Correlations of adherence to iron supplements and prevalence of anemia in antenatal women

Sajith, Manjusha; Nimbargi, Vandana; Shah, Sejal; Tekawade, Srushti; Agiwale, Jayesh; Pawar, Atmaram

doi:10.18203/2320-1770.ijrcog20163421

Cited by 10 publications

(7 citation statements)

References 7 publications

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“…34 In Mozambique the level of adherence with IFAS during pregnancy were 79%. 35 The pooled prevalence of compliance with IFAS among pregnant women in this study was lower than of studies conducted in Iran, India and Mozambique and comparable with study done in Egypt and Kenya.…”

Section: Discussionsupporting

confidence: 77%

Compliance with iron and folic acid supplementation and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Fite¹,

Denio

Muyhe

et al. 2020

Int J Sci Rep

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Background: Anaemia is one of the world’s leading cause of disability and the most serious global health issues. Globally about 38% (32 million) pregnant women are anaemic, from which 46.3% (9.2 million) are in Africa.Methods: Works of articles from PubMed, Medline and Google Scholar journal data-base were considered. Entirely articles allied to compliance and determinants of AFA supplementation were captured. The authors used modified Newcastle-Ottawa quality appraisal rule for cross-sectional works to assess the excellence of the studies for consideration and, tracked preferred reporting items for systematic reviews and meta-analysis guideline. The pooled effect size was calculated with the review manager and compressive meta-analysis software.Results: Eighteen studies with a total of 6649 pregnant women were included for analysis. Compliance of IFA supplementation in pregnancy in Ethiopia was 46.1%. Women who had experienced counselling on IFAS were 1.16 times, OR:1.16, (95% CI, 0.54, 2.50), knowledge on IFAS were 3.20 times, OR:3.20, (95% CI, 1.31, 7.85), knowledge of anaemia were five times OR:5.10, (95% CI, 1.87, 13.94), fourth visit for ANC were 1.58 times OR:1.58, (95% CI, 0.59, 3.42) and early registration for ANC were three times OR: 3.19, (95% CI, 0.77, 13.26) more likely to have compliance with IFAS compared to their counterpart.Conclusions: There is low compliance of IFAS in different parts of Ethiopia. Lack of counselling on IFAS, knowledge of IFAS and anaemia, no fourth visit for ANC and timing in ANC registration were factors that hinder compliance of IFAS.

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Section: Discussionsupporting

confidence: 77%

Compliance with iron and folic acid supplementation and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Fite¹,

Denio

Muyhe

et al. 2020

Int J Sci Rep

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“…The other study conducted in Mangalore and Pune had shown the compliance to be around 64%. 5,6 The reasons for non-compliance in our study were belonging to nuclear family, less number of antenatal visits, taking tablets from private set up and being anemic in current pregnancy. Less number of antenatal visits leading to non-compliance was similar to a study done in Pakistan.…”

Section: Discussionmentioning

confidence: 92%

Assessment of compliance with iron-folic acid therapy during pregnancy among postnatal mothers in a tertiary care centre, Mysuru

Manasa

Chandrakumar

Prashantha

2019

Int J Community Med Public Health

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Background: Anemia is a condition where the red blood cells and their capacity to carry oxygen is not adequate to meet the physiological needs. In pregnancy iron demand is high and loss of appetite can adversely affect this condition. So, guidelines to combat anemia has provisions to provide iron in the form of iron folic acid tablets to pregnant women during antenatal and postnatal care. But compliance is still low among pregnant women who needs attention.Methods: This study included 192 postnatal mothers in Cheluvamba hospital, Mysore. Details about socio-demographic factors and number of tablets taken during antenatal period were collected using proforma. Pregnant women who had taken less than hundred tablets during antenatal period were considered non-compliant.Results: The overall compliance to iron folic tablets was 71%. The factors which were independently associated with non-compliance are nuclear family, less number of antenatal visit, tablets from private source, and anemia in current pregnancy. The reasons for non-compliance among the pregnant women who were non-compliant were inadequate counselling by health care worker followed by side effects, cost of tablets, ignorance and fear of side effects.Conclusions: Family support, adequate counselling and continuous supply of tablets free of cost would increase the compliance to tablets among pregnant women.

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“…Previous studies also suggest the need for better operational strategies to reduce non-compliance to iron folic acid (IFA). The major reason for non-adherence to IFA therapy was shown to be the high incidence of gastrointestinal side effects 12 . Based on these, the supplementation policy may need to reconsider the use of ECFS tablets and possibly also use a lower dosage formulation of iron.…”

Section: Resultsmentioning

confidence: 99%

Fractional iron absorption from enteric-coated ferrous sulphate tablet

Thankachan

Bose

Subramanian³

et al. 2020

Indian J Med Res

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Background & objectives: Iron supplementation is widely used public health measure to manage iron deficiency anaemia. In India, enteric-coated iron tablets are administered to adolescent boys and girls to avoid adverse effects such as gastritis, which reduces compliance, but this may result in poor iron absorption. Data on the absorption of iron from enteric-coated ferrous sulphate tablets are lacking. The present study using stable isotopic approach was aimed to measure iron absorption in iron deficient women. Methods: Iron absorption was measured from stable isotope-labelled enteric-coated ferrous sulphate ( 57 Fe, ECFS) and uncoated ferrous sulphate ( 58 Fe, UCFS) tablets in iron-deficient (n=9) women, aged 18-40 yr with no infection or inflammation. The two types of tablets (ECFS and UCFS) were administered on consecutive days, 60 min after breakfast, and the sequence being random. Blood samples were collected before dosing, and on day 15, to measure iron absorption from the shift in iron isotopic ratios in haemoglobin. Results: Eight women completed the iron absorption study. Iron absorption was found to be significantly lower in ECFS compared to UCFS (3.5 vs. 12%, P <0.05) consumption. Interpretation & conclusions: Our study showed poor iron bioavailability from ECFS, and supplementation programmes may consider UCFS tablets for better haematological outcomes.

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Correlations of adherence to iron supplements and prevalence of anemia in antenatal women

Cited by 10 publications

References 7 publications

Compliance with iron and folic acid supplementation and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Compliance with iron and folic acid supplementation and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Assessment of compliance with iron-folic acid therapy during pregnancy among postnatal mothers in a tertiary care centre, Mysuru

Fractional iron absorption from enteric-coated ferrous sulphate tablet

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