Maternal Compliance to Recommended Iron and Folic Acid Supplementation in Pregnancy, Sri Lanka: A Hospital-Based Cross-Sectional Study

Pathirathna, Malshani L.; Wimalasiri, K. M. S.; Sekijima, Kayako; Sadakata, Mieko

doi:10.3390/nu12113266

Cited by 23 publications

(30 citation statements)

References 17 publications

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“…Similarly, very low adherence to iron and folic acid supplements has been shown at Mulago National Hospital of 12% (17) and 40.9% in Tigray, Ethiopia (24). Conversely, higher levels of adherence to iron and folic acid supplements have been reported in Sri Lanka of 80.1% (25) and Tikur, Ethiopia of 63.6% (26). The adherence to IFAS in this study was very low compared to that reported in other countries.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Iron and Folic Acid Supplementation and Associated Factors among Mothers receiving Antenatal Care in Lira District, Uganda: A cross-sectional descriptive study

Ssewankambo

Nakaziba

2022

Preprint

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Background Prenatal Iron and Folic Acid supplementation is an economical way of decreasing iron and folic acid deficiency anaemia amongst expectant mothers in resource limited countries like Uganda. This study was geared toward assessing the levels of compliance to Iron and Folic Acid Supplements as well as the associated factors amongst mothers receiving prenatal services in Lira district, Uganda. Methods 252 pregnant mothers were enlisted in a cross-sectional study at Lira Regional Referral Hospital at the antenatal clinic. Adherence levels to Iron and Folic Acid Supplements were evaluated using a visual analogue scale and the associated factors were compiled through an interviewer-administered questionnaire. The findings were analyzed using SPSS software and reported in tables. Results Only 46% of the mothers attending the antenatal clinic adhered to iron and folic acid supplements over 30-day period of the previous month before the study. Participants who had good knowledge of Iron and Folic Acid Supplements before recruitment (OR 1.49 95% CI 1.12–1.97), using any reminder technique (OR 1.05; 95% CI 1.02–1.09) and being supported by their partner or relatives (OR 1.56, 95% CI 1.07–2.29) were more likely to have good adherence. Forgetfulness and fear of taking too many tablets were the main reasons for missed iron and folic acid supplements. Conclusions There was low adherence to iron and folic acid supplements among mothers attending antenatal clinic in Lira district. We recommend further investigations into the hindrances to adherence and provision of comprehensive health education to pregnant mothers.

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Section: Discussionmentioning

confidence: 99%

Adherence to Iron and Folic Acid Supplementation and Associated Factors among Mothers receiving Antenatal Care in Lira District, Uganda: A cross-sectional descriptive study

Ssewankambo

Nakaziba

2022

Preprint

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“…Parents who responded ‘No’ were indicated as noncompliant with investigators’ advice. Pathirathna and colleagues also used a similar approach to investigate maternal compliance with doctors’ advice [ 29 ], whereas Obirikorang et al adopted a structured questionnaire to investigate patient treatment compliance, which comprised both medication regimen compliance (eight items) and lifestyle modification (5 items) [ 30 ]. Apart from the parent-report compliance with the investigators’ advice, we also analyzed participants’ adherence to follow-up studies.…”

Section: Discussionmentioning

confidence: 99%

Parental Compliance towards Oral Health Education among Preschoolers with Special Healthcare Needs

Zhou

Wong

McGrath

2021

IJERPH

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Background: Young children with special needs greatly rely on their parents to support their daily living activities; parental compliance may have great impact on the implementation of health promotion activities among those children. This study aimed to investigate the parental compliance towards oral health education (OHE) among children with special healthcare needs (SHCN). Method: The participants were 306 parents whose children had participated in a 24-month OHE program for preschool children with SHCN. The primary outcome of this cross-sectional study was parental compliance towards the OHE program. Parents’ oral health literacy (OHL) was assessed by a validated tool. Parents’ socioeconomic status, attitudes towards OHE topics, perceptions of children’s oral hygiene status, and usefulness of OHE materials were collected via questionnaires. Results: A higher dropout rate was observed among parents who perceived that their children had unfavorable oral hygiene status (p = 0.038), or parents who had poor OHL skills (p = 0.015). Parental noncompliance was more likely to be observed among parents who perceived that the OHE materials were not useful for their children (OR = 3.63, 95% CI 1.56 to 8.47, p = 0.003), or parents whose children had been diagnosed with developmental delays (OR = 5.45, 95% CI 1.59 to18.74, p = 0.007). Conclusion: Non-compliance existed among parents whose children had received OHE intervention. Parental compliance towards OHE intervention might be associated with parents’ OHL skills, usefulness of OHE materials, and children’s developmental conditions. OHE programs should be individually tailored to support children whose parents are at a higher risk of noncompliant behaviors.

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“…A majority of studies principally emphasized the association of maternal folic acid supplementation and fetal birth weight (33)(34)(35). Our study focused on serum folate levels before 18 weeks of pregnancy and evaluated the relationship with LBW.…”

Section: Discussionmentioning

confidence: 99%

Folate Deficiency in Early Pregnancy Increases the Risk of Low Birth Weight: Survey of Neonates in Eastern China

Chen

Ying

2021

Preprint

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Objective: Low birth weight (LBW) is a major cause of fetal mortality and morbidity. This study aims to assess the relationship between maternal serum folate levels and LBW in early pregnancy in eastern China. Methods: We conducted a retrospective study including 124 newborns with LBW (born≥1500g to <2500 g) and 393 normal birth weight neonates (NBW). The maternal methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism genotyping was performed by the gene chip hybrid method. The concentrations of serum homocysteine (hcy), folate, vitamin B12 and vitamin D were measured before 18 weeks of pregnancy. Multivariable logistic regression model was used to identify the predictors of LBW. Results: After controlling the covariates, maternal underweight before pregnancy (AOR = 5.15: 95% CI 2.40, 11.05), folate deficiency in early pregnancy (AOR = 2.06: 95% CI 1.03, 4.09), preeclampsia during pregnancy (AOR = 6.02: 95% CI 2.83, 12.81), and premature delivery (AOR =23.81: 95% CI 12.90, 43.95) were risk factors for LBW. However, multipara (AOR = 0.53:95% CI 0.31, 0.91) was a protective factor for LBW. Conclusions: This study revealed different factors associated with LBW in eastern China. Sufficient folate before 18 weeks of pregnancy is a protective factor for LBW. Serum folate > 32.5 nmol/L can reduce the risk of LBW. Therefore, maternal screening of folate statue in the first trimester of pregnancy could be helpful.

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Maternal Compliance to Recommended Iron and Folic Acid Supplementation in Pregnancy, Sri Lanka: A Hospital-Based Cross-Sectional Study

Cited by 23 publications

References 17 publications

Adherence to Iron and Folic Acid Supplementation and Associated Factors among Mothers receiving Antenatal Care in Lira District, Uganda: A cross-sectional descriptive study

Adherence to Iron and Folic Acid Supplementation and Associated Factors among Mothers receiving Antenatal Care in Lira District, Uganda: A cross-sectional descriptive study

Parental Compliance towards Oral Health Education among Preschoolers with Special Healthcare Needs

Folate Deficiency in Early Pregnancy Increases the Risk of Low Birth Weight: Survey of Neonates in Eastern China

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