Factors Influencing Folic Acid Intakes among Pregnant Women

Main Article Content

Sirinapa Kaewpoung
Wannee Deoisres
Chanthima Chinsoi
Chanthima Chinsoi

Abstract

Introduction: Folic acid Intakes before and during pregnancy can prevent fetal malformations. However, nowadays, intake of folate by pregnant women is very limited. Research objectives: This descriptive predictive study aimed to determine factors influencing folic acid intakes among pregnant women. Research methodology: A convenience sampling technique was used to recruit 130 pregnant women who visited an antenatal care clinic at Queen Savang Vadhana Memorial hospital. Research instruments included a demographic sheet, and a set of questionnaires, including knowledge about folic acid questionnaire, received information about folic acid questionnaire, perceived barriers to folic acid intake questionnaire, attitude towards folic acid intake questionnaire, folic acid intake before and during pregnancy questionnaire. The reliability of the questionnaires resulted in 0.79, 0.80, 0.78, 0.82, and 0.89, respectively. The study was conducted from June to August 2019. Data were analyzed using frequency, percentage, mean, standard deviation, and logistic regression analysis. Results: Results revealed that only 7.70% of pregnant women took folic acid three months before conception and first trimester of pregnancy. Factors influencing folic acid intakes among pregnant women were knowledge about folic (AOR = 17.46, 95% CI= 1.40-217.63), received information about folic acid (AOR = 208.07, 95% CI = 3.97-10903.52), and perceived barriers to folic acid intake (AOR = .79, 95% CI = .62-1.00). Factor not influencing folic acid intakes among pregnant women was attitude towards folic acid intake (AOR= .72, 95% CI= .46-1.14). Conclusion: Pregnant women rarely take folic acid before and during pregnancy. Such issue is very important for their health. Therefore, healthcare providers should be aware of this issue to prevent fetal malformations. Implications: These findings could be used to inform healthcare providers to develop effective campaign on knowledge about folic for women. Also, activities to promote folic intake before pregnancy among women of reproductive age should be implemented.

Downloads

Download data is not yet available.

Article Details

How to Cite
Kaewpoung, S., Deoisres, W., Chinsoi, C., & Chinsoi, C. (2021). Factors Influencing Folic Acid Intakes among Pregnant Women. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 37(2), 192-202. Retrieved from https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/242343
Section
Research articles

References

1. Strategy and Planning Division. Public Health Statistics A.D. 2015. [Internet]. 2016
[cited 2018 Nov 15]. Available from: http://bps.moph.go.th/new_bps/sites/
default/files/health_statistic2558.pdf. (in Thai)
2. Ministry of Public Health. The 2nd National Reproductive Health Development Policy and Strategy (2017-2026) on the Promotion of Quality Birth and Growth [Internet]. 2018[cited 2018 Nov 15]. Available from: http://rh.anamai.moph.go.th/ewt_dl_link.php?nid=240
3. Department of Maternal and Child Health, Regional Health Promotion Center 7 Ubon Ratchathani, Department of Health. Training Guide Prenatal Preparation Course for Quality Parents (Preconception care) for spouses. Ubon Ratchathani:We can service express; 2010. (in Thai)
4. World Health Organization [WHO]. Preconception care: Maximizing the gains for maternal and child health [Internet]. 2013[cited 2019 Jan 15]. Available from: http://www.who.int/ maternal_child_adolescent/documents/preconception_care_policy_brief.pdf.
5. Centers for Disease Control and Prevention [CDC]. Recommendations to improve preconception health and health care: United states [Internet]. 2006[cited 2019 Jan 15]. Available from: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5506a1.htm
6. Mazz D, Chapman A. Improving the uptake of preconception care and periconceptional folate supplementation: What do women think. Biological Medicine Central Public Health 2010; 10:1-6.
7. Johnson CY, Little J. Folate intake, makers of folate status and oral clefts: is the evidence converging?. International journal epideminol 2008;37(5):1041-58.
8. Li N, Li Z, Ye R, Liu J, Ren A. Impact of periconceptional folic acid supplementation on low birth weight and small-for-gestational-age Infants in China: A large prospective cohort study. The journal of pediatrics 2017;187:105-10.
9. Bureau of Nutrition (BoN), Department of Health, Ministry of Public Health.Public health promotes Thai girl cheeks policy Have children for life with wonderful vitamins [Internet]. 2017 [cited 2018 Nov 15]. Available from: http://nutrition.anamai.moph.go.th/ewt_news. php?nid=433&filename=index. (in Thai)
10. Xing XY, Tao FB, Hao JH, Huang K, Huang ZH, Zhu XM, et al. Periconceptional folic acid supplementation among women attending antenatal clinic in Anhui, China: Data from a population-based cohort study. Midwifery 2012;28(3):291-7.
11. Kim MJ, Kim J, Hwang EJ, Song YJ, Kim H, Hyun T. (2018). Awareness, knowledge, and use of folic acid among non-pregnant Korean women of childbearing age. Nutrition Research and Practice 2018;12(1):78-84.
12. Bixenstine PJ, Cheng TL, Cheng D, Connor KA, Mistry KB. Association between preconception counseling and folic acid supplementation before pregnancy and reasons for non-use. Maternal Child Health Journal 2019;19(9):1974-84.
13. Wongkham J, Ratanasiri T, Paibool M, Chatvised P, Suttasee N, Saksiriwuttho P, et al. Maternal Knowledge and Attitude on Folic Acid Intakes to Prevent Birth Defects of Pregnant Women. Srinagarind Medical Journal 2016;31(4):192-6. (in Thai)
14. Kaewpoung S, Deoisres W, Suppaseemanont W. Influencing of Perception of Pregnancy Risk, Knowledge, and Attitude on Preconception Health Behavior among Pregnant Women.The Journal of Faculty of Nursing Burapha University 2018;26(2):57-66.
15. Janz NK, Becker MH. The health belief model: A decade later. Health Education Quarterly 1984;11(1): 1-47.
16. Rofail D, Colligs A, Abetz1 L, Lindemann M, Maguire1 L. Factors contributing to the success of folic acid public health campaigns. Journal of Public Health 2011;34(1):90-9.
17. Bitzer J, Stenglin A, Bennemerschult R. Women's awareness and periconceptional use of folic acid: Data from a large Europeansurvey. International Journal of Women’s Health 2013;5:201-13.
18. Liang H, Ma D, Zhou S, Li X. Knowledge and use of folic acid for birth defect prevention among women of childbearing age in Shanghai, China: A prospective cross-sectional study. Medical Science Monitor 2011;17(12):87-92.
19. Auriel E, Biderman A, Belmaker I, Freud T, Peleg R. Knowledge, attitudes, and practice among women and doctors concerning the use of folic acid. ISRN obstetrics and gynecology 2010;2011:1-5.
20. Agricola E, Pandolfi MV, Gonfiantini F, Gesualdo M, Romano E, Carloni, E, et al. (). A cohort study of a tailored web intervention for preconception care. Biological Medicine Central Journal 2014; 33: 1-10.