The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Compliance to iron supplementation during pregnancy
Abstract
Iron deficiency anaemia is the most common nutritional disorder in the world. Pregnant women are at especially high risk of iron deficiency and anaemia because of significantly increased iron requirements during pregnancy. Iron supplementation during pregnancy has been recommended for women in the developing world, since usually no basic changes occur in the composition of the diet. This is a retrospective cohort study carried out in Al-Yamamah Hospital, Riyadh, Saudi Arabia, comparing the outcome of haemoglobin levels in 308 pregnant women near term with compliance to iron supplementation during the preceding pregnancy stages. Data were collected using an interview-based questionnaire for assessment of supplementation compliance and the women were divided into three categories: strictly compliant; partially compliant; and non-compliant. Haemoglobin levels were extracted from the medical records for the first antenatal visit (before 13 weeks' gestation) and compared with the level at entrance to the study at 36 weeks' gestation. Both Epi-info 2002 version 3.2 and SPSS version 10 were used for data analysis. Our results show that 49.7% used iron supplements continuously during the second and third trimesters of pregnancy; 38.3% reported partial use and 12.0% used no iron supplements. Haemoglobin levels improved significantly only among strictly compliant pregnant women, by 0.3 g/dl; decreased among partially compliant women by, 0.36 g/dl and significantly decreased among non-compliant, by -1.4 g/dl. Factors associated with non-compliance were education with a simple linear protective effect from being non-compliant. The percentage of anaemic women increased from 29.6% in the first trimester to 34% in the third trimester. Anaemia was significantly associated with non-compliance with iron supplementation, the adjusted OR was 6.19 95% CI 2.55-15.02, p < 0.0001. Strategies to improve compliance and effective iron supplementation among pregnant women should be implemented.
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“Side-effect is frequently considered as a major obstacle to compliance.”
In the citing paper
“Several studies found better iron supplement utilization among socio-economically empowered women [19,21-23].”
Citations
Cites
WHO antenatal care randomised trial for the evaluation of a new model of routine antenatal care
Villar, J., Ba'aqeel, H., Piaggio, G., Lumbiganon, P., Belizán, J. M., Farnot, U., Al-Mazrou, Y., Carroli, G., Pinol, A., Donner, A., et al. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04722-x · Cited by 627
(1968) · PubMed · Cited by 235
Effectiveness and strategies of iron supplementation during pregnancy
Beard, J. L. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.5.1288s · Cited by 211
Effects of Iron Supplementation on Maternal Hematologic Status in Pregnancy
Sloan, N. L., Jordan, E., & Winikoff, B. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.2.288 · Cited by 105
Iron Deficiency and Anaemia in Pregnancy: Modern Aspects of Diagnosis and Therapy
Breymann, C. (2002) · Blood Cells Molecules and Diseases · doi:10.1006/bcmd.2002.0597 · Cited by 85
Folate, vitamin D, and iron intakes are low among pregnant Finnish women
Erkkola, M., Karppinen, M., Järvinen, A., Knip, M., & Virtanen, S. (1998) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600638 · Cited by 81
Micronutrient Status during Pregnancy and Outcomes for Newborn Infants in Developing Countries
Costello, A. M. D. L., & Osrin, D. (2003) · Journal of Nutrition · doi:10.1093/jn/133.5.1757s · Cited by 72
Contemporary Obstetrics and Gynaecology for Developing Countries
Ladipo, O. A., Okonofua, F. E., & Odunsi, K. O. (2004) · African Journal of Reproductive Health · doi:10.2307/3583315 · Cited by 57
Palma, S., Pérez‐Iglesias, R., Prieto, D., Pardo, R., Llorca, J., & Delgado‐Rodríguez, M. (2008) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2006.052985 · Cited by 55
Iron supplementation in pregnancy
Müngen, E. (2003) · Journal of Perinatal Medicine · doi:10.1515/jpm.2003.065 · Cited by 51
Research works printed but not linked: 4
- Alquiz J, 2001, Saudi Medical Journal, 6, 490
- Mahfouz A A, 1994, Southeast Asian Journal of Tropical Medicine and Public Health, 25, 84
- WHO, 1992, The prevalence of anemia in women: a tabulation of available information
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Tolkien, Z., Stecher, L., Mander, A. P., Pereira, D. I. A., & Powell, J. J. (2015) · PLOS ONE · doi:10.1371/journal.pone.0117383 · Cited by 833
Goonewardene, M., Shehata, M., & Hamad, A. A. (2011) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2011.10.010 · Cited by 283
Gebremedhin, S., Samuel, A., Mamo, G., Moges, T., & Assefa, T. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-607 · Cited by 156
“According to a study in Saudi Arabia, 10% of the women with low compliance miss the supplements believing that they had adequate diet [22].”
BackgroundInfluentialBa, D. M., Ssentongo, P., Kjerulff, K. H., Na, M., Liu, G., Gao, X., & Du, P. (2019) · Current Developments in Nutrition · doi:10.1093/cdn/nzz120 · Cited by 149
Wemakor, A. (2019) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-019-2644-5 · Cited by 114
Metadata
- Authors
- Habib, F., Habib Zein Alabdin, E., Alenazy, M., & Nooh, R.
- Affiliations
- King Fahd Medical City (SA)
- Ministry of Health (SA)
- Corresponding author
- Habib, F.
- Venue
- Journal of Obstetrics and Gynaecology
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 29
- Issue
- 6
- Pages
- 487-492
- ISSN
- 0144-3615 (ISSN-L)
- 1364-6893
- OpenAlex
- W2116113041
- Cited by
- 117
- References
- 16
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 1 · 2023: 3 · 2022: 23 · 2021: 8 · 2020: 5 · 2019: 10 · 2018: 9 · 2017: 4 · 2016: 4 · 2015: 6 · 2014: 10 · 2013: 6 · 2012: 3
- FWCI
- 2.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetrics and Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- iron supplementation, medication adherence, iron deficiency anemia, pregnancy, hemoglobin levels, anemia in pregnancy, educational attainment, Saudi Arabia
- MeSH terms
- Adolescent, Adult, Female, Hemoglobins, Humans, Iron, Middle Aged, Patient Compliance, Pregnancy, Pregnancy Complications, Hematologic, Retrospective Studies, Saudi Arabia, Trace Elements, Cohort Studies, Anemia, Iron-Deficiency, Dietary Supplements, Young Adult
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