Evaluation of Women's Knowledge Levels About Folic Acid; An Example of a University Hospital

Year 2024, , 7 - 13, 30.01.2024

Hülya Altındağ , Mehmet Emin Layık

https://doi.org/10.56766/ntms.1388150

Abstract

AIM: Folic acid decreases physiologically during pregnancy and this situation predisposes to congenital anomalies such as neural tube defects and spina bifida. The aim of our study was to measure the level of knowledge of women about the use of folic acid in the preconceptional period.
METHODS: In this study, we conducted a questionnaire study questioning the level of knowledge about folic acid among women aged 18-49 years and female health care workers who applied to Van YYÜ Dursun Odabaş Medical Center Family Medicine outpatient clinics and statistical analyses were evaluated in SPSS (ver. 20) program.
RESULTS: Of the 400 women who participated in our study, 47% were healthcare workers and 53% were patients. To the question "Have you heard of folic acid before?" 78.3% of the participants answered "Yes" and 21.9% answered "No". "Among 206 individuals with a history of previous pregnancy, 51.9% answered "Yes" and 48.1% answered "No" to the question. In the study, it was observed that the level of knowledge about folic acid and folic acid use was higher in younger age groups, health workers, single women, university graduates, those with higher income levels and those with fewer parities.
CONCLUSION: It was concluded that the level of knowledge and awareness of folic acid is not at an adequate level and folic acid awareness of women of reproductive age should be increased. In order to increase this awareness at the social level, family physicians, midwives or nurses, whom the public will reach in the first place, should inform the patients.

Keywords

Folic acid, pregnancy, neural tube defect

References

• 1. Tamura T, Picciano MF. Folate and human reproduction. Am J Clin Nutr. 2006;83:993-1016.
• 2. Y�ld�z D, Akbayrak N. N￶ral Tp Defektleri ve ￖnlemede Hem￾irelik Yakla￾�mlar�. Atatrk ￜniversitesi Hem￾irelik Yksekokulu Dergisi. 2008; 11(2):102-11.
• 3. Jin J. Folic Acid Supplementation for Prevention of Neural Tube Defects. American Medical Association. 2017;317(2):183-89.
• 4. MRC Vitamin Study Research Group. Prevention of neural tube defects: Results of the Medical Research Council Vitamin Study. The Lancet. 1991; 338(8760):131-37.
• 5. Czernichow S, Noisette N, Blacher J, et al. Case for Folic Acid and Vitamin B12 Fortification in Europe. Semin Vasc Med. 2005; 5(2):156-62.
• 6. Ferrazzi E, Tiso G, Di Martino D. Folic acid versus 5- methyl tetrahydrofolate supplementation in pregnancy. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2020; 253:312-19.
• 7. Dessie MA, Zeleke EG, Workie SB, Berihun AW. Folic acid usage and associated factors in the prevention of neural tube defects among pregnant women in Ethiopia: Cross-sectional study. BMC Pregnancy Childbirth. 2017; 17(1):1-8.
• 8. Y�ld�r�m NB, Mat E. Denizli Ilindeki Gebelerin Folik Asit Kullan�m� ve N￶ral Tp Defekti Ile ￝li￾kisi Hakk�nda Bilgi Dzeylerinin De￰erlendirilmesi. 2012.
• 9. Bitzer J, Von Stenglin A, Bannemerschult R. Women's awareness and periconceptional use of folic acid: Data from a large European survey. Int J Womens Health. 2013; 5:201-13.
• 10. Green-Raleigh K, Carter H, Mulinare J, Prue C, Petrini J. Trends in folic acid awareness and behavior in the United States: The gallup organization for the March of dimes foundation surveys, 1995-2005. Matern Child Health J. 2006; 10:177-82.
• 11. Unusan N. Assessment of Turkish women's knowledge concerning folic acid and prevention of birth defects. Public Health Nutr. 2004; 7(7):851-55.
• 12. Pekta￾ ￝, Zoro￰lu G, Mayda AS. The Condition of Folic Acid Knowledge, Folic Acid Awareness and Folic Acid Use at Pregnants Who Appeal to Duzce University Medical Faculty Hospital Obstetrics Clinic. Duzce Med J. 2017; 19(3):65-69.
• 13. Y�lmazel G, Bykkayac� Duman N, Gng￶r T. Folic Acid Consumption, Knowledge And Awareness Among Women At Child Bearing Age. J Gynecol Obstet Neonatol. 2015; 12(6):209-12.
• 14. Somunk�ran A, Ar�can AE, Ycel O. Dzce Y￶resindeki Gebelerde FoIik Asit Kullan�m�n� Etkileyen Fakt￶rler. Trk Jinekoloji ve Obstetrik Derne￰i. 2007; 4(1):33-36.
• 15. Kim J, Yon M, Kim C il, et al. Preconceptional use of folic acid and knowledge about folic acid among low-income pregnant women in Korea. Nutr Res Pract. 2017; 11(3):240-46.
• 16. Forster DA, Wills G, Denning A, Bolger M. The use of folic acid and other vitamins before and during pregnancy in a group of women in Melbourne, Australia. Midwifery. 2009; 25(2):134-46.
• 17. Riazi H, Bashirian S, Amini L. Awareness of Pregnant Women about Folic Acid Supplementation in Iran. J Family Reprod Health. 2012; 6(4):159-64.
• 18. Maher M, Keriakos R. Women's Awareness of Periconceptional Use of Folic Acid Before and After Their Antenatal Visits. Clin Med Insights Womens Health. 2014; 7:9-15.