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Federación Mexicana de Ginecología y Obstetricia, A.C.

2024, Number 01

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Ginecol Obstet Mex 2024; 92 (01)

Level of knowledge and adherence to treatment in patients with gestational anemia

Pacheco TLE, Santos RYR, Campos CKE

Language: Spanish
References: 21
Page: 8-16
PDF size: 205.65 Kb.


ABSTRACT

Objective: To determine the relationship between the level of knowledge and adherence to the prescribed regimen of ferrous sulfate and folic acid to prevent or treat gestational anemia in patients attended in a public hospital in Peru.
Materials and Methods: Observational, descriptive, case series, cross-sectional and prospective study carried out between February and April 2022 in patients in the immediate postpartum period with a diagnosis of gestational anemia established two months before the end of pregnancy. Knowledge was assessed by means of a questionnaire and adherence by means of the Morisky-Green-Levine test, both validated and reliable instruments. Statistical analysis was performed with the STATA program; Pearson's χ2 and the generalized linear model of the Poisson family with robust variance and 95% confidence level were used.
Results: A total of 217 patients were studied; 2 out of 10 had a diagnosis of gestational anemia and were compliant with treatment. Overall, 71.89% of the participants had adequate knowledge of the importance of treatment with ferrous sulfate and folic acid, and 23.96% reached an intermediate level. The relationship between the level of knowledge and adherence was close to statistical significance (p = 0.05 RPa:1.63; 95%CI: 0.99-2.71), established by adjusted analysis. Understanding the importance of antianemic treatment for the mother increased the prevalence of adherence threefold (p = 0.04; RPa: 3.17; 95%CI: 1.04-9.72).
Conclusiones: Mothers' knowledge of the importance of antianemic treatment significantly increased adherence.


REFERENCES

  1. Desta M, Kassie B, Chanie H, Mulugeta H, Yirga T, TemesgenH, et al. Adherence of iron and folic acid supplementationand determinants among pregnant women in Ethiopia: asystematic review and meta-analysis. Reprod Health 2019;16 (1): 182. https://doi.org/10.1186/s12978-019-0848-9

  2. Gonzáles GF, Tapia V, Gasco M, Carrillo C. Hemoglobina maternaen el Perú: diferencias regionales y su asociación conresultados adversos perinatales. Rev Peru Med Exp SaludPublica 2011; 28 (3): 484-91. https://doi.org/10.17843/rpmesp.2011.283.527

  3. Fouelifack FY, Sama JD, Sone CE. Assessment of adherenceto iron supplementation among pregnant women inthe Yaounde gynaeco-obstetric and paediatric hospital.Pan Afr Med J 2019; 34: 211. https://doi.org/10.11604/pamj.2019.34.211.16446

  4. Assefa H, Abebe SM, Sisay M. Magnitude and factors associatedwith adherence to Iron and folic acid supplementationamong pregnant women in Aykel town, NorthwestEthiopia. BMC Pregnancy and Childbirth 2019; 19 (1): 296.https://doi.org/10.1186/s12884-019-2422-4

  5. Sendeku FW, Azeze GG, Fenta SL. Adherence to iron-folicacid supplementation among pregnant women in Ethiopia:a systematic review and meta-analysis. BMC PregnancyChildbirth 2020; 20 (1): 138. https://doi.org/10.1186/s12884-020-2835-0

  6. Instituto Nacional de Estadística e Informática [INEI]. PerúEncuesta Demográfica y de Salud Familiar ENDES 2020. InstitutoNacional de Estadística e Informática; 2021. https://proyectos.inei.gob.pe/endes/2020/INFORME_PRINCIPAL_2020/INFORME_PRINCIPAL_ENDES_2020.pdf

  7. Yamashita T, Roces RED, Ladines-Llave C, Reyes Tuliao MT,Wanjira Kamau M, Yamada C, et al. Maternal KnowledgeAssociated with the Prevalence of Iron and Folic AcidSupplementation Among Pregnant Women in Muntinlupa,Philippines: A Cross-Sectional Study. Patient PreferAdherence 2021; 15: 501-10. https://doi.org/10.2147/PPA.S291939

  8. Appiah PK, Nkuah D, Bonchel DA. Knowledge of andAdherence to Anaemia Prevention Strategies amongPregnant Women Attending Antenatal Care Facilitiesin Juaboso District in Western-North Region, Ghana.Journal of Pregnancy 2020; 2020: e2139892. https://doi.org/10.1155/2020/2139892

  9. Saragih ID, Dimog EF, Saragih IS, Lin CJ. Adherence toIron and Folic Acid Supplementation (IFAS) intake amongpregnant women: A systematic review meta-analysis.Midwifery 2022; 104: 103185. https://doi.org/10.1016/j.midw.2021.103185

  10. Mamo TT, Ashenafi E, Gube AA, Bekele T. Adherence toprenatal iron-folic acid supplementation and associatedfactors among pregnant women attending antenatal careservices in Dilla town, South Ethiopia. Research @ Point ofCare 5:1-9. https://doi.org/10.1177/23992026211008805

  11. Solomon Y, Sema A, Menberu T. Adherence and associatedfactors to iron and folic acid supplementation among pregnantwomen attending antenatal care in public hospitalsof Dire Dawa, Eastern Ethiopia. Eur J Midwifery 2021; 5:35. https://doi.org/10.18332/ejm/138595

  12. Nasir BB, Fentie AM, Adisu MK. Adherence to iron andfolic acid supplementation and prevalence of anemiaamong pregnant women attending antenatal care clinicat Tikur Anbessa Specialized Hospital, Ethiopia. PLOS ONE2020; 15 (5): e0232625. https://doi.org/10.1371/journal.pone.0232625

  13. Tinago CB, Annang Ingram L, Blake CE, Frongillo EA. Individualand structural environmental influences on utilizationof iron and folic acid supplementation among pregnantwomen in Harare, Zimbabwe. Maternal & Child Nutrition2017; 13 (3): e12350. https://doi.org/10.1111/mcn.12350

  14. Organización Mundial de la Salud, Organización Panamericanade Salud. Adherencia a los tratamientos a largoplazo: pruebas para la acción. 2004. https://iris.paho.org/handle/10665.2/41182

  15. Ministerio de Salud del Perú. Norma Técnica-Manejo Terapéuticoy Preventivo de la anemia en niños, adolescentes,mujeres gestantes y puérperas. 2017. http://bvs.minsa.gob.pe/local/MINSA/4190.pdf

  16. Morisky DE, Green LW, Levine DM. Concurrent and PredictiveValidity of a Self-reported Measure of MedicationAdherence. Medical Care 1986; 24 (1): 67-74. https://doi.org/10.1097/00005650-198601000-00007

  17. Val Jiménez A, Amorós Ballestero G, Martínez Visa P,Fernández Ferré ML, León Sanromà M. Descriptive studyof patient compliance in pharmacologic antihypertensivetreatment and validation of the Morisky and Green test.Aten Primaria 1992; 10 (5): 767-70. https://pubmed.ncbi.nlm.nih.gov/1472599/

  18. World Medical Association. World Medical Association Declarationof Helsinki: Ethical Principles for Medical ResearchInvolving Human Subjects. JAMA 2013; 310 (20): 2191-4.https://doi.org/10.1001/jama.2013.281053

  19. Gebremichael TG, Welesamuel TG. Adherence to iron-folicacid supplement and associated factors among antenatalcare attending pregnant mothers in governmental healthinstitutions of Adwa town, Tigray, Ethiopia: Cross-sectionalstudy. PLoS One 2020; 15 (1): e0227090. https://doi.org/10.1371/journal.pone.0227090

  20. Siekmans K, Roche M, Kung’u JK, Desrochers RE, De-Regil LM. Barriers and enablers for iron folic acid (IFA)supplementation in pregnant women. Maternal & ChildNutrition 2018; 14 (S5): e12532. https://doi.org/10.1111/mcn.12532

  21. Saputri GZ, Candradewi SF, Hidayati A, Winarti D. Thecorrelation between pregnant women knowledge level,perception, and compliance with ferrous fumaratetablet consumption in a primary health care institution.En: Advances in Health Science Research. AtlantisPress 2021; 33: 402-7. https://doi.org/10.2991/ahsr.k.210115.080




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