Adherence to Iron, Folic Acid and Calcium Supplement and Factors Affecting it among the Antenatal Care Attending Women in a Tertiary Care Hospital: A Cross Sectional Study

2020 ◽  
Vol 18 (2) ◽  
pp. 83-90
Author(s):  
S. Shakya Shrestha ◽  
R. Adhikari ◽  
S. Tamrakar ◽  
R. Shrestha ◽  
A. Shrestha
Keyword(s):  
Folic Acid ◽  
Antenatal Care ◽  
Cross Sectional Study ◽  
Poor Adherence ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Major Barrier ◽  
Factors Affecting ◽  
Iron Folic Acid

Background Pregnancy or gestation is the time during which a single or more children grows and develops inside a woman. Antenatal care improves the pregnancy outcomes under which a group of medication i.e. iron, folic acid and calcium are supplemented. Despite the effectiveness of such supplements, poor clinical outcomes are often encountered because of poor-adherence to the regimen. Objective To determine the adherence pattern and factors affecting adherence in antenatal care patients under iron, folic acid, and calcium therapy. Method A cross-sectional study was conducted in Dhulikhel Hospital, Kathmandu University Hospital. Pregnant women attending antenatal care under iron, folic acid, and calcium therapy fulfilling the inclusion criteria were enrolled in this study. After obtaining the informed consent from the patients, structured questionnaire was used to interview the patients. Statistical analysis was performed by using SPSS 23.0. P-value < 0.05 was considered as statistically significant. Result Among 191 patients enrolled in this study majority (39.3%) of them belonged to age group 26-30 years. More than half (61.3%) of the patients were illiterate. Of the total 191, 64.40% were non-adherent to the medication. Forgetfulness was the main reason for missing the dose in majority (52.06%) of the non-adherent subjects while adverse effects (55.40%) was the most prominent cause for discontinuing the medication among non-adherent participants. Significant association was found between patients’ adherence and busy work schedule, visiting doctor for follow up. Conclusion More than half of the patients had not adhered to the medication under antenatal care. Forgetfulness was the most common factor for missing the dose in nonadherent patients. Illiteracy was associated with poor adherence. Patient-provider relationship, Socio-economic factors were determined as major barrier to medication adherence.

scholarly journals A cross sectional study on demographic factors affecting low birth weight

2019 ◽  
Vol 6 (11) ◽  
pp. 4896
Author(s):  
Renu Sulakhe Vasant ◽  
Lavanya K. M. Rao ◽  
Nageswara Rao V.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Income Group ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Factors Affecting

Background: Low birth weight (LBW) is one of the commonest cause for infant and childhood morbidity and mortality. The majority of low birth weight in developing countries is due to intrauterine growth retardation, while most low birth weight in industrialized countries is due to preterm birth. LBW is the single most important factor determining the survival chances of the child. The objectives of the study were to assess the proportion of low birth weight among babies delivered by mothers at a tertiary care hospital and to analyse the relationship between low birth weight and certain socio-demographic factors.Methods: A cross-sectional study conducted in a tertiary care centre for a period of six months.Results: The prevalence of LBW was 23.5%. The proportion of mothers having low birth weight was maximum in women aged less than 18 years (35%) and more than 30 years (26.5%). Muslim women had a higher proportion of LBW (28.8%). LBW was more in women belonging to joint family (30.0%), low per capita income group and illiterates.Conclusions: The prevalence of LBW still continues to be high, almost one fourth of the babies are LBW. Different socio-demographic characteristics of the population are still the important factors determining the occurrence of LBW.

scholarly journals PREVALENCE OF DEPRESSION AND ITS ASSOCIATED FACTORS AMONG PATIENTS OF CHRONIC KIDNEY DISEASE IN A TERTIARY CARE HOSPITAL FROM ASSAM: A CROSS-SECTIONAL STUDY.

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Hamad Jeelani ◽  
Manzoor A. Parry ◽  
Shruti Dange
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Prevalence Of Depression

Background: Chronic kidney disease (CKD) patients are at high risk of depressive disorders because of considerable psychological stress due to physical and social changes brought on by disease. The aim of this study is to assess the prevalence of depression in patients with CKD and the factors affecting it at a public tertiary care hospital. Methods: This cross-sectional study was carried out at the renal clinic of a tertiary care hospital. Data on 629 patients diagnosed with CKD from September 2014 to April 2016 was obtained. Nine-item Patient Health Questionnaire from PRIME-MD was used to assess the depression. Results: Of all the patients, 44.7% had depression. Mild depression was found to affect 28.9% of the patients followed by moderate depression and severe depression (15.4% and 0.4%, respectively). According to multiple logistic regression, the occurrence of depression was significantly higher with age below 60 years [odds ratio (OR) 1.5, 0.9–2.7; P<0.05], male gender (OR 1.4, 1.0–3.1; P<0.05), no treatment funding (OR 2.7, 1.3–4.6; P<0.05), education less than grade 12 (OR 1.3, 1.3–3.2; P<0.05), monthly income ≤INR 20,000 (OR 1.6, 1.1–3.6; P<0.05), CKD stage V (OR 1.4 1.0– 2.9; P <0.05), Patients on hemodialysis (HD) (OR 2.5, 1.2–4.5; P<0.05), comorbidities ≥3 (OR 1.6, 1.3–3.0; P<0.05), overweight (OR 2.4, 1.3–2.9; P<0.05), and duration of CKD >2 (OR 2.4, 1.4–4.4; P<0.05). Conclusion: About 44.7% of the patients were found to have depression. Patients’ age, gender, body mass index, treatment funding, education status, income, CKD duration and stage, HD status, and comorbidities were found to be significant factors affecting depression.

scholarly journals Adherence and Beliefs to Adjuvant Hormonal Therapy in Patients with Breast Cancer: A Cross-Sectional Study (Conference Paper) #

2022 ◽  
Vol 30 (Suppl.) ◽  
pp. 31-39
Author(s):  
Anwar Habeeb Saad ◽  
Ihsan Rabeea ◽  
Haider Salih
Keyword(s):  
Breast Cancer ◽  
Side Effects ◽  
Hormonal Therapy ◽  
Cross Sectional Study ◽  
Cancer Center ◽  
Adjuvant Hormonal Therapy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Major Barrier ◽  
Factors Affecting

  Breast cancer is the most common cancer among women over the world. To reducing reoccurrence and mortality rates, adjuvant hormonal therapy (AHT) is used for a long period. The major barrier to the effectiveness of the treatment is adherence. Adherence to medicines among patients is challenging. Patient beliefs in medications can be positively or negatively correlated to adherence. Objectives: To investigate the extent of adherence and factors affecting adherence, as well as to investigate the association between beliefs and adherence in women with breast cancer taking AHT. Method: A cross-sectional study included 124 Iraqi women with breast cancer recruited from Middle Euphrates Cancer Center. Morisky medication adherence scale (MMAS) and beliefs about medication questionnaires (BMQ) are used to assess adherence and beliefs respectively. Result: 25% of women were fully adherent (MMAS = 8). 83.06% of all women developed side effects from medications received. Side effects and unemployed women were significantly associated with non-adherence. Additionally, there is no significant association between beliefs in medications and adherence. conclusion The enormous percent of poor adherence caused by side effects suggests the need for interventions by educating patients about the importance of their treatment and how to overcome side effects.

scholarly journals Knowledge on Anemia and Benefit of Iron-Folic Acid Supplementation among Pregnant Women Attending Antenatal Care in Public health Facilities of Woldia town, Northeastern Ethiopia: Institution based cross-sectional study

2019 ◽  
Author(s):  
Asmamaw Demis ◽  
Getnet Gedefaw
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Folic Acid Supplementation ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Iron Folic Acid Supplementation ◽  
Iron Folic Acid ◽  
Pregnant Mothers

Abstract Objective: this study aimed to assess the magnitude of knowledge on anemia and benefit of iron-folic-acid supplementation among pregnant mothers who gave birth at public health facilities in Woldia town, 2018. An institution based cross-sectional study design was conducted, on 414 pregnant mothers attending antenatal care which was selected by using systematic random samplings. The data was entered into Epi-data version 4.2 and analyzed using SPSS version 24. Bivariable and multivariable analysis was done to see the association between the dependent variable and independent variables. Results: this study revealed that 54.1% and 57.7% of pregnant women had good knowledge on anemia and benefit of IFAS respectively. Maternal education status (AOR=2.19, 95%CI: 1.32-3.64), good knowledge of IFAS (AOR=5.85, 95%CI: 3.60-9.50) and residence (AOR=5.43, 95%CI: 2.36-12.51) was statistically associated with pregnant mothers knowledge on anemia. Obtained counseling IFAS (AOR=2.04, 95%CI: 1.11-3.75), having four or more antenatal care visit (AOR=3.12, 95%CI: 1.38-7.07) and good knowledge of anemia (AOR=5.88, 95%CI: 3.63-9.50) was statistically associated with pregnant mothers knowledge on the benefit of IFAS. Keywords: Knowledge, anemia, pregnant mother, Woldia town

A Cross Sectional Study to Evaluate Decision to Delivery Interval in Emergency Caeserian Section at a Tertiary Care Hospital

2021 ◽  
Vol 8 (2) ◽  
pp. 67-70
Author(s):  
Dr. Pramod R. Gade ◽  
Dr. Sharmeen K. Vazifdar ◽  
Dr. Gautam S. Aher
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Maternal Morbidity And Mortality ◽  
Cross Matching

Background: One of the main factors affecting maternal morbidity and mortality is the decision to delivery interval (DDI) that is, the time taken from the decision to take the patient up for caesarean section to the delivery of the fetus. Method: This is a retrospective observational study conducted over a period of twelve months where 370 patients were studied. Results: No delay was seen in 49.2% cases whereas most delay was noted after decision by obstetricians to transfer patient to OT (22.2%). Conclusion: In order to get favourable maternal and fetal outcome decision to delivery interval should be within 30 minutes and this can be made possible if factors like results of blood investigations and cross matching of blood can be made available on time.

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