Calcium supplementation in pregnancy: An analysis of potential determinants in an under-resourced setting

被引:14
作者
Ajong, Atem Bethel [1 ,2 ]
Kenfack, Bruno [3 ]
Ali, Innocent Mbulli [2 ]
Yakum, Martin Ndinakie [4 ]
Ukaogo, Prince Onydinma [5 ]
Mangala, Fulbert Nkwele [6 ,7 ]
Aljerf, Loai [8 ]
Telefo, Phelix Bruno [2 ]
机构
[1] Kekem Dist Hosp, Dept Mother & Child Care, Kekem, West Region, Cameroon
[2] Univ Dschang, Dept Biochem, Dschang, West Region, Cameroon
[3] Univ Dschang, Fac Med & Pharmaceut Sci, Dept Obstet Gynaecol & Maternal Hlth, Dschang, West Region, Cameroon
[4] Kesmonds Int Univ, Sch Med & Hlth Sci, Dept Epidemiol & Biostat, Bamenda, Cameroon
[5] Abia State Univ, Dept Pure & Ind Chem, Uturu, Nigeria
[6] Univ Douala, Fac Med & Pharmaceut Sci, Douala, Cameroon
[7] Nkongsamba Reg Hosp, Matern Unit, Nkongsamba, Littoral Region, Cameroon
[8] Damascus Univ, Fac Dent, Damascus, Syria
关键词
ANTENATAL CARE; PREVENTION;
D O I
10.1371/journal.pone.0292303
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Introduction Despite the evidence that calcium supplementation in pregnancy improves maternofoetal outcomes, many women still do not take calcium supplements during pregnancy in Cameroon. This study identifies factors that influence calcium supplementation during pregnancy in a low resource setting. Methods We conducted a cross-sectional hospital-based study (from November 2020 to September 2021) targeting 1074 healthy women in late pregnancy at the maternities of four major health facilities in the Nkongsamba Health District, Cameroon. Data were collected using an interview-administered semi-structured questionnaire and analysed using Epi Info version 7.2.4.0, and the statistical threshold for significance set at p-value = 0.05. Results The mean age of the participants was 28.206.08 years, with a range of 15-47 years. The proportion of women who reported taking any calcium supplements in pregnancy was 72.62 [69.85-75.22]%. Only 12% of calcium-supplemented women took calcium supplements throughout pregnancy, while a majority (50%) took calcium supplements just for 4-5 months. Women believe that taking calcium supplements is more for foetal growth and development (37.12%) and prevention of cramps (38.86%), than for the prevention of hypertensive diseases in pregnancy (2.84%). About all pregnant women (97.65%) took iron and folic acid supplements during pregnancy, and 99.24% took these supplements at least once every two days. Upon control for multiple confounders, the onset of antenatal care before 4 months of pregnancy (AOR = 2.64 [1.84-3.78], p-value = 0.000), having had more than 3 antenatal care visits (AOR = 6.01 [3.84-9.34], p-value = 0.000) and support/reminder from a partner on the necessity to take supplements in pregnancy (AOR = 2.00 [1.34-2.99], p-value = 0.001) were significantly associated with higher odds of taking any calcium supplements in pregnancy. Conclusion Calcium supplementation practices in pregnancy remain poor in this population and far from WHO recommendations. Early initiation of antenatal care, a high number of antenatal visits and reminders or support from the partner on supplement intake significantly increase the odds of taking any calcium supplements in pregnancy. In line with WHO recommendations, women of childbearing age should be sensitised to initiate antenatal care earlier and attain as many visits as possible. Male involvement in prenatal care might also boost the likelihood of these women taking calcium supplements.
引用
收藏
页数:15
相关论文
共 35 条
[1]   Calcium supplementation in pregnancy and prevention of hypertensive disorders in elderly women [J].
Aghamohammadi, Azar ;
Zafari, Mandana .
SCIENCEASIA, 2015, 41 (04) :259-262
[2]   Hypocalcaemia and calcium intake in pregnancy: A research protocol for critical analysis of risk factors, maternofoetal outcomes and evaluation of diagnostic methods in a third-category health facility, Cameroon [J].
Ajong, Atem Bethel ;
Kenfack, Bruno ;
Ali, Innocent Mbulli ;
Yakum, Martin Ndinakie ;
Aljerf, Loai ;
Telefo, Phelix Bruno .
PLOS ONE, 2020, 15 (11)
[3]   Prevalence and correlates of low serum calcium in late pregnancy: A cross sectional study in the Nkongsamba Regional Hospital; Littoral Region of Cameroon [J].
Ajong, Atem Bethel ;
Kenfack, Bruno ;
Ali, Innocent Mbulli ;
Yakum, Martin Ndinakie ;
Telefo, Phelix Bruno .
PLOS ONE, 2019, 14 (11)
[4]   Health education during antenatal care: the need for more [J].
Al-Ateeq, Mohammed A. ;
Al-Rusaiess, Amal A. .
INTERNATIONAL JOURNAL OF WOMENS HEALTH, 2015, 7 :239-242
[5]   Antenatal Care Initiation Among Pregnant Women in the United Arab Emirates: The Mutaba'ah Study [J].
Ali, Nasloon ;
Elbarazi, Iffat ;
Alabboud, Souha ;
Al-Maskari, Fatima ;
Loney, Tom ;
Ahmed, Luai A. .
FRONTIERS IN PUBLIC HEALTH, 2020, 8
[6]   Prevalence and risk factors of hypocalcemia among pregnant and non-pregnant women in Maiduguri, Nigeria: A cross-sectional study [J].
Bako, B. ;
El-Nafaty, A. U. ;
Mshelia, D. S. ;
Gali, R. M. ;
Isa, B. ;
Dungus, M. M. .
NIGERIAN JOURNAL OF CLINICAL PRACTICE, 2021, 24 (01) :75-80
[7]   Global dietary calcium intake among adults: a systematic review (vol 28, pg 3315, 2017) [J].
Balk, E. M. ;
Adam, G. P. ;
Langberg, V. N. ;
Earley, A. ;
Clark, P. ;
Ebeling, P. R. ;
Mithal, A. ;
Rizzoli, R. ;
Zerbini, C. A. F. ;
Pierroz, D. D. ;
Dawson-Hughes, B. .
OSTEOPOROSIS INTERNATIONAL, 2018, 29 (05) :1223-1223
[8]  
Benali AI., 2014, J Nutr Food Sci, V04, P4
[9]   Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis [J].
Cormick, G. ;
Betran, A. P. ;
Romero, I. B. ;
Lombardo, C. F. ;
Gulmezoglu, A. M. ;
Ciapponi, A. ;
Belizan, J. M. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2019, 126 (04) :444-456
[10]  
Gigliotti M., 2019, Encyclopedia of Ecology, V4, P426, DOI [DOI 10.1016/B978-0-12-409548-9.10986-8, https://doi.org/10.1016/B978-0-12-409548-9.10986-8]