Suplementação com ácido fólico entre gestantes no extremo Sul do Brasil: prevalência e fatores associados

Linhares, Angélica Ozório; César, Juraci Almeida

doi:10.1590/1413-81232017222.06302016

Cited by 20 publications

(33 citation statements)

References 17 publications

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“…Hypothetically, multiparous mothers, because they had become pregnant before, would have a better knowledge about FAS. However, this was not observed in our study, nor in other studies reported in literature (Barbosa et al, 2011;Linhares & Cesar, 2017;Marquia et al, 2014;Timmermans et al, 2008). Perhaps this could be related to cultural aspects and lack of knowledge about the benefits of the FAS not only in the first pregnancy but also in all future gestations.…”

Section: Resultscontrasting

confidence: 80%

“…In our review, we identified two studies developed in the same region of our patients. These described FAS at levels of 31.8% and 54.2% (Linhares & Cesar, 2017;Mezzomo et al, 2007), the latter being the same as in the current study.…”

Section: Resultssupporting

confidence: 75%

“…In literature, there is description of association between a higher schooling and a major frequency of FAS (Barbosa et al, 2011;Linhares & Cesar, 2017;Marquia et al, 2014;Mezzomo et al, 2007;Rodrigues et al, 2015;Timmermans et al, 2008). In our sample, mothers with less schooling also used it less frequently.…”

Section: Resultsmentioning

confidence: 49%

“…However, the index of periconceptional FAS in community programs around the world has been described as variable, even in developed countries, ranging from 0.9% (Southern Israel) to 49% (Vancouver, Canada; Ray, Singh, & Burrows, 2004). As for Brazil, FAS has been reported between 22.4% and 54.2% (Fonseca et al, 2003;Lima et al, 2002;Linhares & Cesar, 2017 ;Mezzomo et al, 2007). In our review, we identified two studies developed in the same region of our patients.…”

Section: Resultsmentioning

confidence: 99%

“…In this study, all mothers after childbirth whose children were born at hospital were included. The sample size was calculated using the WINPEPI (PEPI-for-Windows) program (version 10.4) and considering α = 0.05, a level of FAS (use of folic acid in any period of the periconceptional period [1 month before to 3 months after conception], irrespective of the duration and amount) of 54% (considering the study developed by Linhares and Cesar (2017)) and an error of 4%. Based on these parameters, the necessary sample size was 596 individuals to determine the FAS prevalence.…”

Section: Methodsmentioning

confidence: 99%

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Periconceptional folic acid supplementation in Southern Brazil: Why are not we doing it right?

Rosa

Silveira

Correia

et al. 2018

American J of Med Genetics Pt A

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Several countries, as Brazil, have public policies for periconceptional folic acid supplementation (FAS) in order to prevent unfavorable outcomes. Our aim was to evaluate the FAS situation in a public reference hospital from Southern Brazil. This study included all mothers who had children born at the Hospital Materno Infantil Presidente Vargas, RS, Brazil, in a 1-year period. Data collection was conducted through interviews with application of a clinical protocol and analysis of the patients' records. FAS was defined as the use of folic acid in any period of the periconceptional period, irrespective of the duration and amount. We also classified those mothers who correctly followed the national recommendation proposed by the Health Ministry of Brazil. The sample consisted of 765 mothers evaluated soon after childbirth. Their ages ranged from 12 to 45 years (mean 25.2 years). The overall level of FAS was 51.5%, and the use according to the national recommendation occurred in only 1.6%. Factors associated with non-FAS consisted of lower maternal age (p = .009) and maternal schooling (p = .023), higher number of pregnancies (p = .003), fewer prenatal visits (p = .050) and later prenatal care onset (p = .037). Periconceptional FAS in our midst seems to be very far from the ideal goal. Susceptible groups appeared to be mothers who were younger, less educated, multiparous, and had inadequate prenatal care. We believe that efforts of education and awareness should be especially targeted for these groups. These recommendations should also be strengthened among those who prescribe the FAS. K E Y W O R D Slow maternal schooling, multiparous, Periconceptional folic acid supplementation, pregnancy, prenatal care, prevention, younger mother

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Section: Resultscontrasting

confidence: 80%

Section: Resultssupporting

confidence: 75%

Section: Resultsmentioning

confidence: 49%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Periconceptional folic acid supplementation in Southern Brazil: Why are not we doing it right?

Rosa

Silveira

Correia

et al. 2018

American J of Med Genetics Pt A

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Selective and sensitive voltammetric determination of folic acid using graphite/restricted access molecularly imprinted poly(methacrylic acid)/SiO2 composite

Kuceki

Oliveira

Segatelli

et al. 2018

Journal of Electroanalytical Chemistry

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The use of folic acid, iron salts and other vitamins by pregnant women in the 2015 Pelotas birth cohort: is there socioeconomic inequality?

Miranda

Pizzol²,

Silveira

et al. 2019

BMC Public Health

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Background Many low- and middle-income countries recommend micronutrient supplements for pregnant women to improve their nutritional status, prevent possible deficiencies and avoid fetal healgth consequences. This study evaluated the influence of socioeconomic status on the use of folic acid, iron salts and other vitamins and minerals among pregnant women in the 2015 Pelotas Birth Cohort. Methods This population-based birth cohort study was carried out with 4270 women. Participants were interviewed during pregnancy and at the maternity hospital about the antenatal period; including the use of iron salts, vitamins and other minerals. Descriptive analyses were performed to characterize the sample. The analyses were adjusted according to socioeconomic variables (maternal education, ethnicity, household income). Results The overall prevalence of the use of folic acid, iron salts or other vitamins and minerals was 91.0% (95% CI: 90.1–91.8). Specifically, 70.9% (95% CI: 69.5–72.3) used folic acid, 72.9% (95% CI: 71.5–74.3) used iron compounds, and 31.8% (95% CI: 30.3–33.2) used other vitamins or minerals. In the adjusted analysis, the use of iron salts was associated with nonwhite mothers, with ≤4 years of education and whose family income was less than or equal to the monthly minimum wage. The use of folic acid and other vitamins and minerals was associated with white mothers who were more highly educated and had a higher family income. Conclusion Although folic acid and other vitamins and minerals were more frequently used in white, richer and more educated mothers, which indicates inequality, iron supplements were more frequently used in the poorer, less educated nonwhite mothers, suggesting the opposite association for this supplement.

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Suplementação com ácido fólico entre gestantes no extremo Sul do Brasil: prevalência e fatores associados

Cited by 20 publications

References 17 publications

Periconceptional folic acid supplementation in Southern Brazil: Why are not we doing it right?

Periconceptional folic acid supplementation in Southern Brazil: Why are not we doing it right?

Selective and sensitive voltammetric determination of folic acid using graphite/restricted access molecularly imprinted poly(methacrylic acid)/SiO2 composite

The use of folic acid, iron salts and other vitamins by pregnant women in the 2015 Pelotas birth cohort: is there socioeconomic inequality?

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