de la Vega Alberto, Salicrup Eumarie, Verdiales Maribelle
Department of Obstetrics and Gynecology, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, San Juan, PR, USA.
P R Health Sci J. 2002 Mar;21(1):7-9.
A nationwide program directed at stimulating the preconceptional use of folic acid (FA) for the prevention of open neural tube defects has been in effect in Puerto Rico for the last 4 years. To evaluate its effectiveness, 479 questionnaires were distributed among pregnant patients. The average age was 27 (range 14-21), and 64.9% of the pregnancies were unplanned. Preconceptional use of FA was 31.5%, despite 87.7% of patients reporting knowledge about the importance of FA use. Only 35.4% of patients who had knowledge about FA used it prior to conception. Among patients who planned their pregnancies and knew about the importance of FA, 92/168 (54.6%) used it prior to pregnancy. With these dismal results, we believe these campaigns should re-evaluate their educational strategies and consider reduction of unplanned pregnancies as part of their goals.
在过去4年里，波多黎各实施了一项旨在促进孕前使用叶酸（FA）以预防开放性神经管缺陷的全国性计划。为评估其有效性，向孕妇患者发放了479份问卷。平均年龄为27岁（范围14 - 21岁），64.9%的怀孕属于意外怀孕。尽管87.7%的患者表示了解使用叶酸的重要性，但孕前使用叶酸的比例仅为31.5%。在了解叶酸的患者中，只有35.4%在怀孕前使用了叶酸。在计划怀孕且了解叶酸重要性的患者中，92/168（54.6%）在怀孕前使用了叶酸。鉴于这些令人沮丧的结果，我们认为这些宣传活动应重新评估其教育策略，并将减少意外怀孕作为目标的一部分。
