Compliance of Iron Supplementation during pregnancy and factors effecting compliance.

  • Haroon ur Rashid Sargodha Medical College, Sargodha.
  • Sheraz Saleem DHQ Teaching Hospital, Sargodha medical College, Sargodha.
  • Khan Muhammad Babar Bolan Medical College, Quetta.
  • Khalid Mahmood DHQ Teaching Hospital, Sargodha Medical College, Sargodha.
  • Hina Younis College of Pharmacy, University of Sargodha, Sargodha.
  • Safirah Maheen College of Pharmacy, University of Sargodha, Sargodha.
Keywords: Anemia, Compliance, Hemoglobin, Iron Supplements, Pregnancy

Abstract

Objectives: This study aims at measuring compliance to iron supplements because iron deficiency anemia (IDA) is worldwide problem among pregnant women, so Iron supplements are advised usually in once daily regimen but compliance to iron supplements therapy is a major problem due to possible side effects and long-term duration of therapy. Study Design: Retrospective questionnaire-based study. Setting: Mola Bakhsh Hospitals, Sargodha, Pakistan, Period: From February to December, 2018. Material & Methods: This study was design to check compliance to iron supplementation during pregnancy and various factors related to directly and indirectly noncompliance to iron supplementation. A total of 267 pregnant females were recruited in study. Data was collected through a questionnaire translated in local language. On this basis sample population was divided into three groups compliant, partially compliant and non-compliant major factors associated with the prevalence of anemia and non-compliance to iron supplements were education, side effects, financial issues, forgetfulness, personal beliefs, disliking of pharmaceutical preparation etc. Results: After thorough analysis it was found that iron deficiency anemia is prevalent in about 64% of females in the third trimester. Improvement in Hb level in third trimester compared to 1st trimester was taken as parameter for measurement of compliance. Conclusion: side effects due these iron supplements and certain human habits act as hurdle to fight anemia during pregnancy and to eradicate these hurdles certain steps like education of women about anemia, its causes, health implication and imparting nutritional education with special emphasis to improve dietary intake of proteins and iron.

Author Biographies

Haroon ur Rashid, Sargodha Medical College, Sargodha.

MBBS, DMRT

Assistant Professor

Department of Radiotherapy & Nuclear Medicine

 

Sheraz Saleem, DHQ Teaching Hospital, Sargodha medical College, Sargodha.

MBBS, FCPS (Medicine)

Assistant Professor

Department of Medicine

 

Khan Muhammad Babar, Bolan Medical College, Quetta.

MBBS, FCPS (Surgery)

Associate Professor

Department of Surgery

 

Khalid Mahmood, DHQ Teaching Hospital, Sargodha Medical College, Sargodha.

MBBS, FCPS (Surgery)

Assistant Professor

Department of Surgery

 

Hina Younis, College of Pharmacy, University of Sargodha, Sargodha.

Pharm-D, M.Phil (Pharmaceutics)

 

Safirah Maheen, College of Pharmacy, University of Sargodha, Sargodha.

Pharm-D, M.Phil (Pharmaceutics)

 

Published
2019-11-06