scholarly journals Level of folic acid awareness for the prevention of neural tube defects and associated factors among pregnant women in Adama, South East Ethiopia

2019 ◽  
Author(s):  
MESELECH AMBAW DESSIE ◽  
Ayanaw Worku Berihun

Abstract Abstract Background: Neural tube defects are congenital anomalies of the brain, spinal cord, and their surrounding structures. Folic acid intake before and during the early weeks of pregnancy could reduce neural tube and other birth defects. Folic acid usage in the protective period of pregnancy against the neural tube defects is related to high level of awareness. This study aimed at evaluating the level of folic acid awareness for the prevention of neural tube defects and associated factors among pregnant women in Adama, South East Ethiopia. Method: A descriptive cross-sectional study design was used. 398 consented pregnant women attending antenatal care in Adama were the participants of the study. The women were selected by using a systematic random sampling method. A structured pre-tested interviewer-administered questionnaire was used to collect the data. The questionnaire was concerned with participants’ demographic information, and their awareness about folic acid, roles of folic acid, and the recommended time of intake. Data were analyzed using SPSS version 20 statical software. Simple and multiple binary logistic regression analyses were conducted. 95% confidence interval and p-value were used to evaluate the association between dependent and independent variables. Results: Of the interviewed women, 20.9% reported having heard or read something about folic acid supplements. But only 1.01% and 6.03% were aware of the recommended time of intake and the role of folic acid in preventing neural tube defects and other congenital anomalies respectively. The healthcare providers were the primary source of information about folic acid, which account 78.3%. Folic acid awareness was associated with age, educational status, household monthly income, week of pregnancy at the first antenatal visit, any complication during current pregnancy, and use of folic acid during current pregnancy. Conclusions: Most of the pregnant women were not aware of folic acid, its importance and the recommended time of intake for preventing neural tube defects. Further effort is required from policymakers, healthcare providers, the media, and community to increase women's awareness about folic acid. Keywords: Folic acid, Awareness, Neural tube defects

2019 ◽  
Author(s):  
MESELECH AMBAW DESSIE ◽  
Ayanaw Worku Berihun

Abstract Abstract Background: Neural tube defects are congenital anomalies of the brain, spinal cord, and their surrounding structures. Folic acid intake before and during the early weeks of pregnancy could reduce neural tube and other birth defects. Folic acid usage in the protective period of pregnancy against the neural tube defects is related to high level of awareness. This study aimed at evaluating the level of folic acid awareness for the prevention of neural tube defects and associated factors among pregnant women in Adama, South East Ethiopia. Method: A descriptive cross-sectional study design was used. 398 consented pregnant women attending antenatal care in Adama were the participants of the study. The women were selected by using a systematic random sampling method. A structured pre-tested interviewer-administered questionnaire was used to collect the data. The questionnaire was concerned with participants’ demographic information, and their awareness about folic acid, roles of folic acid, and the recommended time of intake. Data were analyzed using SPSS version 20 statical software. Simple and multiple binary logistic regression analyses were conducted. 95% confidence interval and p-value were used to evaluate the association between dependent and independent variables. Results: Of the interviewed women, 20.9% reported having heard or read something about folic acid supplements. But only 1.01% and 6.03% were aware of the recommended time of intake and the role of folic acid in preventing neural tube defects and other congenital anomalies respectively. The healthcare providers were the primary source of information about folic acid, which account 78.3%. Folic acid awareness was associated with age, educational status, household monthly income, week of pregnancy at the first antenatal visit, any complication during current pregnancy, and use of folic acid during current pregnancy. Conclusions: Most of the pregnant women were not aware of folic acid, its importance and the recommended time of intake for preventing neural tube defects. Further effort is required from policymakers, healthcare providers, the media, and community to increase women's awareness about folic acid. Keywords: Folic acid, Awareness, Neural tube defects


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mingming Cui ◽  
Xiao-Lin Lu ◽  
Yan-Yu Lyu ◽  
Fang Wang ◽  
Xiao-Lu Xie ◽  
...  

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.


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Aremu Olayinka Olaitan ◽  
Oladejo Oluwatobiloba Rukayat ◽  
Olowokere Adekemi Eunice ◽  
Olajubu Aanuoluwapo Omobolanle

The use of folic acid supplements before and during the first three months of pregnancy significantly reduces the risk of fetal neural tube defects (NTDs). This study assessed knowledge and factors that influence the use of folic acid, the actual use of folic acid and its relationship with socio-demographic factors among women of childbearing age in the Ife Central Local Government, Ile-Ife, Osun State, Nigeria. A cross-sectional descriptive design was adopted to select 400 women of childbearing age who participated in the study using a self-structured questionnaire. Results from this study showed that 39.8 per cent of the study participants had good knowledge about the benefits of folic acid, 64.6 per cent of the participants reported to have used folic acid at one time in their lives, while 55.5 per cent of them reported not to have taken folic acid before their pregnancy. This study also revealed a significant association between the respondents’ socio-demographic factors and the use of folic acid with a p-value of .000 (p-value < 0.05). The study concluded that knowledge about the use of folic acid for the prevention of NTDs among women of childbearing age is not adequate and that very few of them used folic acid at the appropriate time.


Author(s):  
Neha Choudhary ◽  
Preeti Manhas ◽  
Akash Narangyal ◽  
Rohan Singh Manhas

Background: Folic acid reduces the risk of birth defects, including neural tube defects (NTDs). It reduces the risk of miscarriage and fetal death as well as folate-deficiency anemia. Folate status is particularly important before conception and during the first 12 weeks of pregnancy. Objective was to assess knowledge and consumption of folic acid among teachers in the reproductive age group.Methods: 336 school teachers selected from government and private schools (primary/middle/secondary/higher secondary) by simple random sampling technique. Teacher’s knowledge and consumption of folic acid and associated factors was studied using a pre- tested; self- administered questionnaire.Results: 95% teachers had heard about folic acid, 57% knew about neural tube defects. 53% were aware of the role of folic acid in NTDs. 66% had knowledge about the best timing for its intake. 56% were aware about the sources rich in folic acid. 75% believed that foods are the best source of folic acid, 80% believed that taking foods rich in folic acid and tablets are sufficient to maintain body stores.49% were taking folic acid presently. 66% of the participants were taking folic acid under medical advice, 29% due to the recommendations by their family/friends while self-initiation was reported in only 5% of the individuals.Conclusions: IEC activities needs to be conducted among different strata of population so that the intake of folic acid could be increased and associated factors effecting its intake and absorption could be taken care of.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Otaniyenuwa Eloghosa Obarisiagbon ◽  
Esohe Olivia Ogboghodo

Globally, an estimated two billion people are affected by deficiencies of essential vitamins and minerals, notably folic acid, which negatively impacts on health and economic development. Maternal folate deficiency is associated with neural tube defects. Thus, getting enough folic acid is important for the rapid cell growth of the placenta and the developing fetus. The objective of this study is to assess the practice of folic acid and its associated factors among pregnant women in University of Benin Teaching Hospital (UBTH). A descriptive cross-sectional study was carried out among 400 pregnant women attending the antenatal clinic at UBTH, selected using a systematic sampling technique. Data was obtained using a structured interviewer-administered questionnaire and analyzed with IBM SPSS version 21.0 software. The level of significance was set at P<0.05. The mean age of the respondents was 28.7 (4.2) years. Majority 348 (87.0%) of the respondents had a good practice score of folic acid usage. The factors associated with the practice of folic acid were age (P<0.01), socioeconomic status (P<0.01), and parity, (P<0.01). The determinants of folic acid intake were spouse’s level of education (P<0.001), and planned pregnancy (P<0.001). The majority of the respondents had a good practice of folic acid usage, and the determinants of practice were spouse’s level of education and planned pregnancy. Health education is encouraged to sustain the good practice of folic acid use to prevent neural tube defects.


2013 ◽  
Vol 17 (10) ◽  
pp. 2344-2350 ◽  
Author(s):  
Judith Manniën ◽  
Ank de Jonge ◽  
Martina C Cornel ◽  
Evelien Spelten ◽  
Eileen K Hutton

AbstractObjectiveNeural tube defects are among the most common birth defects worldwide. Folic acid intake from one month before to three months after conception reduces the likelihood of neural tube defects by at least 50 %. Since 1995, several campaigns have been organised in the Netherlands which resulted in 51 % of pregnant women using folic acid supplements during the entire recommended period in the northern part of the Netherlands in 2005. Our research question was to gain insight into the current prevalence and factors associated with inadequate pregnancy-related use of folic acid supplements.DesignData from the DELIVER study were used, which is a population-based cohort study.SettingTwenty midwifery practices across the Netherlands in 2009 and 2010.SubjectsIn total 5975 pregnant women completed a questionnaire covering items on sociodemographic and lifestyle factors, including folic acid intake.ResultsOf our study population, 55·5 % (3318/5975) used folic acid supplements before conception. Several sociodemographic and lifestyle factors were associated with no preconception use of folic acid, of which non-Western ethnicity and not having a partner had the largest effect size.ConclusionsIn the Netherlands, the folic acid intake before conception is suboptimal and has not improved over recent years. Fortification of staple foods with folic acid should be reconsidered as it would provide a more effective means of ensuring an adequate intake, especially for those groups of women who are unlikely to plan their pregnancies or to receive or respond to health promotion messages.


2011 ◽  
Vol 14 (7) ◽  
pp. 1142-1147 ◽  
Author(s):  
Ziqian Zeng ◽  
Ping Yuan ◽  
Yanping Wang ◽  
Xi Ma ◽  
Jun Zhu

AbstractObjectiveTo measure folic acid awareness and intake rates among women of childbearing age in certain areas of China with a high prevalence of neural tube defects (NTD).DesignA cross-sectional survey was carried out utilising a nineteen-item questionnaire enquiring into individual women's knowledge of, attitude towards and practice of folic acid supplementation.SettingA total of 293 low-income counties in six provinces of China.SubjectsWomen aged 19–44 years from six provinces with a high prevalence of NTD recruited from June to August 2008.ResultsAmong 33 025 participants, 57 % had heard of folic acid but only 15 % knew all of the core information. The intake rate was 12 %; only 8 % took the recommended dose and only 4 % of non-pregnant women took folic acid. Some women did not take folic acid because they did not know that they should take it (49 %) or they had misconceptions about it (24 %). According to logistic regression analysis, rural residence was a risk factor for folic acid awareness. Ethnicity, educational level, average annual income per person and pregnancy were the influencing factors of folic acid awareness and folic acid intake.ConclusionsAlthough more than half of the respondents had heard of folic acid, the intake rate was still very low in areas with a high prevalence of NTD. Thus, more efforts are needed to increase folic acid awareness and intake among women of reproductive age in these areas.


2018 ◽  
Vol 1 (1) ◽  
pp. 9
Author(s):  
Suastira Suastira ◽  
Sumiaty Sumiaty ◽  
Ansar Ansar

Anemia is a condition where the hemoglobin level in the blood is below normal. Anemia is directly caused by daily food intake that contains less iron and folic acid. Data from the Basic Health Research conducted in 2013 showed that the proportion of pregnant women who were anemic in Indonesia reached 37.1%, in Central Sulawesi anemia in pregnant women reached 24.42%, then for the Palu city it was found in the Tawaeli Health Center reaching 58, 7%. The purpose of this study was to determine the relationship between food consumption and folic acid with the incidence of anemia in pregnant women in the Tawaeli Health Center Area. This type of research is analytic observational using cross sectional. Sampling is done by visiting the respondent's place directly or door to door with 40 people. Data collection was done directly, using a food frequency questionnaire (FFQ) and to find out anemia in pregnant women using Hb meter (Diaspect). The results showed that the percentage of anemia anemia was higher in pregnant women who rarely discussed iron food (56.7%) with the results of statistical tests showing p value = 0.02 (p <0.05) and folic acid (52.6%) with the results of statistical tests showing a p value of  0.04 (p <0.05). The results showed an association between iron food and folic acid with the incidence of anemia in pregnant women.Keywords: Iron, folic acid, pregnant women, anemia


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