Nosrat Sepideh Bakhshande, Sedehi Maliheh, Golalipour Mohammad Jafar
Department of Gynaecology, Gorgan Congenital Malformations Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
J Pak Med Assoc. 2012 Aug;62(8):785-9.
To assess the knowledge and practice of urban Iranian pregnant women regarding periconceptional folic acid intake for neural tube defect (NTD) prevention.
The population-based study was done on 676 primiparous women in an urban area in Golestan province in northern Iran from June to November, 2008. A questionnaire was completed by the subjects regarding their knowledge of folic acid. Questionnaires were administered to women who were seeking routine antenatal care at health centres, private gynaecological clinic and the Dezyani Gynaecologic and Obstetric Hospital. Questions covered knowledge and use of folic acid supplements and demographic and socioeconomic characteristics.
Out of the 676 women surveyed, 96.2% reported that they heard of folate. Of these, only 27.6% knew that folate was something important in the prevention of neural tube defects. Overall, 20.12% of the total women took folic acid during periconceptional period. The most common information sources on folate were healthcare service (54.5%). Besides, 37.6% of the subjects who heard about folate were aware that green leafy vegetables were fortified with folic acid. In univariate analysis, knowledge and intake of folic acid was not associated with education and the age of women.
A healthcare plan for intervention to increase the knowledge and intake of folic acid by pregnant women during the protective period is required.
评估伊朗城市孕妇在围孕期摄入叶酸以预防神经管缺陷（NTD）方面的知识和实践情况。
2008年6月至11月，在伊朗北部戈勒斯坦省一个城市地区对676名初产妇进行了基于人群的研究。受试者填写了一份关于其叶酸知识的问卷。问卷发放给在健康中心、私立妇科诊所和德扎亚尼妇产科医院寻求常规产前护理的女性。问题涵盖叶酸补充剂的知识和使用情况以及人口统计学和社会经济特征。
在676名接受调查的女性中，96.2%报告听说过叶酸。其中，只有27.6%知道叶酸在预防神经管缺陷方面很重要。总体而言，20.12%的女性在围孕期服用了叶酸。关于叶酸最常见的信息来源是医疗服务（54.5%）。此外，听说过叶酸的受试者中，37.6%知道绿叶蔬菜富含叶酸。在单因素分析中，叶酸知识和摄入量与女性的教育程度和年龄无关。
需要制定一项干预性医疗保健计划，以增加孕妇在保护期内对叶酸的知识和摄入量。
