Awareness and Use of Folic Acid among Women of Childbearing Age

Giselle Medawar; Tarek Wehbe; Elizabeth Abou Jaoude

doi:10.5334/aogh.2396

Awareness and Use of Folic Acid among Women of Childbearing Age

Annals of Global Health

Volume 85 (2019): Issue 1

By: Giselle Medawar, Tarek Wehbe and Elizabeth Abou Jaoude

Open Access

|Apr 2019

Abstract

Folic acid (FA) given before and during pregnancy reduces the risk of several birth defects, including neurologic, cardiac, urinary and other congenital anomalies in the newborn. Several studies around the world showed less than satisfactory awareness and intake of this important vitamin. We undertook the task of exploring this question among Lebanese women of childbearing age.

Between June and November 2014, we conducted this cross-sectional study on women aged 20 to 40 years. The subjects, who agreed to participate, completed a questionnaire, which included questions on sociodemographic characteristics, lifestyle, and knowledge about FA roles during pregnancy, as well as their babies’ health.

Seventy-six percent reported having knowledge about FA during pregnancy, but only a small proportion knew the benefits for taking it. Also, 93.9% of women took FA supplements during pregnancy, however only 33.6% of the participants took FA before becoming aware of their pregnancy.

Public health interventions to improve awareness of FA’s roles before and during pregnancy are crucial to curtail birth defects. It is our opinion that it is a very fruitful preventive medicine tool in which every community should invest.

References

Koken G, Derbent A, Erol O, et al. Awareness and use of folic acid among reproductive age and pregnant women. Department of Obstetrics and Gynaecology. Antalya Education and Research Hospital, Antalya, Turkey; 2013.
Search in Google Scholar Back to article
Rofail D, Colligs A, Abetz L, Lindemann M and Maguire L. Factors contributing to the success of folic acid public health campaigns. J Public Health (Oxf). 2011; 34(1): 90–99. DOI: 10.1093/pubmed/fdr048
Open DOI Search in Google Scholar Back to article
Vila-Nova C, Wehby GL, Queiros F, et al. Periconceptional use of folic acid and risk of miscarriage—Findings of Oral Cleft Prevention Program in Brazil. J Perinat Med. 2013; 41(4): 461–466. DOI: 10.1515/jpm-2012-0173
Open DOI Search in Google Scholar Back to article
Weisman C, Hillemeier M, Downs D, et al. Improving women’s preconceptional health: Long-term effects of the strong healthy women behavior change intervention in the Central Pennsylvania Women’s Health Study. Women’s Health Issues. 2013; 21(4): 265–271. DOI: 10.1016/j.whi.2011.03.007
Open DOI Search in Google Scholar Back to article
Tuomainen H, Cross-Bardell L, Bhoday M, Qureshi N and Kai J. Opportunities and challenges for enhancing preconception health in primary care: Qualitative study with women from ethnically diverse communities. BMJ Open. 2013; 3(7): e002977. DOI: 10.1136/bmjopen-2013-002977
Open DOI Search in Google Scholar Back to article
Metcalfe S. Carrier screening in preconception consultation in primary care. J Community Genet. 2012; 3(3): 193–203. DOI: 10.1007/s12687-011-0071-z
Open DOI Search in Google Scholar Back to article
Bortolus R, Blom F, Filippini F, et al. Prevention of congenital malformations and other adverse pregnancy outcomes with 4.0 mg of folic acid: Community-based randomized clinical trial in Italy and the Netherlands. BMC Pregnancy and Childbirth. 2014; 14(166): 1471–2393. DOI: 10.1186/1471-2393-14-166
Open DOI Search in Google Scholar Back to article
Callaway L, Colditz P and Fisk N. Folic acid supplementation and spontaneous pretem birth: Adding grist to the mill? PLoS Med. 2009; 6(5): e1000077. DOI: 10.1371/journal.pmed.1000077
Open DOI Search in Google Scholar Back to article
Maher M and Keriakos R. Women’s awareness of periconceptional use of folic acid before and after their antenatal visits. Clinical Medicine Insights Women’s Health; 2014. DOI: 10.4137/CMWH.S13535
Open DOI Search in Google Scholar Back to article
Auriel E, Biderman A, Belmarker I, Freud T and Peleg R. Knowledge, attitudes, and practice among women and doctors concerning the use of folic acid. ISRN Obstet Gynecol; 2011. DOI: 10.5402/2011/946041
Open DOI Search in Google Scholar Back to article
Abessolo F, Ngou J, Ntamack J, et al. Statut en micronutriments de la femme gabonaise lors du diagnostic de sa grossesse. Revue Francophone des laboratoires. 2011: 436. DOI: 10.1016/S1773-035X(11)71158-3
Open DOI Search in Google Scholar Back to article
Kelly D, O’Dowd T and Reulbach U. Use of folic acid supplements and risk of cleft lip and palate in infants: A population-based cohort study. Br J Gen Pract. 2012; 62(600): e466–e472. DOI: 10.3399/bjgp12X652328
Open DOI Search in Google Scholar Back to article
Wang M, Li K, Zhao D and Li L. The association between maternal use of folic acid supplements during pregnancy and risk of autism spectrum disorders in children: A meta-analysis. Mol. Autism. 2017; 2(8): 51. DOI: 10.1186/s13229-017-0170-8
Open DOI Search in Google Scholar Back to article
Hochberg L, Stone J, Wilkins-Haug L and Barss V. Folic acid supplementation in pregnancy; 2014a.
Search in Google Scholar Back to article
Huhta JC and Linask K. When should we prescribe high-dose folic acid to prevent congenital heart defects? Curr Opin Cardiol. 2015; 30(1): 125–131. DOI: 10.1097/HCO.0000000000000124
Open DOI Search in Google Scholar Back to article
Bitzer J, Stenglin A and Bannemerschult R. Women’s awareness and periconceptional use of folic acid: Data from a large European survey. International Journal of Women’s Health. 2013; 5: 201–213. DOI: 10.2147/IJWH.S40149
Open DOI Search in Google Scholar Back to article
Stephenson J, Patel D, Barret G, et al. How do women prepare for pregnancy? Preconception experiences of women attending antenatal services and views of health professionals. PLoS One. 2014; 9(7): e103085. DOI: 10.1371/journal.pone.0103085
Open DOI Search in Google Scholar Back to article
Blencowe H, Cousens S, Modell B and Lawn J. Folic acid to reduce neonatal mortality from neural tube disorders. Int J Epidemiol. 2010; 39(Suppl 1): i110–i121. DOI: 10.1093/ije/dyq028
Open DOI Search in Google Scholar Back to article
Luton D, Forestier A, Courau S and Ceccaldi P. Preconception care in France. International Journal of Gynecology and Obstetrics. 2014; 125: 144–145. DOI: 10.1016/j.ijgo.2013.10.019
Open DOI Search in Google Scholar Back to article
Agricola E, Gesualdo F, Pandolfi E, et al. Does googling for preconception care result in information consistent with international guidelines: A comparison of information found by Italian women of childbearing age and health professionals. BMC Med Inform Decis Mak. 2013: 13–14. DOI: 10.1186/1472-6947-13-14
Open DOI Search in Google Scholar Back to article
Sackey A, Wilkins-Haug L and Barss V. The preconception office visit; 2014.
Search in Google Scholar Back to article
Berry RJ, Li Z, Erickson, JD, et al. Prevention of neural-tube defects with folic acid in China. N Engl J Med. 1999; 341: 1485–1490. DOI: 10.1056/NEJM199911113412001
Open DOI Search in Google Scholar Back to article
Ahmad B, Anam N, Khalid N, et al. Perceptions of women of reproductive age about vitamin and folic acid supplements during pregnancy, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia. Journal of Taibah University Medical Sciences. 2013; 8(3): 199–204. DOI: 10.1016/j.jtumed.2013.08.002
Open DOI Search in Google Scholar Back to article
Maher M and Keriakos R. Women’s awareness of periconceptional use of folic acid before and after their antenatal visits. Clin Med Insights Women’s Health. 2014; 1(7): 9–15. DOI: 10.4137/CMWH.S13535
Open DOI Search in Google Scholar Back to article
Jackson DJ, Batiste E and Rendall-Mkosi K. Effect of smoking and alcohol use during pregnancy on the occurrence of low birthweight in a farming region in South Africa. Paediatr Perinat Epidemiol. 2007; 21(5): 432–440. DOI: 10.1111/j.1365-3016.2007.00847.x
Open DOI Search in Google Scholar Back to article
Watson M, Watson L, Bell R and Halliday J. The increasing knowledge of the role of periconceptional folate in Victorian women of child-bearing age: Follow-up of a randomized community intervention trial. Aust N Z J Public Health. 2001; 25(5): 389–395. DOI: 10.1111/j.1467-842X.2001.tb00280.x
Open DOI Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.5334/aogh.2396 | Journal eISSN: 2214-9996

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Language: English

Published on: Apr 9, 2019

Published by: Ubiquity Press

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

© 2019 Giselle Medawar, Tarek Wehbe, Elizabeth Abou Jaoude, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 85 (2019): Issue 1