Prevalência e distribuição espacial de defeitos do tubo neural no Estado de São Paulo, Brasil, antes e após a fortificação de farinhas com ácido fólico

Fujimori, Elizabeth; Baldino, Camila Florido; Sato, Ana Paula Sayuri; Borges, Ana Luíza Vilela; Gomes, Murilo Novaes

doi:10.1590/s0102-311x2013000100017

Cited by 15 publications

(15 citation statements)

References 28 publications

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“…Although folic acid supplementation is still recommended in the three months preceding pregnancy and in the first trimester of pregnancy, our findings suggest that it is still scarcely practiced among pregnant women in the country. Anyway, in Brazil, there has been a great improvement regarding the intake of folic acid since the Brazilian government established the mandatory fortification of wheat and maize flour with iron and folic acid, which brought about positive results in preventing neural tube defects (25) . Our results also show that the demand for medical assistance was the most cited preconception measure, which is an important issue, as women who undergo counseling by health professionals before pregnancy are more likely to adopt preconception health behaviors (5) .…”

Section: Discussionmentioning

confidence: 99%

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Borges

Santos

Nascimento

et al. 2016

Rev. esc. enferm. USP

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Objective: The objective of this study is to assess preconception health behaviors among Brazilian women, and analyze the effect of pregnancy planning status in carrying out preconception measures. Method: This is a cross-sectional quantitative study conducted with 807 women, of whom 649 had a planned or ambivalent pregnancy. Preconception health behaviors were assessed by the Brazilian version of the London Measure of Unplanned Pregnancy. Results: Preconception health behaviors were performed by only 15.9% of women. Among those who planned their pregnancy, less than half completed a health measure (47.0%); the most common was seeking medical assistance and improving the diet. Multiple logistic regression analysis showed a strong association between the preconception health behaviors and a planned pregnancy (adjusted OR = 16.77; 95% CI: 9.47-29.81). Age over 30 years, paid work, and the time interval between menarche and first sexual intercourse were also associated with completing preconception measures. Conclusion: The low frequency of preconception health measures, even among women who planned their pregnancy, indicates the urgency of including preconception care on the agenda of public health policies in Brazil. descriPtOrs Preconception Care; Pregnancy; Sexual and Reproductive Health; Maternal-Child Nursing. Preconception health behaviors associated with pregnancy planning status among Brazilian womenPreparo pré-concepcional entre mulheres brasileiras e a relação com o planejamento da gravidez Preparación pre concepcional entre mujeres brasileñas y la relación con la planificación del embarazo

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Section: Discussionmentioning

confidence: 99%

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Borges

Santos

Nascimento

et al. 2016

Rev. esc. enferm. USP

Self Cite

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“…Added to food, this has a bioavailability 85-100% , while folate, in its natural form, present in fresh food, has a bioavailability of 50%, and is more susceptible to destruction in the preparation. 11,12 A daily dosage of 0.4 mg of folic acid is recommended for all women who plan to become pregnant; for those who have had children with problems or who use medications that interfere with folate levels in the body, such as anticonvulsants, the recommend dose is 4mg. 12 For lactating and pregnant women, an additional daily dose of 0.1 mg and 0.2 mg of folic acid is recommended, respectively.…”

Section: Introductionmentioning

confidence: 99%

“…11,12 A daily dosage of 0.4 mg of folic acid is recommended for all women who plan to become pregnant; for those who have had children with problems or who use medications that interfere with folate levels in the body, such as anticonvulsants, the recommend dose is 4mg. 12 For lactating and pregnant women, an additional daily dose of 0.1 mg and 0.2 mg of folic acid is recommended, respectively. The use of folic acid is recommended three months prior to gestation through the 12th week of gestation.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of supplemental folic acid during pregnancy

et al. 2015

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“…Randomized clinical trials and several observational studies showed that 50% to 85% of the cases of NTD can be prevented if women receive folic acid supplementation at a daily dose of 0.4 mg daily in the periconceptional period 2,13 . Considering the low adherence to medicine supplementation by the population, and in order to reduce the prevalence of maternal anemia and neural tube defects, the Brazilian government established the mandatory fortification of wheat and maize flour with iron and folic acid, which was effectively implemented in the country from June 2004 14 .…”

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confidence: 99%

Anencefalia: conhecimento e opinião dos médicos ginecologistas-obstetras e pediatras de Goiânia

2016

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In order to analyze the knowledge and opinion of physicians about anencephaly, a cross-sectional study was performed, including 70 obstetrician-gynecologists and pediatricians of two hospitals in Goiania, Brazil. The interviewees answered a survey of 20 true or false closed questions. Their opinions were evaluated through a 5-subject questionnaire, with 31 affirmations with a Likert-type response scale. Most of the interviewees (70%) affirmed to have attended classes on anencephaly. The average of correct answers was 13.17. The assertive questions with the highest percentage of correct answers were on anencephalic pregnancy (80%) and the distinction between anencephaly and brain death (72%). The questions with the lowest number of correct answers were about the donation of anencephalic born alive babies' organs (35%) and about the legislation that permits pregnancy termination when anencephaly had been unequivocally diagnosed (47.1%). Among those heard, 30.41% agreed on the fact that anencephalic babies have life. In conclusion, anencephaly is still a controversial topic and physicians need to acquire more knowledge on the subject. Keywords: Abortion. Anencephaly. Brain death. Life. Congenital abnormalities. Embryonic development. Resumo Anencefalia: conhecimento e opinião dos médicos ginecologistas-obstetras e pediatras de GoiâniaObjetivando analisar o grau de conhecimento e opinião dos médicos sobre anencefalia, foi realizado estudo transversal com 70 ginecologistas-obstetras e pediatras de dois hospitais de Goiânia. Os entrevistados responderam a questionário com 20 perguntas fechadas, com opções "verdadeiro" ou "falso", abrangendo cinco temas distribuídos em 31 afirmações com respostas em escala tipo Likert. A maioria dos entrevistados afirmou ter assistido a aula sobre anencefalia (70%), e a média de acertos foi de 13,17 questões. As afirmações com mais acertos versavam sobre a gestação do anencéfalo (80%) e que anencefalia não significa morte encefálica (72%). As questões com menor número de acertos abordavam doação de órgãos de anencéfalo nascido vivo (35%) e a legislação que permite a interrupção da gestação perante diagnóstico inequívoco de anencefalia (47,1%). Dos profissionais ouvidos, 30,41% concordaram que o anencéfalo tem vida. Conclui-se que a anencefalia ainda é tema polêmico e necessita ser mais conhecida entre médicos. Palavras-chave: Aborto. Anencefalia. Morte encefálica. Vida. Anormalidades congênitas. Desenvolvimento embrionário.Resumen Anencefalia: conocimiento y opinión de los ginecólogos, obstetras y pediatras en Goiânia Con el objetivo de analizar el grado de conocimiento y opinión de los médicos sobre la anencefalia, fué hecho estudio transversal con 70 médicos ginecólogos/obstetras y pediatras de los hospitales de Goiânia, Brasil. Los entrevistados respondieron un cuestionario de 20 preguntas de verdadero o falso, y se evaluaron sus opiniones a través de un cuestionario con cinco preguntas que contenían 31 opciones de respuestas en escala tipo Likert. La mayoría (70%) participó...

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Prevalência e distribuição espacial de defeitos do tubo neural no Estado de São Paulo, Brasil, antes e após a fortificação de farinhas com ácido fólico

Cited by 15 publications

References 28 publications

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Knowledge of supplemental folic acid during pregnancy

Anencefalia: conhecimento e opinião dos médicos ginecologistas-obstetras e pediatras de Goiânia

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