Study of Awareness and Practice of Folic Acid Intake among Iraqi Women
Al- Anbar Medical Journal,
2019, Volume 15, Issue 1, Pages 10-15
Abstract
Background: Folic acid supplementation before and during pregnancy reduces the risks of neural tube defects. WHO recommended that folic acid supplement of 400 µg should be taken daily by all women, from the moment they begin trying to conceive until 12 weeks of gestation. Objectives: To study the knowledge, attitude and practice (KAP) of women at childbearing age regarding folic acid intake. Materials and methods: A descriptive cross sectional study was conducted at the second Al-Adhamyia primary heath care center/ Baghdad from the 1st of January to end of February 2017. One hundred seventy married women at age 15−49 years were enrolled in the study. They were selected by non-probability convenient sampling technique. Data was analyzed using SPSS version 22. Results: Mean age of the study sample was 30.3 ± 8 years. The illiterate and the highly educated were 7 (4.1%) and 70 (41.1%) respectively. Their awareness regarding the folic acid need was 79%. About 61.2% knew its importance in pregnancy, while only 47.1% knew its benefit in pre pregnancy. The practice of folic acid in previous pregnancy was 76.5%, mainly started during the first month. More than half (57.7%) used it daily. Results also show that there is a significant association between knowledge (heard of folic acid and awareness of its importance) of women and age, education and parity. Conclusion: Knowledge regarding folic acid and its importance among women was fairly good. The practice was also satisfactory. However, more strategies are needed to increase the awareness about the preconception use of folic acid in our community.Y. I. Goh and G. Koren.Folic acid in pregnancy and
fetal outcomes.J. Obstet. Gynaecol, 28(1):3–13, 2008.
[2] A. Hisam, M. Rahman, and S. F. Mashhadi. Knowledge,
attitude and practice regarding folic acid deficiency; a
hidden hunger.Pakistan J. Med. Sci., 30(3):583–588,
2014.
[3] R. C. Folic acid. in modern nutrition in health and dis-
ease.10thed. Lippincott Williams Wilkins, Balt., pages
470–481, 2006.
[4] L. Mahmood. The metabolic processes of folic acid and
Vitamin B12 deficiency.J. Heal. Res. Rev., 1(1):5–9,
2014.
[5] H. Gupta and P. Gupta. Neural Tube Defects and Folic
Acid Hema Gupta.Indian Pediatr, 41:577–586, 2004.
[6] V. Saxena,M. Naithani,R. Kumari,R. Singh,and
P. Das. Peri-conceptional supplementation of folic acid-
knowledge and practices of pregnant women and health
providers.J. Fam. Med. Prim. care, 5(2):387–392, 2016.
[7] K. S. Au, A. Ashley-Koch, and H. Northrup. Epidemio-
logic and genetic aspects of spina bifida and other neural
tube defects.Dev. Disabil. Res. Rev., 16(1):6–15, 2010.
[8] A. E. Czeizel,M. Dob ́o,and P. Vargha.Hungarian
cohort-controlled trial of periconceptional multivitamin
supplementation shows a reduction in certain congeni-
tal abnormalities.Birth Defects Res. Part A Clin. Mol.
Teratol, 70(11):853–861, 2004.
[9] R. D. Wilson, G. Davies, V. D ́esilets, G. J. Reid, A. Sum-
mers, P. Wyatt, and D. Young. The use of folic acid for
the prevention of neural tube defects and other congen-
ital anomalies.J. Obstet. Gynaecol. Can., 25(11):959–
965, 2003.
[10] M. Gadgil1, K. Joshi, A. Pandit, S. Otiv, R. Joshi, J. T.
Brenna, and B. Patwardhan. Imbalance of folic acid and
vitamin b12 is associated with birth outcome: an indian
pregnant women study.Eur. J. Clin. Nutr., 68:726–729,
2014.
[11] R. J. Schmidt, S. Ozonoff, R. L. Hansen, J. Hartiala,
D. J. Tancredi, H. Allayee, and et al. Maternal pericon-
ceptional folic acid intake and risk of autism spectrum
disorders and developmental delay in the charge (child-
hood autism risks from genetics and environment) case-
control study.Am. J. Clin. Nutr., 96(1):80–89, 2012
] S. J. James, M. Pogribna, I. P. Pogribny, S. Melnyk,
R. J. Hine, J. B. Gibson, and et al.Abnormal folate
metabolism and mutation in the methylenetetrahydrofo-
late reductase gene may be maternal risk factors for down
syndrome.Am. J. Clin. Nutr., 70(4):495–501, 1999.
[13] E. F. M. Reynolcts.The extra pharmacopoeia. London :
Royal Pharmaceutical Society, 31st ed. / edited by james
e.f. reynolds edition, 1996.
[14] C. Bower, H. D’Antoine, and F. J. Stanley. Neural tube
defects in australia: Trends in encephaloceles and other
neural tube defects before and after promotion of folic
acid supplementation and voluntary food fortification.
Birth Defects Res. Part A Clin. Mol. Teratol, 85(4):269–
273, 2009.
[15] R. J. Berry, Z. Li, J. D. Erickson, S. Li, C. A. Moore,
H. Wang, and et al.Prevention of neural-tube defects
with folic acid in china.N. Engl. J. Med., 341(20):1485–
1490, 1999.
[16] M. J. Berg. The importance of folic acid.J. Gend. Specif.
Med., 2(3):24–28, 1999.
[17] L. Zhu, R. J. Berry, L. Song, and et al.Preventive ef-
fects of folic acid alone on neural tube defects in chinese
women before and after pregnancy.Ch. J. of Surgery,
80(7):493–498, 2000.
[18] L. M. De-Regil,J. P. Pe ̃na Rosas,A. C. Fern ́andez-
Gaxiola, and P. Rayco-Solon. Effects and safety of peri-
conceptional oral folate supplementation for preventing
birth defects.Cochrane database Syst. Rev., (12), 2015.
[19] H. Al-Hossani, H. Abouzeid, M. M. Salah, H. M. Farag,
and E. Fawzy.Knowledge and practices of pregnant
women about folic acid in pregnancy in abu dhabi, united
arab emirates.East. Mediterr. Health J., 16(4), 2010.
[20] S. B. Nosrat, M. Sedehi, and M. J. Golalipour. Knowl-
edge and practice of urban iranian pregnant women to-
wards folic acid intake for neural tube defect prevention.
J. Pak. Med. Assoc., 62(8):785–789, 2012.
[21] A. A. Al-Akhfash, A. M. Abdulla, A. M. Osman, J. I.
Abdulgafar, and A. A. Almesned.Maternal knowledge
and use of folic acid among saudi females.Saudi Med.
J., 34(11):1173–1178, 2013.
[22] A. Benera, M. G. A. Al Maadidb, D. A. E. Al-Bastb, and
S Al-Marric. Maternal knowledge, attitude and practice
on folic acid intake among arabian qatari women.Reprod.
Toxicol., 21(1):21–25, 2006.
[23] S. E. VOLLSET and B. LANDE.Knowledge and atti-
tudes of folate, and use of dietary supplements among
women of reproductive age in norway 1998.Acta Obstet.
Gynecol. Scand., 79(6):513–519, 2000.
[24] S. A. Knowledge, attitude and behavior concerning folic
acid among women in child bearing age.Front. fetal Heal,
2(9-11):1–76, 2000.
[25] K. Nawapun and V. Phupong.Awareness of the bene-
fits of folic acid and prevalence of the use of folic acid
supplements to prevent neural tube defects among thai
women.Arch. Gynecol. Obstet., 276(1):53–57, 2007.
[26] K. Deepti, H. Anila, C. Arup, and B. Vinohar.Deter-
minants of knowledge regarding folic acid in periconcep-
tional use among pregnant mothers in southern india.J.
Den. Med. Sci., 4(3):25–29, 2013.
[27] M. R. French, S. I. Barr, and R. Levy-Milne.Folate
intakes and awareness of folate to prevent neural tube
defects: A survey of women living in vancouver, canada.
J. Am. Diet. Assoc., 103(2):181–185, 2003.
[28] A. Ren, L. Zhang, Z. Li, L. Hao, Y. Tian, and Z. Li.
Awareness and use of folic acid, and blood folate con-
centrations among pregnant women in northern chinaan
area with a high prevalence of neural tube defects.Re-
prod. Toxicol., 22(3):431–436, 2006.
[29] M. A. Canfield, S. M. Przybyla, A. P. Case, T. Ra-
madhani, L. Suarez, and J. Dyer.Folic acid awareness
and supplementation among texas women of childbearing
age.Prev. Med. (Baltim), 43(1):27–30, 2006.
[30] S. Sen, A. Manzoor, M. Deviasumathy, and C. New-
ton. Maternal knowledge, attitude and practice regard-
ing folic acid intake during the periconceptional period.
Public Health Nutr., 4(4):909–912, 2001.
[31] H. Riazi, S. Bashirian, and L. Amini. Awareness of preg-
nant women about folic acid supplementation in iran.
journal of family and reproductive health, 6(4):159–163,
2012.
[32] M. Rehan, N. Mahmood, and S. B. Mazhar. Knowledge,
attitude and practices regarding periconceptional folic
acid supplementation in a tertiary care hospital.Ann.
Int. Med. Dent. Res., 11(4):172–175, 2015.
[33] L. Jaber, I. A. Karim, Jawdat A. M., M. Fausi, and
P. Merlob. Awareness of folic acid for prevention of neu-
ral tube defects in a community with high prevalence
of consanguineous marriages.Ann. Genet., 47(1):69–75,
2004.
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