Relationship Between Ferritin and Folic Acid Levels In Pregnant Women With Newborn Weight and Head Circumference

Iron deficiency and folic acid anemia cause decrease in ferritin and folic acid levels that can interfere with the intake of oxygen and nutrients to the fetus resulting in LBW and reduced brain growth during pregnancy. The aim of the study was to determine the relationship between ferritin and folic acid levels in pregnant women with newborn weight and head circumference.This study was a cross sectional study conducted on 55 pregnant women at 37-42 weeks who were taken by consecutive sampling technique. The study was carried out in the Working Area of the Puskesmas and the Regional Health Laboratory of the Merangin Regency, and the health laboratory of West Sumatra Province from May 25 to July 13, 2018. Test the normality with the Kolmogorov-smirnov test and the correlation test using Pearson and Spearman.The results showed ferritin mean 23,643±16,682 ng/ml, folic acid 14,093±4,578 ng/ml, newborn weight 3047,27±399,005 gram and head circumference 33,02±1,163 cm. Statistical test results showed no correlation between ferritin levels with body weight (r=0.063, p=0.648) and head circumference (r=0.018, p=0.895) and folic acid levels with body weight (r=-0.036, p=0.795) and head circumference (r=-0.098, p=0.477).The conclusions of the study were that ferritin and folic acid levels of pregnant women had no significant correlation with newborn weight and head circumference. By improving nutrition, socioeconomic, qualitative antenatal care, initial referral of risky cases and supplementation of iron and folic acid can reduce the incidence of anemia.

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PENGARUH KEBERSIHAN GIGI DAN MULUT DENGAN STATUS GINGIVITIS PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS ANDALAS KECAMATAN PADANG TIMUR KOTA PADANG TAHUN 2012

Majalah Kedokteran Andalas ◽

10.22338/mka.v36.i2.p215-224.2012 ◽

2012 ◽

Vol 36 (2) ◽

pp. 215

Author(s):

Hidayati Hidayati ◽

Kuswardani Kuswardani ◽

Gustria Rahayu

Keyword(s):

Pregnant Women ◽

Oral Hygiene ◽

Sampling Technique ◽

Cross Sectional Study ◽

Statistical Test ◽

Sectional Study ◽

Cross Sectional ◽

Local Irritation ◽

Work Area ◽

Kolmogorov Smirnov

AbstrakGingivitis kehamilan adalah gingivitis yang terjadi pada wanita hamil. Gingivitisdisebabkan oleh iritasi bakteri yang ada dalam plak dan kalkulus. Plak dan kalkulus merupakanindikator kebersihan mulut yang buruk. Selama kehamilan, hormon estrogen dan progesteroneakan mengalami peningkatan yang menyebabkan jaringan gingiva merespon secara berlebihanterhadap iritasi lokal. Penelitian ini bertujuan untuk mengetahui tingkat kebersihan rongga mulutdan status gingivitis ibu hamil serta hubungan antara tingkat kebersihan rongga mulut denganstatus gingivitis pada ibu hamil. Jenis penelitian ini adalah anayitic correlation denganpendekatan cross sectional, sampel diambil menggunakanteknik accidental sampling dengan ujistatistik Kolmogorov-Smirnov. Subjek adalah 70 wanita hamil di Puskesmas wilayah kerjaAndalas Padang Timur. Hasil penelitian menunjukkan tingkat kebersihan mulut ibu hamil diwilayah kerja Puskesmas Andalas Kecamatan Padang Timur sebagian besar adalah sedang(57,1%) dan sebagian besar ibu hamil yang diperiksa mengalami gingivitis sedang (70%). Semuaibu yang diperiksa mengalami gingivitis, baik itu ibu dengan tingkat kebersihan mulut yang baik,sedang maupun buruk. Disarankan kepada ibu hamil untuk selalu menjaga kebersihan dankesehatan rongga mulutnya.Kata Kunci : gingivitis kehamilan, estrogen, progesteron, tingkat kebersihan rongga mulut,gingivitisAbstractPregnancy gingivitis is gingivitis that occurs in pregnant women. Gingivitis caused by theirritation of bacteria in plaque and calculus. Plaque and calculus is indicator of poor oral hygiene.During pregnancy, estrogen and progesterone will increase that causes excessive gingival tissueresponse to local irritation. This study aims to determine oral hygiene level and gingivitis statusin pregnant women and relationship between oral hygiene level with gingivitis status in pregnantwomen. The kind of this research is analyitic correlation with cross sectional study, sampleswere taken with accidental sampling technique with statistical test Kolmogorov-Smirnov.Subject were 70 pregnant women at the work area Puskesmas Andalas Padang Timur. Theresults showed oral hygiene level in pregnant women at the work area Puskesmas AndalasPadang Timur are mostly moderate (57.1%) and majority of them had moderate gingivitis (70%).215ARTIKEL PENELITIANAll of the pregnant women were examined had gingivitis, both pregnant women with good oralhygiene, medium and bad. It is recommended to pregnant women to always maintain the hygieneand health of the oral cavity.Key word : pregnancy gingivtis, estrogene, progesterone, oral hygiene and gingivitis.216

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Nutrient supplementation among pregnant women in China: an observational study

Public Health Nutrition ◽

10.1017/s1368980021001269 ◽

2021 ◽

pp. 1-19

Author(s):

Tao Han ◽

Jingwen Dong ◽

Jiangtao Zhang ◽

Chenxiao Zhang ◽

Yuxuan Wang ◽

...

Keyword(s):

Vitamin D ◽

Folic Acid ◽

Pregnant Women ◽

Family Members ◽

Primary Source ◽

Cross Sectional Study ◽

Cross Sectional ◽

Nutrient Supplementation ◽

Face To Face ◽

Source Of Information

Abstract Objective: To clarify nutrient supplementation usage and primary source of information among pregnant women in China. Design: This cross-sectional study used information on nutrient supplementation and primary source of information collected via face-to-face interviews. Data on the usage of folic acid, calcium/vitamin D, iron, vitamins, docosahexaenoic acid, and other dietary supplements were collected. Primary source of information were categorized as family/relatives, friends/co-workers, the Internet, books/magazines, television/radio, doctors, other people, and oneself. Setting: Maternal and Child Health Hospital in Chengdu, China. Participants: 1081 Chinese pregnant women aged ≥ 20 years with singleton pregnancies. Results: In all three trimesters of pregnancy, usage was highest and most stable for folic acid (81.7%), followed by vitamins (vitamin A, B-group vitamins, vitamin C, and multivitamins; 75.0%), whereas calcium/vitamin D (51.4%) and iron (18.1%) usage was low, potentially indicating a deficiency risk. All supplementation usage percentages increased with pregnancy duration (p < 0.05). Notably, approximately 10% of the pregnant women in our study did not use any nutrient supplementation, and this was especially common in early pregnancy. More than 50% of the women reported getting information on nutrient supplementation from family members, and about 30% reported getting this information from doctors. Conclusions: Among pregnant women in China, awareness about nutrient supplementation increases as the pregnancy progresses, but some types of nutrient supplementation (such as calcium/vitamin D and iron) remain at low levels. It is necessary to pay more attention to the health education of pregnant women in China, and the influence of family members should be emphasized.

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Online Pregnancy-Related Information: Reliability and Worries Among Expectant Women In Qatar

10.21203/rs.3.rs-509046/v1 ◽

2021 ◽

Author(s):

Ayman Al-Dahshan ◽

Mohamad Chehab ◽

Nagah Selim

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Sampling Technique ◽

Cross Sectional Study ◽

Care Providers ◽

Cross Sectional ◽

Web Based ◽

Related Information ◽

University Degree ◽

Self Administered Questionnaire

Abstract Background: Although the internet can be a source of reassurance and clarification for expectant women, it ‎could cause concerns or feelings of worry when reading about pregnancy-related ‎information. The current research sought to assess the feelings of worry and perceived reliability towards online pregnancy-related information and the associated factors among expectant women attending antenatal clinics at primary healthcare centers in Qatar.Methods: A cross-sectional study design was employed. The participants were recruited through a systematic random sampling technique. ‎A self-administered questionnaire was used to collect data from the participants. Descriptive and analytic statistics were used when appropriate‎.Results: A total of 327 expecting women completed the questionnaire. Most participants were aged between 26-34 years (74.1%), held a college/university degree (76.4%), and multigravidas (73.1%). About one-third of the women ‎(31.2‎%) reported feeling worried due to something they read online. The participants coped with these feelings by consulting their antenatal care provider at the next appointment (51.0%) or by talking with relatives and friends (47.0%). Furthermore, most women (79.2%) considered online pregnancy-related information to be reliable or highly reliable. Holding a college/university degree, primigravidae, and having no children were factors significantly associated with a high perception of reliability of online health information.Conclusion: Although online pregnancy information caused feelings of worry for some pregnant ‎women, most women perceived such information to be reliable. Thus, antenatal care providers should be equipped to guide pregnant women on how to access high-quality web-based information.

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Faktor- Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal di Wilayah Kerja Puskesmas Air Tawar Kota Padang

Jurnal Ilmiah Universitas Batanghari Jambi ◽

10.33087/jiubj.v19i3.761 ◽

2019 ◽

Vol 19 (3) ◽

pp. 661

Author(s):

Desi Andriani ◽

Husna Yetti ◽

Roza Sriyanti

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Family Income ◽

Health Workers ◽

Sampling Technique ◽

Cross Sectional Study ◽

P Value ◽

Independent Practice ◽

Cross Sectional ◽

Antenatal Services

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.

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Determinant of Practice of Birth Preparedness and Complication Readiness Plan Among Pregnant Women at Debretabor, North west Ethiopia: A Community Based Cross Sectional Study.

10.21203/rs.3.rs-49455/v1 ◽

2020 ◽

Author(s):

Berhan Tsegaye Negash

Keyword(s):

Pregnant Women ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Birth Preparedness ◽

Cross Sectional ◽

Complication Readiness ◽

Preparedness Plan ◽

Education Status ◽

Partner Involvement

Abstract Background: Nearly all of maternal deaths in the world occurred in sub-Saharan African countries. As Ethiopian demographic health survey report, there were 412 maternal deaths per 100,000 live births in 2016. Delays in decision to seek and receive care are the main causes of these deaths. Birth preparedness and complication readiness plan has been globally endorsed pivotal strategy to decrease these delays. Therefore, this study was aimed to assess the level of practice and factors associated with practice of birth preparedness plan among pregnant women. Methods: Community based cross-sectional study was done among 356 pregnant women selected by simple random sampling technique from July 1-30/2017 in Debretabor town. We selected samples by simple random sampling technique. Data were collected using interview administered questionnaire. Then, we coded, cleaned and entered data through Epidata version 3.1. Finally, exported and analyzed by SPSS. Logistic regression analysis was done to identify association between explanatory variables and practice of birth preparedness and complication plan. An adjusted odds ratio with 95% confidence interval and p-value less than 0.05 was computed to determine the level of significance in multi-variable logistic regression model.Results: Prevalence of birth preparedness and complication readiness plan was 73.9% in this study. primary education status (AOR=3.2,95%CI,1.3-7.8) and secondary educational status (AOR=4.1,95%CI,1.6-10.3), Primigravida (AOR=4.7,95%CI,1.9-11.3), partner involvement in birth preparedness and complication readiness plan (AOR=3.4,95%CI,1.9-6.1), initiating antenatal care in first trimester and media exposure (AOR=1.9,95%CI,1.0-3.3) were significantly associated factors with birth preparedness and complication readiness plan in this study. Conclusions: Level of practice of birth preparedness and complication readiness plan was high in the current study. Higher education status, early ante-natal care initiation, partner involvement in birth preparedness and exposure to media were the factors associated with practice of birth preparedness and complication readiness. Therefore, emphasize on continues education through media, design educational curriculum which should include birth preparedness plan, increase partner participation in birth preparedness and complication readiness plan. Furthermore, early initiation of antenatal care is mandatory.

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Pengaruh Multiple Mikro Nutrien (MMN) Terhadap Berat Badan Bayi Baru Lahir Di Desa Pandes Klaten

Jurnal Kebidanan dan Kesehatan Tradisional ◽

10.37341/jkkt.v2i2.56 ◽

2017 ◽

Vol 2 (2) ◽

Author(s):

Dwi Retna Prihati ◽

Gita Kostania

Keyword(s):

Folic Acid ◽

Birth Weight ◽

Treatment Group ◽

Vitamin B12 ◽

Pregnant Women ◽

Control Group ◽

Metabolic System ◽

Cross Sectional ◽

Significant Difference ◽

Newborn Weight

Abstract: MMN, Newborn Baby Weight. During pregnancy food is required with good quality and quantity to meet the nutritional needs of mother and baby. The low nutritional status of pregnant women during pregnancy can lead to various adverse effects for mothers and infants, such as those born with Low Birth Weight (LBW). LBW babies have a 10 to 20 times greater chance of dying than babies born with enough birth weight. Multiple Micro Nutrient (MMN) contains 15 types of vitamins and minerals most important for pregnant women, including vitamin A, vitamin E, vitamin D, vitamin B1, vitamin B2, niacin, Vitamin B6, vitamin B12, folic acid, vitamin C, Fe , folic acid, Zink, Copper, Selenium, and Iodine. MMN is one of the nutrients to prevent the occurrence of anemia because in MMN there are factors forming Hemoglobin ie Fe, Vitamin B12 and folic acid. The availability of adequate hemoglobin makes the metabolic system work well. Lack of hemoglobin not only affects the health of the mother but also affects the health of the fetus it contains, including the growth of the fetal inhibition (such as weight, body length). The purpose of this study was to prove the effect of MMN on newborn weight in Pandes Klaten village. This type of research is arestrospective study with cross sectional design. The subjects of this study were BBL (newborn) whose mother consumed MMN during pregnancy. Different test sing Independent T-test to compare control group and treatment group. Significant value in this study was p <0.05. The results of this study were no significant difference between birth weight between control group and MMN treatment group (P = 0.879). In conclusion MMN has no significant effect on newborn weight gain.

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Vitamin B6, B12, Asam Folat, Tekanan Darah dan Demensia pada Lanjut Usia

Amerta Nutrition ◽

10.20473/amnt.v4i2.2020.123-131 ◽

2020 ◽

Vol 4 (2) ◽

pp. 123

Author(s):

Bekti Krisdyana ◽

Diffah Hanim ◽

Sugiarto Sugiarto

Keyword(s):

Blood Pressure ◽

Folic Acid ◽

Junior High School ◽

Random Sampling ◽

Vitamin B6 ◽

Sampling Technique ◽

The Elderly ◽

Cross Sectional Study ◽

Cross Sectional ◽

Cluster Random Sampling

Background: Dementia is a multifactorial disease due to genetic and environmental influences. Lack of intake of vitamins B6, B12, folic acid and blood pressure are one of the environmental factors that cause dementia.Objective: To analyze the relationship between the adequacy of vitamins B6, B12, folic acid and blood pressure with dementia in the elderlyMethod: This research was a cross sectional study, which was carried out in Tulungagung Regency. The sampling technique was cluster random sampling and a sample size of 100 elderly from 7 elderly Posyandu in Tulungagung Regency, with independent variables such as adequacy of vitamin B6, B12, folic acid and blood pressure, while the dependent variable was dementia. Data were analyzed with chi square testResults: Respondents in this study were generally aged 60-74 years (70.0%), women (48.0%), were educated in elementary / junior high school (60.0%) and did not work (69.0%). Most respondents have insufficient vitamin B6, B12 and folic acid in the less category, with percentages of 57.0%, 54% and 64%, respectively. There was an association between the adequacy of vitamins B6, B12 and folic acid with dementia in the elderly (OR=2.302; 95% CI=1.011-5.241; p=0.045; OR=2.397; 95% CI=1.060-5.422; p=0.034; OR=2.516; 95% CI=1.015-6.238; p=0.043). Blood pressure is associated with dementia in the elderly (OR=3.000; 95% CI=1.288-6.988; p=0.010). The average consumption of vitamin B6, B12 and folic acid in the normal group was higher than the dementia group, with a difference of 0.16 ± 0.04 mg, 0.54 ± 0.05 mcg and 65.89 ± 4.95 respectively mcgConclusionABSTRAKLatar Belakang: Demensia merupakan penyakit multifaktorial karena pengaruh genetik dan lingkungan. Minimnya asupan vitamin B6, B12, asam folat dan tekanan darah menjadi salah satu faktor lingkungan yang menyebabkan demensia.Tujuan: Tujuan penelitian ini adalah menganalisis hubungan antara kecukupan vitamin B6, B12, asam folat dan tekanan darah dengan demensia pada lanjut usiaMetode: Penelitian ini berupa penelitian cross sectional, yang dilakukan di Kabupaten Tulungagung. Teknik sampling dengan cluster random sampling dan besar sampel 100 lansia dari 7 posyandu lansia di Kabupaten Tulungagung, dengan variabel bebas berupa kecukupan vitamin B6, B12, asam folat dan tekanan darah, sedangkan variabel terikatnya adalah demensia. Data dianalisis dengan uji chi squareHasil: Responden penelitian ini umumnya berusia 60-74 tahun (70,0 %), wanita (48,0 %), berpendidikan terakhir SD/SMP (60,0 %) dan tidak bekerja (69,0 %). Kebanyakan responden memiliki kecukupan vitamin B6, B12 dan asam folat dalam kategori kurang, dengan persentase masing-masing 57,0 %, 54 % dan 64 %. Ditemukan hubungan antara kecukupan vitamin B6, B12 dan asam folat dengan demensia pada lanjut usia (OR=2,302, 95% CI=1,011-5,241, p=0,045; OR=2,397, 95% CI=1,060-5,422, p=0,034; OR=2,516,95% CI=1,015-6,238, p=0,043). Tekanan darah berhubungan dengan demensia pada lanjut usia (OR=3,000,95% CI=1,288-6,988,p=0,010). Rata-rata konsumsi vitamin B6, B12 dan asam folat kelompok normal lebih tinggi dibandingkan kelompok demensia, dengan selisih masing-masing sebesar 0,16±0,04 mg, 0,54±0,05 mcg dan 65,89 ±4,95 mcg.Kesimpulan: Terdapat hubungan antara kecukupan vitamin B6, B12, asam folat dan tekanan darah dengan demensia pada lanjut usia.

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Perceptions of pregnant woman on monetary and time sacrifice for satisfaction based on health workers roles in antenatal services to reduce the risk of maternal death at Gowa district

Health Science Journal of Indonesia ◽

10.22435/hsji.v10i2.2444 ◽

2019 ◽

Vol 10 (2) ◽

pp. 111-118

Author(s):

Serawati Dewi ◽

Yuni Romalita ◽

Yusriani Yusriani ◽

Muhammad Khidri Alwi

Keyword(s):

Maternal Health ◽

Antenatal Care ◽

Pregnant Women ◽

Study Design ◽

Health Workers ◽

Sampling Technique ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Latar belakang: Angka Kematian Ibu (AKI) merupakan salah satu indikator pembangunan kesehatan di Indonesia. Upaya percepatan penurunan AKI dapat dilakukan dengan menjamin agar setiap ibu mampu mengakses pelayanan kesehatan ibu hamil yang berkualitas. Apabila antenatal care dimanfaatkan dengan baik maka kesehatan ibu dapat terpantau secara berkesinambungan dari masa kehamilan sampai dengan persalinan. Metode: Desain penelitian adalah kuantitatif dengan rancangan cross sectional study. Populasi pada penelitian ini adalah semua ibu yang memiliki bayi usia 0-11 bulan di Kabupaten Gowa sebanyak 122 orang. Sampel sebanyak 93 orang diambil dengan menggunakan teknik accidental sampling, besar sampel ditentukan dengan menggunakan rumus Slovin Hasil: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi. Ibu hamil yang memiliki persepsi pengorbanan moneter kecil dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90,0%. Ibu hamil yang memiliki persepsi pengorbanan moneter sangat kecil dan mengatakan peran petugas kesehatan kurang sebanyak 83.1%. Sedangkan persepsi pengorbanan waktu menunjukkan adanya korelasi dengan peran petugas kesehatan dalam pelayanan antenatal. Ibu hamil yang memiliki persepsi pengorbanan waktu besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 100%. Ibu hamil yang memiliki persepsi pengorbanan moneter besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90.2%. Kesimpulan: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi sedangkan berdasarkan pengorbanan waktu menunjukkan ada korelasi. Perlu meningkatkan kecepatan proses pelayanan pemeriksaan kehamilan pada ibu hamil oleh tenaga kesehatan. Kata kunci: Pelayanan antenatal, Ibu Hamil, Pengorbanan, Waktu, Moneter Abstract Background: Maternal Mortality Rate (MMR) is one indicator of health development in Indonesia. Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services. If antenatal care is utilized properly, maternal health can be monitored continuously from pregnancy to delivery. Methods: The study design was quantitative with a cross sectional study design. The population in this study were all pregnant women who had a gestational age of 7 to 9 months in Gowa Regency as many as 122 people. A sample of 93 people was taken using accidental sampling technique, the sample size was determined using the Slovin formula. Results: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice did not show a correlation. Pregnant women who have a perception of small monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.0%. Pregnant women who have a perception of monetary sacrifice are very small and say the role of health workers is less as much as 83.1%. While the perception of sacrifice of time shows a correlation with the role of health workers in antenatal care. Pregnant women who have the perception of sacrifice of big time and say the role of health workers lacking in antenatal care as much as 100%. Pregnant women who have a perception of great monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.2%. Conclusion: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice does not show correlation while based on time sacrifice shows there is correlation. Need to increase the speed of the process of pregnancy examination services for pregnant women by health workers. Keywords: Antenatal care, Pregnant Women, Sacrifice, Time, Monetary

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Counselling and knowledge on iron and folic acid supplementation (IFAS) among pregnant women in Kiambu County, Kenya: a cross-sectional study

AAS Open Research ◽

10.12688/aasopenres.12891.2 ◽

2019 ◽

Vol 1 ◽

pp. 21

Author(s):

Mary Kamau ◽

Samuel Kimani ◽

Waithira Mirie

Keyword(s):

Folic Acid ◽

Pregnant Women ◽

Community Education ◽

Folic Acid Supplementation ◽

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Cross Sectional ◽

Acid Supplementation ◽

Iron And Folic Acid

Background: The increased demand for iron and folic acid during pregnancy is not met through diet due to insufficiency or reduced bioavailability of nutrients among women from low income countries. Thus, iron and folic acid supplementation (IFAS) is a promising interventional strategy for control of anaemia during pregnancy. Kenya adopted the global IFAS intervention with a target of 80% coverage by 2017, however, the compliance remains low. Increasing awareness, counselling, communication and community education on IFAS have improved compliance among pregnant women. Thus, we aimed to determine: IFAS knowledge, availability, practices, and content of IFAS counselling among pregnant women attending health facilities in Kiambu County, Kenya. Methods: A cross-sectional study involving 364 pregnant women aged 15-49 years. A two stage cluster sampling, including one sub-county and five public health facilities were used. A pre-tested structured questionnaire consisting of socio-demographic data, maternal knowledge and counselling on IFAS was used. An observation checklist was used to observe practices and content of antenatal counselling session in each facility. Data was analysed using STATA in which descriptive and inferential statistics were computed. Results: Of 364 respondents, less than half (40.9%) scored high on knowledge on IFAS. Women who were counselled on duration of IFAS intake, side effects, and their mitigation were more likely (p <0.005) to have high IFAS knowledge. Although all the health facilities had varied IFAS posters displayed, none had key IFAS counselling documents. Conclusion: Less than half of the pregnant women had high IFAS knowledge, IFAS documents were scarce in health facilities, IFAS counselling information in different health facilities was limited and varied and content of counselling was associated with levels of knowledge on IFAS. This underscores the need to strengthen focused and targeted IFAS counselling for pregnant women and standardization of counselling messages to improve compliance and pregnancy outcomes.

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Adequacy of Nutrients Intake among Jordanian Pregnant Women in Comparison to Dietary Reference Intakes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16183440 ◽

2019 ◽

Vol 16 (18) ◽

pp. 3440 ◽

Cited By ~ 3

Author(s):

Reema F. Tayyem ◽

Sabika S. Allehdan ◽

Razan M. Alatrash ◽

Fida F. Asali ◽

Hiba A. Bawadi

Keyword(s):

Folic Acid ◽

Pregnant Women ◽

Pregnancy Outcomes ◽

Maternal Nutrition ◽

Cross Sectional Study ◽

University Hospital ◽

Food Sources ◽

Cross Sectional ◽

Dietary Reference Intakes ◽

Demographic Questionnaire

Objective: Maternal nutrition is considered an important pillar in the pregnancy outcomes for both mother and infant. A mother’s malnutrition and inadequate nutrient intake is associated with many undesirable pregnancy outcomes. Hence, assessing the nutritional status of the mother in the early stages of the pregnancy and preventing any inadequacy can preclude many health problems for both mother and infant. Therefore, this study aimed to assess the adequacy of nutrient intakes among Jordanian pregnant women as compared to their corresponding dietary reference intakes (DRIs). Methods: This cross-sectional study was conducted at a major University Hospital in Jordan. Three hundred pregnant women were invited to participate in the study and 286 agreed to participate. Fifty pregnant women were enrolled at week 9, then 96 pregnant women were at week 20 and 137 pregnant women were at week 30 of pregnancy. The participants completed the interview-based demographic questionnaire, pregnancy physical activity questionnaire, and quantitative food frequency questionnaire (FFQ). Results: The mean energy intake was 2768.9 ± 767.8 kcal/day and it was significantly higher in the 3rd trimester (p < 0.05). Women in the 3rd trimester consumed significantly more protein, carbohydrates, and sugar than women in the 1st and 2nd trimesters (p < 0.05). The pregnant women in the 3rd trimester consumed more sodium than women in the 1st and 2nd trimesters (p < 0.05). The vitamin K intake was significantly (p = 0.045) lower in the 2nd trimester than the 1st and 3rd trimesters. The calcium intake was significantly higher in the 3rd trimester than the 1st and 2nd trimesters (p = 0.021). The total micronutrient (vitamins B1, B2, B3, B6, B12, and D, calcium, and iron) intakes derived from dietary supplements and food sources throughout the 3 trimesters was significantly higher in the 3rd trimester than the 1st and 2nd trimesters (p < 0.05). The vitamin D, calcium, and iron intakes had the most significant increases between the 1st and 3rd trimesters (p < 0.001), while folic acid intake was significantly higher in the 1st trimester than the 2nd and 3rd trimester (p < 0.001). Most women exceeded the tolerable upper intake level (UL) for sodium in all trimesters, while 82% of women exceeded the UL of folic acid in the 1st trimester and from the supplement, not the diet. Conclusion: While the intake of some nutrients from food alone remains below the DRIs in the diets of pregnant women, the intake of other nutrients is above the UL. Raising the awareness of pregnant women about their diet and how a supplement intake can reduce the risk of inadequate intake for many micronutrients and improve their pregnancy outcomes is of great importance.

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