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The Impact of Iron and Folate Adherence on the Prevalence of Anaemia in Pregnant Nigerian Women
Journal of Gynecology and Obstetrics
Volume 8, Issue 6, November 2020, Pages: 179-185
Received: Oct. 27, 2020; Accepted: Nov. 5, 2020; Published: Nov. 11, 2020
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Akinola Oyekemi Ifeoluwapo, Department of Haematology and Blood Transfusion, Edo University, Iyamho, Nigeria
Uwaibi Noel, Department of Community Medicine, Edo University, Iyamho, Nigeria
Nwagu Marcellinus Uchechukwu, Department of Haematology and Blood Transfusion, Edo University, Iyamho, Nigeria
Ohenhen Victor, Department of Obstetrics and Gynaecology, Central Hospital, Benin City, Nigeria
Egbo Ojevwe Harrison, Department of Anatomical and Histopathology, Edo University, Iyamho, Nigeria
Erhabor Osarenokemen Julie, Department of Obstetrics and Gynaecology, Stella Obasanjo Women and Children Hospital, Benin City, Nigeria
Omozuwa Eghosasere Sunday, Department of Obstetrics and Gynaecology, Edo University, Iyamho, Nigeria
Omokhua Gabriella, Department of Medical Microbiology, Edo University, Iyamho, Nigeria
Adeyemi Oluwafemi, Department of Haematology and Blood Transfusion, Edo University, Iyamho, Nigeria
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Introduction: The impact of adherence to taking prescribed medications for chronic illnesses has been widely studied with a view to understanding its role on disease burden. This has been extrapolated to the physiologic pregnancy state, where women are expected to take haematinics due to their susceptibility to anaemia. The prevalence of anaemia in pregnancy is reportedly high with more burden on developing countries. This has led to the recommendation of iron and folate supplements for women during pregnancy. Methods: We set out to determine the level of adherence (and deterrents) to taking iron and folate supplements as well as the prevalence of anaemia in pregnant women (18-45 years old) attending antenatal care at the Stella Obasanjo Women and Children Hospital (SOWCH) and the Central Hospital in Benin City, Nigeria between July-December, 2019. An association between occurrence of anaemia and adherence level was also assessed. Results: 400 pregnant women participated in this study. The mean age (±SD) of the study population was 30±4 years, mean gestational age (±SD) was 31±5 weeks. Majority of the women (82.0%) were in their third trimester, 17.5% and 0.5% in second and first trimesters respectively. Total adherence scores obtained ranged from 0-8, with 63.5% being non-adherent to taking their iron and folate supplements. Factors that influenced adherence positively were higher income (p=0.00) and being employed (p=0.01). Top three identified reason for non-adherence were forgetfulness to take prescribed supplement (62.5%), feeling too bored to take supplements daily (44.3%) and unavailability of supplements (38.0%). The mean Hb (±SD) was 10.9±1.1g/dl. The prevalence of anaemia in pregnancy was 46.8%, with mild (43.8%) and moderate (3.3%) forms only. Of the non-adherent group, 69.7% were anaemic versus 30.3% of the adherent group. There was an association between the occurence of anaemia and non-adherence to taking supplements (p=0.01). Conclusion: There is a high level of non-adherence to taking iron and folate, prevalence of anaemia, and an association between them. Benefits of adherence to these supplements should be reinforced to women of child bearing age.
Adherence, Anaemia, Pregnancy, Iron, Folate, Impact
To cite this article
Akinola Oyekemi Ifeoluwapo, Uwaibi Noel, Nwagu Marcellinus Uchechukwu, Ohenhen Victor, Egbo Ojevwe Harrison, Erhabor Osarenokemen Julie, Omozuwa Eghosasere Sunday, Omokhua Gabriella, Adeyemi Oluwafemi, The Impact of Iron and Folate Adherence on the Prevalence of Anaemia in Pregnant Nigerian Women, Journal of Gynecology and Obstetrics. Vol. 8, No. 6, 2020, pp. 179-185. doi: 10.11648/j.jgo.20200806.15
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This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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