Practice And Significance of Iron Folic Acid Supplementation in Post-Partum Women Attending a Tertiary Care Hospital in Southern Rajasthan

Authors

  • Yogesh Kumar Singhal RNT Medical College, Udaipur
  • Chandan Mal Fatehpuriya RNT Medical College, Udaipur
  • Rekha Bhatnagar RNT Medical College, Udaipur
  • Rohit Jain RNT Medical College, Udaipur
  • Kathiravan Rajendran RNT Medical College, Udaipur
  • Pratap Bhan Kaushik RNT Medical College, Udaipur

Keywords:

anemia, haemoglobin, postpartum, iron folic acid

Abstract

Background: The objective of the current study was to overlook the real picture of Iron Folic acid supplementation by establishing a rela- tionship between the practice of Iron Folic acid supplementation & the mean change in haemoglobin level antepartum and postpartum.

Methods: Two hundred and ninety pregnant women were inter- viewed using a structured questionnaire at 6 weeks postpartum. Women who had Haemoglobin report done between 36-38 week of gestation period and agreed for Haemoglobin estimation at 6th week postpartum were included in study. The data were fed into SPSS ver- sion 16.0 and analyzed. Mean haemoglobin concentrations during the antepartum and postpartum periods were compared using the paired t-test.

Results: The proportion of study subjects who were anemic at 36 weeks’ gestation was 64.48% and at 6 weeks postpartum was 90.68%. The mean haemoglobin at 36–38 weeks’ gestation was 10.28 ± 1.54 g/dL and at 6 weeks postpartum was 9.31±1.35 g/dL. Women taking IFA in antepartum period were 75.51% while women taking IFA in postpartum period were 11.03% only. Total 85.38% women were dropout in using IFA supplementation.

Conclusion: Despite the better availability and coverage of maternal health facilities, attitude and practice towards IFA supplementation in postpartum women is significantly ignored.

References

World Health Organization. Anemia prevention and control. Geneva, Switzerland: World Health Organiza- tion; 2011. Available from: http://www.who.int/medical_devices/initiatives/anae mia_control/en. Accessed October 18, 2015.

Goodburn EA, Gazi R, Chowdhury M. Beliefs and prac- tices regarding delivery and postpartum maternal mor- bidity in rural Bangladesh. Stud Fam Plann. 1995;26:22– 32.

Bodnar LM, Cogswell ME, Scanlon KS. Low income postpartum women are at risk of iron deficiency. J Nutr. 2002;132:2298–3021.

Agarwal KN, Agarwal DK, Sharma A, et al. Prevalence of anaemia in pregnant and lactating women in India. Indian J Med Res. 2006;124: 173–184.

Somdatta P, Reddaiah VP, Singh B. Prevalence of anae- mia in the postpartum period: a study of a North Indian village. Trop Doct. 2009;39: 211–215.

Barroso F, Allard S, Kahan BC, et al. Prevalence of ma- ternal anaemia and its predictors: a multi-centre study. Eur J Obstet Gynecol Reprod Biol. 2011;159:99–105.

Trinh LT, Dibley M. Anaemia in pregnant, postpartum and non pregnant women in Lak district, Daklak prov- ince of Vietnam. Asia Pac J Clin Nutr. 2007;16:310–315.

Milman N. Postpartum anemia: definition, prevalence, causes, and consequences. Ann Hematol. 2011;90:1247– 1253.

Somdatta P, Reddaiah VP, Singh B. Prevalence of anae- mia in the postpartum period: A study of a North In- dian village. Trop Doct 2009;39:211‑5.

Reinold C, Dalenius K, Smith B, Brindley P, Grum- mer‑Strawn L. Pregnancy Nutrition Surveillance 2007 Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2009.

Corwin EJ, Murray-Kolb LE, Beard JL. Low hemoglobin level is a risk factor for postpartum depression. J Nutr. 2003;133:4139–4142.

Gibbs RS. Clinical risk factors for puerperal infection. Obstet Gynecol. 1980;55:178–184.

Henly S, Anderson C, Avery M. Anemia and insufficient milk in first time mothers. Birth. 1995;22:87–92.

Sutherland T, Bishai DM. Cost‑effectiveness of miso- prostol and prenatal iron supplementation as maternal mortality interventions in home births in rural India. Int J Gynaecol Obstet 2009;104:189‑93.

Sserunjogi L, Scheutz F, Whyte SR. Postnatal anaemia: neglected problems and missed opportunities in Uganda. Health Policy Plan. 2003;18:225–231.

Bodnar LM, Cogswell ME, McDonald T. Have we for- gotten the significance of postpartum iron deficiency? Am J Obstet Gynecol. 2005;193:36–44.

World Health Organization. Iron and folate supplemen- tation. Department of making pregnancy safer. Geneva, Switzerland: World Health Organization; 2006. Availa- ble from:

http://www.who.int/reproductivehealth/publications

/maternal_perinatal_health/iron_folate_supplementati on.pdf. Accessed October 18, 2015.

Centers for Disease Control and Prevention. Recom- mendations to prevent and control iron deficiency in the United States. MMWR Recomm Rep. 1998;4:1–29.

American College of Obstetricians and Gynecologists. ACOG Practice Bu1letin No. 95: anemia in pregnancy. Obstet Gynecol. 2008;112:201-207.

Institute of Medicine. Iron deficiency anemia: recom- mended guidelines for the prevention, detection, and management among US children and women of child- bearing age. Washington, DC, USA: Institute of Medi- cine; 1993. Available from: http://www.nap.edu/read/2251/chapter/1. Accessed October 19, 2015.

Downloads

Published

2015-12-31

How to Cite

1.
Singhal YK, Fatehpuriya CM, Bhatnagar R, Jain R, Rajendran K, Kaushik PB. Practice And Significance of Iron Folic Acid Supplementation in Post-Partum Women Attending a Tertiary Care Hospital in Southern Rajasthan. Natl J Community Med [Internet]. 2015 Dec. 31 [cited 2024 Dec. 3];6(04):614-7. Available from: https://njcmindia.com/index.php/file/article/view/1291

Issue

Section

Original Research Articles