The use of folic acid and other vitamins before and during pregnancy in a group of women in Melbourne, Australia
The use of folic acid and other vitamins before and during pregnancy in a group of women in Melbourne, Australia
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DOI：
10.1016/j.midw.2007.01.019
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发表时间：
2009-04-01
期刊：
影响因子：
2.7
通讯作者：
Bolger, Melissa
中科院分区：
文献类型：
--
作者：
Forster, Delia A.;Wills, Gernma;Bolger, Melissa
目的：了解孕妇孕前和孕期叶酸及其他维生素补充剂的使用情况，包括叶酸的种类、剂量和形式；谁推荐使用叶酸补充剂以及服用叶酸的原因；以及妇女对服用叶酸原因的了解。设计：横断面调查。地点：澳大利亚墨尔本的一家公立三级转诊医院。参与者：连续36-38周的孕妇完成一项自填式调查(有英语、广东话、越南语、土耳其语和阿拉伯语版本)。测量：采用结构化问卷。研究结果：在705名符合条件的妇女中，有588人(83%)同意参加。其中，88人(15%)用英语以外的语言填写了问卷。29%(168/588)的妇女在怀孕前服用叶酸补充剂。只有23%的人报告在怀孕前4周服用叶酸补充剂。在怀孕期间，79%的妇女服用叶酸，其中大多数在13周前就开始服用。怀孕期间服用的其他维生素补充剂有铁(52%)、钙(24%)、维生素B6(10%)、孕期复合维生素(35%)和锌(7%)。只有8%的人在怀孕期间根本不服用补充剂。与不服用叶酸风险增加相关的因素是收入
Objective: to explore the use of folic acid and other vitamin supplements before and during pregnancy, including type, dosage and form; who recommended supplement use and for what reason; and women's understanding of why they took folic acid.Design: cross-sectional survey.Setting: a public tertiary referral hospital in Melbourne, Australia.Participants: consecutive pregnant women at 36-38-weeks gestation completed a self-administered survey (available in English, Cantonese, Vietnamese, Turkish and Arabic).Measurements: a structured questionnaire was used. Descriptive statistics are presented, with stratified and regression analyses to compare sub-groups.Findings: of 705 eligible women, 588 (83%) agreed to participate. Of these, 88 (15%) completed the questionnaire in a language other than English. Twenty-nine per cent (168/588) of women took pre-pregnancy folic acid supplements. Only 23% reported taking a folic acid supplement for at (east 4 weeks before pregnancy. During pregnancy, 79% of women took folic acid, most of whom commenced before 13 weeks. Other vitamin supplements taken during pregnancy were iron (52%), calcium (24%), Vitamin B6 (10), pregnancy multivitamins (35%) and zinc (7%). Only 8% took no supplements at all in pregnancy. Factors associated with an increased risk of not taking folic acid were income