Socio-Demographic and Obstetrical Factors Influencing Consumption of Iron and Calcium Supplement In A Rural Community
DOI:
https://doi.org/10.55489/njcm.1342022438Keywords:
Anaemia, Calcium Supplementation, Folic Acid, Iron, Pregnant WomenAbstract
Background: Calcium supplementation during pregnancy has a proven potential to reduce adverse gestational outcomes, in particular by decreasing the risk of developing hypertensive disorders during gestation.
Objective: to evaluate various factors influencing the consumption of iron folic acid and calcium tablets supplementation during pregnancy.
Methodology: A community based analytical cross-sectional study was conducted among 200 women in the rural field practice area of Jhalawar. Data were collected by house to house visit and analysed using chi-square test.
Results: Only 55.5% pregnant women have taken IFA tablets while 23.5% women have taken tablets of calcium during their pregnancy. IFA consumption were significantly associated with level of education of women and their husband, socio-economic class, type of family, number of ANC visits and presence of husband during those visits and mass media exposure Calcium consumption were also associated with level of education of women, socio-economic class, number of ANC visits and presence of husband during those visits.
Conclusions: Consumption of IFA tablets was higher than the national level however calcium consumption was low. Emphasis should be given on early registration, multiple ANC visits, role of family and husband in caring of mother during pregnancy to improve consumptions of IFA and Calcium supplements.
References
WHO- eLENAinterventions and global targets. Available at: who.int/elena/titles/daily_iron_pregnancy/en/.Accessed March 19th, 2019.
Iron and folate supplementation. Available at:www.who.int/ reproductivehealth / publica-tions/maternal_perinatal_health/iron_folate_supplementation.pdf. Accessed March 19th, 2019.
Andersson O, Hellstro m-Westas L, Andersson D, Domel- lof M. 2011. Effect of delayed versus early umbilical cord clamp-ing on neonatal outcomes and iron status at 4 months: A ran-domised controlled trial. BMJ.2011;343: d715. https://doi.org/10.1136/bmj.d7157
Andrews NC. Forging a field: the golden age of iron biology. Blood. 2008 Jul 15;112(2):219-30. doi: 10.1182/blood-2007-12-077388. https://doi.org/10.1182/blood-2007-12-077388
Baker WF Jr. Iron deficiency in pregnancy, obstetrics, and gynaecology. HematolOncolClin North Am.2000;14: 1061 - 77. https://doi.org/10.1016/S0889-8588(05)70171-4
WHO. Guideline: Calcium Supplementation in Pregnancy Women. Available at: http://apps.who.int/iris/bitstream/handle/10665/85120/9789241505376_eng.pdf. Accessed April 24th, 2019.
Kovacs CS, El-Hajj Fuleihan G. Calcium and bone disorders during pregnancy and lactation. Endocrinol Metab Clin N Am. 2006;35:21-51. https://doi.org/10.1016/j.ecl.2005.09.004
Hacker AN, Fung EB, King JC. Role of calcium during pregnan-cy: maternal and fetal needs. Nutr Rev. 2012 Jul;70(7):397-409. https://doi.org/10.1111/j.1753-4887.2012.00491.x
Ministry of Health and Family Welfare, Government of India. India Fact Sheet, National Family Health Survey (NFHS-4) 2015-2016. Mumbai: IIPS; 2017. Available from: http://rchiips.org/nfhs/pdf/nfhs4/india.pdf. Accessed May 26th, 2019.
Ministry of Health and Family Welfare, Government of India. India Fact Sheet, National Family Health Survey (NFHS-5) 2019-2021. Mumbai: IIPS; 2021. Available from: http://rchiips.org/nfhs/factsheet_NFHS-5.shtml/india.pdf.Accessed January 26th, 2022.
Netra G, Bullappa A, Kengnal PR. Compliance to iron and folic acid supplements among the pregnant women of the rural field practice area of a medical college in Central Karnataka. Int J Med Sci Public Health 2021;10(1):121-7. https://doi.org/10.5455/ijmsph.2021.06052202121062021
Manasa K, Chandrakumar SG, Prashantha B. Assessment of compliance with ironfolic acid therapy during pregnancy among postnatal mothers in a tertiary care centre, Mysuru. Int J Community Med Public Health 2019;6:1665-9. https://doi.org/10.18203/2394-6040.ijcmph20191402
Selvaraj K, Arumugasamy P, Sarkar S. Compliance and pat-terns of iron-folic acid intake among adolescent girls and an-tenatal women in rural Tamil Nadu. CHRISMED J Health Res 2017;4:87-93. https://doi.org/10.4103/cjhr.cjhr_88_16
Chourasia A, Chandra M. P, Awasthi A. Factors influencing the consumption of iron and folic acid supplementations in high focus states of India. Clinical Epidemiology and Global Health 2017; 5 : 180-184. https://doi.org/10.1016/j.cegh.2017.04.004
Chimankar DA, Sahoo H. Factors influencing the utilization of maternal health care services in Uttarakhand. Ethno Med. 2011;5(3):209-16. https://doi.org/10.1080/09735070.2011.11886411
Wendt A, Stephenson R, Young M, Webb- Girard A, Hogue C, Ramakrishnan U, et al. Individual and Facility-Level Determi-nants of Iron and Folic Acid Receipt and Adequate Consump-tion among Pregnant Women in Rural Bihar, India. PLoS ONE 2015; 10(3): e0120404. doi:10.1371/journal.pone.0120404. https://doi.org/10.1371/journal.pone.0120404
Mahapatro SR. Utilization of maternal and child health care services in India: does women's autonomy matter? J Fam-Welf. 2012;58(1):22-33.
Sinha KC. Male involvement and utilization of maternal health services in India. Int J Sci Res Publ. 2014;4(11):1-13.
Patrelli TS, Dall'Asta A, Gizzo S, et al. Calcium supplementation and prevention of preeclampsia: A meta-analysis. J MaternFe-tal Neonatal Med 2012;25:2570-74. https://doi.org/10.3109/14767058.2012.715220
Hofmeyr GJ, Lawrie TA, Atallah A ' N, Torloni MR. Calcium supplementation during pregnancy for preventing hyperten-sive disorders and related problems. Cochrane Database Syst Rev 2018;10:CD001059. https://doi.org/10.1002/14651858.CD001059.pub5
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Copyright (c) 2022 Vinod Kumar, Mayank Jain, Manish Jain, Somya Thakan, Kapil Garg, Umashankar Shukla
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