EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57

Abstract

ADHERENCE TO IRON AND FOLATE THERAPY AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT A TERTIARY HOSPITAL IN SOUTHERN NIGERIA

Ubong Akpan*, Udeme Asibong and Saturday Etuk

ABSTRACT

Background: Anaemia is highly prevalent among pregnant women especially in the developing countries. Iron deficiency is the most important cause. Adherence to haematinics may be an important challenging factor in combating anaemia. Objective: To determine the rate of adherence to haemtinics and the prevalence of anaemia among pregnant women in the Antenatal clinic in the hospital. Methodology: This study included 200 pregnant women by systematic random sampling method. They were given standard dose of iron and folic supplements and followed up for a minimum period of 3 months. Then they were assessed for medication adherence and the presence of anaemia. Data were collected on the women socio-demographic, medical and obstetric profile, adherence rate, and associated factors influencing drug compliance. Missing more than 2 doses in One month was considered non-adherence. Anaemia was defined as PCV less than 33% (WHO). Results: The mean age of the women was 28.37±3.974 years. Awareness on iron therapy in pregnancy was 92% while adherence rate was 85%. Younger maternal age and advance gestational age were significantly associated with adherence (P=0.001). Educational level, family size and income did not significantly influence adherence (P>0.05). The prevalence of anaemia was 31%. Poor adherence and poor nutrition did not necessarily predict maternal anaemia (P=0.246, and p=0.430 respectively). Logistic regression of independent determinants of adherence shows that parity (OR: 41.0, 95% CI: 2.15-7.82) and antenatal counseling on haematinics (OR: 6.3, 95% CI: 1.57 – 25.20) were independent predictors of adherence. Conclusion: Educating pregnant clients on need for adherence to iron and folic acid supplement may promote healthy pregnancy.

Keywords: Adherence, iron, anaemia, nutrition, awareness, haematinics.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)