◽

Random Sampling ◽

Maternal Age ◽

Sampling Technique ◽

Deficiency Anemia ◽

Third Trimester ◽

Regional Health ◽

Cross Sectional

ABSTRAKPerdarahan merupakan prosentase tertinggi penyebab terjadinya kematian ibu. Dan anemia zat besi merupakan penyebab utama terjadinya perdarahan. Pencegahan anemia gizi besi dilakukan melalui pemberian tablet besi dengan dosis pemberian sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Pada kecamatan dan Puskesmas Kota Kediri 2014, cakupan Fe1 dan Fe3 yang terendah adalah pada Kecamatan Kota, yaitu Puskesmas Kota Wilayah Selatan, dengan Fe1 sebesar 69,81% dan Fe3 sebesar 66,29%. Penelitian dilakukan untuk menganalisis pengaruh umur ibu hamil dan dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi dan anemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri 2016. Metode pada penelitian ini dengan observasi analitik dan rancang bangun cross sectional. Populasi pada penelitian ini 63 orang ibu hamil trimester III dan sampelnya 34 orang ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe), dengan teknik simpel random sampling. Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data yang dilakukan dengan menggunakan regresi ordinal dan regresi logistik. Hasil uji didapatkan nilai p = 0,000 0,05 untuk variabel umur ibu hamil 20 tahun terhadap kepatuhan mengkonsumsi tablet besi (Fe), nilai p = 0,238 0,05 untuk variabel dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi (Fe), dan nilai p = 0,012 0,05 untuk variabel kepatuhan yang cukup dalam mengkonsumsi tablet besi (Fe) terhadap anemia pada ibu hamil. Semakin tinggi faktor risiko umur pada ibu hamil, maka semakin cenderung ibu hamil untuk patuh mengkonsumsi tablet besi (Fe) pada masa kehamilan. Semakin tinggi tingkat kepatuhan ibu hamil dalam mengkonsumsi tablet besi (Fe), maka semakin tinggi pula kecenderungan ibu hamil untuk tidak terkena anemia pada masa kehamilan. Kata kunci: Umur, Dukungan Keluarga, Kepatuhan, Anemia. ABSTRACTBleeding is the highest percentage of the causes of maternal mortality. And iron anemia is a major cause of bleeding. Prevention of iron deficiency anemia is done through the provision of iron tablets with doses as much as 1 tablet in a row for a minimum of 90 days during pregnancy. In the town of Kediri district and health center in 2014, Fe1 and Fe3 coverage is lowest in the City District, the Southern Regional Health Center, with Fe1 amounted to 69,81% and amounted to 66,29% Fe3. The study was conducted to analyze the effect of maternal age and family support for adherence to consume iron tablets and anemia in pregnant women in the South Regional Health Center of Kediri, 2016. The method in this study with analytic observation and cross sectional design. The population in this study 63 third trimester pregnant women and the sample 34 third trimester pregnant women who have received 90 tablets of iron (Fe), with a simple random sampling technique. Data obtained from questionnaires, books Maternal and Child Health, and in-depth interviews. Data analysis was performed using ordinal regression and logistic regression. The test results obtained value of p = 0,000 0,05 for the variable maternal age 20 years of adherence to consume tablets of iron (Fe), p = 0,238 0,05 for the variable of family support for adherence to consume tablets of iron (Fe), and p = 0,012 0,05 for the variable adherence sufficient to consume iron tablet (Fe) against anemia in pregnant women. The higher the risk factors of age in pregnant women, pregnant women, the more it tends to stick to consume tablets of iron (Fe) during pregnancy. The higher the level of adherence of pregnant women consume iron tablet (Fe), the higher the tendency of pregnant women not exposed to anemia during pregnancy. Keywords: Age, Family Support, Adherence, Anemia.

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Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03893-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mingming Cui ◽

Xiao-Lin Lu ◽

Yan-Yu Lyu ◽

Fang Wang ◽

Xiao-Lu Xie ◽

...

Keyword(s):

Folic Acid ◽

Pregnant Women ◽

Neural Tube ◽

Neural Tube Defects ◽

Rural Women ◽

Rural Areas ◽

Urban Areas ◽

Unplanned Pregnancy ◽

Urban China ◽

Cross Sectional

Abstract Background The prevalence of neural tube defects (NTDs) in China declined during 2000–2017 with periconceptional folic acid (FA) supplementation, which is effective in reducing the risk of birth defects. We aimed to assess the knowledge and actual use of FA among Chinese pregnant women and to explore factors associated with FA use before pregnancy. Methods All data were collected in face-to-face interviews during health visits among pregnant women. We collected information about knowledge and use of FA supplements and demographic, socioeconomic, and health status. One maternity and childcare hospital was chosen in each of four cities: Beijing, Huaibei, Kunming, and Haikou. In total, 435 pregnant women were randomly recruited for interviews conducted from June to December 2016. Results A total of 428 pregnant women were included in this survey. Of these, 82.0% (351/428) knew that FA can prevent NTDs, and 75.9% (325/428) knew the correct time to take FA. Overall, 65.9% (282/428) of women knew both that FA can prevent NTDs and the recommended time to take FA before pregnancy. Approximately 95.1% (407/428) of women reported having ever taken FA, only 46.3% (198/428) had begun to take FA supplementation before conception, and 64.5% (109/169) of women from rural areas failed to take FA before pregnancy. Women living in northern China (odds ratio [OR] = 1.81, 95% confidence interval [CI], 1.18–2.77), those with unplanned pregnancy (OR = 1.99, 95% CI 1.30–3.04), and highly educated women (OR = 2.37, 95% CI 1.45–3.88) were more likely to know about FA. Women who were homemakers (OR = 1.94, 95% CI 1.21–3.11) and had unplanned pregnancy (OR = 6.18, 95% CI 4.01–9.53) were less likely to begin taking FA before pregnancy. Conclusions Our survey showed that most pregnant women knew about FA. Although preconception intake of FA can help to reduce NTDs, improving the rate of FA intake before pregnancy is needed in urban areas of China, especially among homemakers and women from rural areas or with unplanned pregnancy. Campaigns are needed to increase awareness about FA and FA use before pregnancy among rural women, homemakers, and those with unplanned pregnancy and lower education levels.

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Factors Influencing HIV Drug Resistance among Pregnant Women in Luanda, Angola: Findings from a Cross-Sectional Study

Tropical Medicine and Infectious Disease ◽

10.3390/tropicalmed6010029 ◽

2021 ◽

Vol 6 (1) ◽

pp. 29

Author(s):

Cruz S. Sebastião ◽

Joana Morais ◽

Miguel Brito

Keyword(s):

Drug Resistance ◽

Pregnant Women ◽

Rural Areas ◽

Cross Sectional Study ◽

Drug Resistant ◽

Sectional Study ◽

Cross Sectional ◽

Hiv Drug Resistance ◽

Hiv 1 ◽

High Educational

The increase in HIV infection and drug-resistant strains is an important public health concern, especially in resource-limited settings. However, the identification of factors related to the propagation of infectious diseases represents a crucial target offering an opportunity to reduce health care costs as well as deepening the focus on preventing infection in high-risk groups. In this study, we investigate the factors related to drug resistance among HIV-infected pregnant women in Luanda, the capital city of Angola. This was a part of a cross-sectional study conducted with 42 HIV-positive pregnant women. A blood sample was collected, and HIV-1 genotyping was carried out using an in-house method. Multivariate analyses were performed to determine the interaction between sociodemographic characteristics and drug resistance. HIV drug resistance was detected in 44.1% of the studied population. High probabilities of drug resistance were observed for HIV-infected pregnant women living in rural areas (AOR: 2.73; 95% CI: 0.50–14.9) with high educational level (AOR: 6.27; 95% CI: 0.77–51.2) and comorbidities (AOR: 5.47; 95% CI: 0.28–106) and infected with a HIV-1 non-B subtype other than subtype C (AOR: 1.60; 95% CI: 0.25–10.3). The present study reports high HIV drug resistance. Furthermore, older-age, rural areas, high educational levels, unemployed status, having comorbidities, and HIV-1 subtypes were factors related to drug resistance. These factors impact on drug susceptibility and need to be urgently addressed in order to promote health education campaigns able to prevent the spread of drug-resistant HIV strains in Angola.

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