Antenatal iron and folic acid supplementation use by pregnant women in Khartoum, Sudan

被引：46
作者：
Abdullahi H. [1 ]
Gasim G.I. [2 ]
Saeed A. [1 ]
Imam A.M. [1 ]
Adam I. [1 ]
机构：
[1] Department of Obstetrics and Gynecology, Faculty of Medicine, University of Khartoum, Khartoum
[2] Medical College, Qassim University, Gassim
来源：
BMC Research Notes | / 7卷 / 1期
关键词：
Folic acid; Iron; Pregnant women; Sudan;
D O I：
10.1186/1756-0500-7-498
中图分类号：
学科分类号：
摘要：
Background: Anaemia during pregnancy can lead to adverse maternal and perinatal outcomes. The WHO recommends that all pregnant women in areas where anaemia is prevalent receive supplements of iron and folic acid. However, due to many factors, the use of iron and folic acid supplementation is still low in many countries. This study was conducted to assess the rates of iron-folic supplementation and the associated factors during pregnancy and the effects of taking iron-folic acid supplementation on rates of maternal anaemia and low birth weight (LBW) infants. Methods. A cross-sectional study was conducted at Khartoum Hospital, Sudan. Enrolled women answered a questionnaire on socio-demographics characteristics, their pregnancy and delivery. Results: Of 856 women, 788 (92.1%) used iron-folic acid supplementation during pregnancy and 65.4% used folic acid. While place of residence, occupation and level of education were not associated with iron-folic acid usage, older age (OR = 3, CI = 1.4-6.3) and use of antenatal care (OR = 14.3, CI = 7.4-27.5) were associated with iron-folic acid use. Primiparity (OR = 3.8, CI = 1.9-7.6), maternal employment (OR = 3.9, CI = 2.25-6.77) and use of antenatal care (OR = 7.9, CI = 4.1-15) were the factors associated with folic acid. Using iron-folic acid was protective against anaemia (OR = 0.39, CI = 0.2-0.7) and LBW infants (OR = 0.3, CI = 0.17-0.68). Conclusion: There was a high rate of iron-folic acid supplementation use among pregnant women in Khartoum, Sudan, which was beneficial in preventing anaemia in expectant mothers and infants of LBW. © 2014 Abdullahi et al.; licensee BioMed Central Ltd.
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  • [11] Leung B.M., Kaplan B.J., Perinatal depression: Prevalence, risks, and the nutrition link-A review of the literature, J Am Diet Assoc, 109, pp. 1566-1575, (2009)
  • [12] Nilsen R.M., Vollset S.E., Gjessing H.K., Magnus P., Meltzer H.M., Haugen M., Ueland P.M., Patterns and predictors of folic acid supplement use among pregnant women: The Norwegian Mother and Child Cohort Study, Am J Clin Nutr, 84, pp. 1134-1141, (2006)
  • [13] Timmermans S., Jaddoe V.W., Mackenbach J.P., Hofman A., Steegers-Theunissen R.P., Steegers E.A., Determinants of folic acid use in early pregnancy in a multi-ethnic urban population in the Netherlands: The Generation R study, Prev Med, 47, pp. 427-432, (2008)
  • [14] Knudsen V.K., Hansen H.S., Ovesen L., Mikkelsen T.B., Olsen S.F., Iron supplement use among Danish pregnant women, Public Health Nutr, 10, pp. 1104-1110, (2007)
  • [15] Lutsey P.L., Dawe D., Villate E., Valencia S., Lopez O., Iron supplementation compliance among pregnant women in Bicol, Philippines, Public Health Nutr, 11, pp. 76-82, (2008)
  • [16] Seck B.C., Jackson R.T., Determinants of compliance with iron supplementation among pregnant women in Senegal, Public Health Nutr, 11, pp. 596-605, (2008)
  • [17] Adam I., Khamis A.H., Elbashir M.I., Prevalence and risk factors for anaemia in pregnant women of eastern Sudan, Trans R Soc Trop Med Hyg, 99, pp. 739-743, (2005)
  • [18] Bukar M., Audu B.M., Yahaya U.R., Melah G.S., Anaemia in pregnancy at booking in Gombe, North-eastern Nigeria, J Obstet Gynaecol, 28, pp. 775-778, (2008)
  • [19] Stoltzfus R.J., Iron interventions for women and children in low-income countries, J Nutr, 141, pp. 756-762, (2011)
  • [20] Palma S., Perez-Iglesias R., Prieto D., Pardo R., Llorca J., Delgado-Rodriguez M., Iron but not folic acid supplementation reduces the risk of low birth weight in pregnant women without anaemia: A case-control study, J Epidemiol Community Health, 62, pp. 120-124, (2008)
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