دورية أكاديمية
Periconceptional folic acid supplementation in Southern Brazil: Why are not we doing it right?
| العنوان: | Periconceptional folic acid supplementation in Southern Brazil: Why are not we doing it right? |
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| المؤلفون: | da Rosa EB; Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), RS, Brazil., Silveira DB; Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), RS, Brazil., Correia JD; Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), RS, Brazil., Grapiglia CG; Graduation in Nursing, UFCSPA, Porto Alegre, Brazil., de Moraes SAG; Graduation in Medicine, UFCSPA, Porto Alegre, Brazil., Nunes MR; Graduation in Nursing, UFCSPA, Porto Alegre, Brazil., Zen TD; Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), RS, Brazil.; Pharmacy, Faculdade de Ciências da Saúde, Centro Universitário Ritter dos Reis - UniRitter, Porto Alegre, Brazil., Oliveira CA; Institute of Education and Research, Hospital Moinhos de Vento, Porto Alegre, Brazil., Correia EPE; Graduation in Medicine, UFCSPA, Porto Alegre, Brazil., Alcay CT; Nursing Service, Hospital Materno Infantil Presidente Vargas (HMIPV), Porto Alegre, Brazil., Lisboa ML; Nursing Service, Hospital Materno Infantil Presidente Vargas (HMIPV), Porto Alegre, Brazil.; Fetal Medicine, HMIPV, Porto Alegre, Brazil., da Cunha AC; Fetal Medicine, HMIPV, Porto Alegre, Brazil., Zen PRG; Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), RS, Brazil.; Clinical Genetics, UFCSPA and Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Brazil., Rosa RFM; Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), RS, Brazil.; Clinical Genetics, UFCSPA and Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Brazil. |
| المصدر: | American journal of medical genetics. Part A [Am J Med Genet A] 2019 Jan; Vol. 179 (1), pp. 20-28. Date of Electronic Publication: 2018 Dec 19. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 101235741 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-4833 (Electronic) Linking ISSN: 15524825 NLM ISO Abbreviation: Am J Med Genet A Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, N.J. : Wiley-Blackwell Original Publication: Hoboken, N.J. : Wiley-Liss, c2003- |
| مواضيع طبية MeSH: | Dietary Supplements* , Prenatal Care*, Folic Acid/*administration & dosage , Neural Tube Defects/*diet therapy, Adolescent ; Adult ; Brazil/epidemiology ; Child ; Female ; Humans ; Middle Aged ; Neural Tube Defects/epidemiology ; Neural Tube Defects/prevention & control ; Pregnancy ; Young Adult |
| مستخلص: | Several countries, as Brazil, have public policies for periconceptional folic acid supplementation (FAS) in order to prevent unfavorable outcomes. Our aim was to evaluate the FAS situation in a public reference hospital from Southern Brazil. This study included all mothers who had children born at the Hospital Materno Infantil Presidente Vargas, RS, Brazil, in a 1-year period. Data collection was conducted through interviews with application of a clinical protocol and analysis of the patients' records. FAS was defined as the use of folic acid in any period of the periconceptional period, irrespective of the duration and amount. We also classified those mothers who correctly followed the national recommendation proposed by the Health Ministry of Brazil. The sample consisted of 765 mothers evaluated soon after childbirth. Their ages ranged from 12 to 45 years (mean 25.2 years). The overall level of FAS was 51.5%, and the use according to the national recommendation occurred in only 1.6%. Factors associated with non-FAS consisted of lower maternal age (p = .009) and maternal schooling (p = .023), higher number of pregnancies (p = .003), fewer prenatal visits (p = .050) and later prenatal care onset (p = .037). Periconceptional FAS in our midst seems to be very far from the ideal goal. Susceptible groups appeared to be mothers who were younger, less educated, multiparous, and had inadequate prenatal care. We believe that efforts of education and awareness should be especially targeted for these groups. These recommendations should also be strengthened among those who prescribe the FAS. (© 2018 Wiley Periodicals, Inc.) |
| معلومات مُعتمدة: | 301834/2016-4 International Conselho Nacional de Desenvolvimento Científico e Tecnológico; International Coordenação de Aperfeiçoamento de Pessoal de Nível Superior |
| فهرسة مساهمة: | Keywords: Periconceptional folic acid supplementation; low maternal schooling; multiparous; pregnancy; prenatal care; prevention; younger mother |
| المشرفين على المادة: | 935E97BOY8 (Folic Acid) |
| تواريخ الأحداث: | Date Created: 20181221 Date Completed: 20200212 Latest Revision: 20200930 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1002/ajmg.a.60699 |
| PMID: | 30569628 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1552-4833 |
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| DOI: | 10.1002/ajmg.a.60699 |