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A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy
Introduction Anemia in pregnancy is a significant health challenge in India and other developing countries. Various health programs aiming anemia prevention are existing in India for many decades. Despite that, anemia affects more than half of pregnant women. Our objective for performing this study...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894214/ https://www.ncbi.nlm.nih.gov/pubmed/33628671 http://dx.doi.org/10.7759/cureus.12802 |
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author | Mishra, Archana Marwah, Sheeba Divedi, Pragati Dewan, Rupali Ahluwalia, Himani |
author_facet | Mishra, Archana Marwah, Sheeba Divedi, Pragati Dewan, Rupali Ahluwalia, Himani |
author_sort | Mishra, Archana |
collection | PubMed |
description | Introduction Anemia in pregnancy is a significant health challenge in India and other developing countries. Various health programs aiming anemia prevention are existing in India for many decades. Despite that, anemia affects more than half of pregnant women. Our objective for performing this study was to evaluate the barriers in the prevention of anemia and to evaluate the perceptions and practices of anemic women towards their condition. Methods A cross-sectional questionnaire-based study, including 210 anemic women, was conducted in a tertiary care center in Delhi, India. In-depth interviews were conducted with 50 participants. Results Our important observations were that anemia was more prevalent in multigravida, and 43.80% of anemic patients were not taking iron supplements at the time of diagnosis. Chronic diseases were associated with 28.2% (n=59) of anemic women. Only 19% (n=40) of women sought antenatal care in the first and second trimester; the rest all booked themselves in the third trimester only. Twenty-two percent (n=48) of women reached our hospital after 36 weeks. Ignorance to anemia symptoms and the importance of consistent intake of the oral iron supplements was seen in 35.2% (n=74). One hundred and sixty-five (74.8%) women accepted that healthcare provider had informed them about iron-rich and high protein diet, but only 47.1% (n=98) actually made dietary modifications. Only 9.5% (n=20) of women were consistent in iron intake. Side effects of iron were reported by 30% (n=64) of women, and 15% (n=32) were intolerant to oral iron. Non-availability, change of residence, and forgetfulness were the main reasons behind non-compliance to oral iron. Conclusion We emphasize motivation for early registration, regular antenatal care, adequate iron supplement supply, and persistent counseling to ensure compliance to iron supplements by the antenatal care provider. Behavior-changing communication is needed at a societal level for antenatal mothers and their families aiming to prevent anemia in pregnancy instead of focussing on treatment. |
format | Online Article Text |
id | pubmed-7894214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-78942142021-02-23 A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy Mishra, Archana Marwah, Sheeba Divedi, Pragati Dewan, Rupali Ahluwalia, Himani Cureus Obstetrics/Gynecology Introduction Anemia in pregnancy is a significant health challenge in India and other developing countries. Various health programs aiming anemia prevention are existing in India for many decades. Despite that, anemia affects more than half of pregnant women. Our objective for performing this study was to evaluate the barriers in the prevention of anemia and to evaluate the perceptions and practices of anemic women towards their condition. Methods A cross-sectional questionnaire-based study, including 210 anemic women, was conducted in a tertiary care center in Delhi, India. In-depth interviews were conducted with 50 participants. Results Our important observations were that anemia was more prevalent in multigravida, and 43.80% of anemic patients were not taking iron supplements at the time of diagnosis. Chronic diseases were associated with 28.2% (n=59) of anemic women. Only 19% (n=40) of women sought antenatal care in the first and second trimester; the rest all booked themselves in the third trimester only. Twenty-two percent (n=48) of women reached our hospital after 36 weeks. Ignorance to anemia symptoms and the importance of consistent intake of the oral iron supplements was seen in 35.2% (n=74). One hundred and sixty-five (74.8%) women accepted that healthcare provider had informed them about iron-rich and high protein diet, but only 47.1% (n=98) actually made dietary modifications. Only 9.5% (n=20) of women were consistent in iron intake. Side effects of iron were reported by 30% (n=64) of women, and 15% (n=32) were intolerant to oral iron. Non-availability, change of residence, and forgetfulness were the main reasons behind non-compliance to oral iron. Conclusion We emphasize motivation for early registration, regular antenatal care, adequate iron supplement supply, and persistent counseling to ensure compliance to iron supplements by the antenatal care provider. Behavior-changing communication is needed at a societal level for antenatal mothers and their families aiming to prevent anemia in pregnancy instead of focussing on treatment. Cureus 2021-01-20 /pmc/articles/PMC7894214/ /pubmed/33628671 http://dx.doi.org/10.7759/cureus.12802 Text en Copyright © 2021, Mishra et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Obstetrics/Gynecology Mishra, Archana Marwah, Sheeba Divedi, Pragati Dewan, Rupali Ahluwalia, Himani A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy |
title | A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy |
title_full | A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy |
title_fullStr | A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy |
title_full_unstemmed | A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy |
title_short | A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy |
title_sort | cross-sectional study of barriers in prevention of anemia in pregnancy |
topic | Obstetrics/Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894214/ https://www.ncbi.nlm.nih.gov/pubmed/33628671 http://dx.doi.org/10.7759/cureus.12802 |
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