Low Prevalence of Folic Acid Supplementation during Pregnancy: A Multicenter Study in Vietnam

Ha, Anh Vo Van; Zhao, Yun; Binns, Colin; Pham, Ngoc Minh; Nguyen, Cong Luat; Nguyen, Phung Thi Hoang; Chu, Tan Khac; Lee, Andy H.

doi:10.3390/nu11102347

Cited by 8 publications

(10 citation statements)

References 41 publications

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“…Most pregnant women who purchase FA supplements or compound vitamins containing FA for themselves have sufficient financial resources through their own employment. Consistent with a previous study [ 39 ], we found that pregnant women who had a planned pregnancy had a higher likelihood of taking FA at the appropriate time (adjusted OR = 6.18, 95% CI 4.01–9.53). Our findings showed that pregnancy planning was positively associated with the consumption of FA supplements during the periconception period.…”

Section: Discussionsupporting

confidence: 91%

Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

Cui

Lü

Lyu

et al. 2021

BMC Pregnancy Childbirth

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Background The prevalence of neural tube defects (NTDs) in China declined during 2000–2017 with periconceptional folic acid (FA) supplementation, which is effective in reducing the risk of birth defects. We aimed to assess the knowledge and actual use of FA among Chinese pregnant women and to explore factors associated with FA use before pregnancy. Methods All data were collected in face-to-face interviews during health visits among pregnant women. We collected information about knowledge and use of FA supplements and demographic, socioeconomic, and health status. One maternity and childcare hospital was chosen in each of four cities: Beijing, Huaibei, Kunming, and Haikou. In total, 435 pregnant women were randomly recruited for interviews conducted from June to December 2016. Results A total of 428 pregnant women were included in this survey. Of these, 82.0% (351/428) knew that FA can prevent NTDs, and 75.9% (325/428) knew the correct time to take FA. Overall, 65.9% (282/428) of women knew both that FA can prevent NTDs and the recommended time to take FA before pregnancy. Approximately 95.1% (407/428) of women reported having ever taken FA, only 46.3% (198/428) had begun to take FA supplementation before conception, and 64.5% (109/169) of women from rural areas failed to take FA before pregnancy. Women living in northern China (odds ratio [OR] = 1.81, 95% confidence interval [CI], 1.18–2.77), those with unplanned pregnancy (OR = 1.99, 95% CI 1.30–3.04), and highly educated women (OR = 2.37, 95% CI 1.45–3.88) were more likely to know about FA. Women who were homemakers (OR = 1.94, 95% CI 1.21–3.11) and had unplanned pregnancy (OR = 6.18, 95% CI 4.01–9.53) were less likely to begin taking FA before pregnancy. Conclusions Our survey showed that most pregnant women knew about FA. Although preconception intake of FA can help to reduce NTDs, improving the rate of FA intake before pregnancy is needed in urban areas of China, especially among homemakers and women from rural areas or with unplanned pregnancy. Campaigns are needed to increase awareness about FA and FA use before pregnancy among rural women, homemakers, and those with unplanned pregnancy and lower education levels.

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Section: Discussionsupporting

confidence: 91%

Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

Cui

Lü

Lyu

et al. 2021

BMC Pregnancy Childbirth

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“…Moreover, it should be noticed that the questionnaire used in this study mentioned only physical exercise but not domestic work or work activities. Additionally, the rates of taking iron and folic acid were higher compared to a previous study conducted in Vietnam (25.8%) [48]. This result was similar to that reported in China (66.7%) [49], but higher than that of Japan (20.5%) [50], and Korea (10.5%) [51].…”

Section: Discussionsupporting

confidence: 82%

Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities

Nguyen

Ninh³

et al. 2022

BMC Pregnancy Childbirth

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Background Self-care behaviors during pregnancy significantly impacts mother and children's health. This study aimed to explore the self-care behaviors and the associations of these behaviors with the psychological well-being of women during pregnancy, as well as the mediating effects of different social support with these associations. Methods A cross-sectional data of 562 pregnant women at Hanoi Obstetrics & Gynecology Hospital and Ca Mau Obstetrics & Pediatrics in Vietnam were analyzed. Questions about self-care behaviors, pregnancy characteristics, social support, and psychological well-being were asked. Multivariate regression models were performed. Structural Equation Modeling (SEM) was employed to test the mediating effects of different social support with the association between self-care behaviors and psychological well-being. Findings Only 13% of pregnant women often or always did physical exercise at least three times a week, and 40% consumed enough fiber and five servings of vegetables a day. Only 78.7% always avoided alcohol drinking, and 53.9% of pregnant women avoided being exposed to second-hand smoking and 71,7% avoided using traditional medicine without physicians’ prescriptions. Around 66% of pregnant women always or often had prenatal care checkups as scheduled. Information sources, social support and childbirth expectation were major drivers for self-care practices. SEM model showed that social support mediated the relationship between maternal health behaviors and mental well-being. Conclusion This study highlighted the remarkable gaps in self-care practices among our pregnant women, which were significantly associated with their mental well-being. Social support-oriented consultancy and interventions should be warranted for improving behaviors and the mental well-being of pregnant women in Vietnam.

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“…Though, other global countries have limited knowledge regarding supplementation of FA during pregnancy. [ 36 37 38 39 ]…”

Section: Discussionmentioning

confidence: 99%

Knowledge and awareness of folic acid usage in Saudi pregnant women in Riyadh city from 2019-2020

AlDuraibi

Al-Mutawa

2020

J Family Med Prim Care

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Low Prevalence of Folic Acid Supplementation during Pregnancy: A Multicenter Study in Vietnam

Cited by 8 publications

References 41 publications

Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities

Knowledge and awareness of folic acid usage in Saudi pregnant women in Riyadh city from 2019-2020

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