Fouelifack Florent Ymele, Sama Julius Dohbit, Sone Charles Enome
Department of Obstetrics and Gynaecology of Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon.
Obstetrics and Gynaecology Unit of Yaoundé Central Hospital, Yaoundé, Cameroon.
Pan Afr Med J. 2019 Dec 26;34:211. doi: 10.11604/pamj.2019.34.211.16446. eCollection 2019.
Anemia is a global problem affecting 41.8% of pregnant women. Iron deficiency is the leading cause during pregnancy. Its prevalence among Cameroonian pregnant women was estimated at 50.9% in 2004. Few studies have evaluated women's adherence to iron supplementation prescribed during pregnancy. We carried this study in order to evaluate the rate of adherence to iron supplementation and its determinants during pregnancy.
The study was cross-sectional descriptive, on postpartum women at the Gynaeco-Obstetric and Pediatric Hospital of Yaoundé during three months. Adherence was measured using the 8-item Morisky Medication Adherence Scale (MMAS-8). The total score was classified as low, moderate and high adherence.
For a total of 304 recruited women, 16.4% were highly compliant, 27.6% moderately compliant, while 56% were low compliant with iron supplementation during pregnancy. The reasons for non-adherence were side effects (19.7%), forgetting (70.1%) and inaccessibility of iron supplements (20.1%). Up to 85 (or 28%) women found it boring to take medication daily. Women with no side effects were about thrice most likely to adhere to the iron supplementation than those with side effects: OR = 3.73 [2.43-5.71]; P = 0.04. Women aged 25 years and above were more likely to be non-compliant to iron supplementation than those youngers: OR = 0.40 [0.31-0.88]; P = 0.02.
To improve adherence to antenatal iron supplementation, it is important to increase communication for behavior change and counseling before or during antenatal care. Forgetting being the main reason for non-adherence, women should keep their iron in a place of easy access.
贫血是一个全球性问题，影响着41.8%的孕妇。缺铁是孕期贫血的主要原因。2004年，喀麦隆孕妇中铁缺乏症的患病率估计为50.9%。很少有研究评估女性对孕期规定的铁补充剂的依从性。我们开展这项研究是为了评估孕期铁补充剂的依从率及其决定因素。
该研究为横断面描述性研究，对雅温得妇产科和儿科医院产后女性进行了为期三个月的调查。使用8项Morisky药物依从性量表（MMAS-8）测量依从性。总分分为低、中、高依从性。
在总共招募的304名女性中，16.4%为高度依从，27.6%为中度依从，而56%的女性在孕期对铁补充剂的依从性较低。不依从的原因是副作用（19.7%）、遗忘（70.1%）和无法获得铁补充剂（20.1%）。多达85名（或28%）女性认为每天服药很枯燥。没有副作用的女性坚持服用铁补充剂的可能性是有副作用女性的三倍左右：比值比=3.73[2.43-5.71]；P=0.04。25岁及以上的女性比年轻女性更有可能不依从铁补充剂：比值比=0.40[0.31-0.88]；P=0.02。
为了提高产前铁补充剂的依从性，在产前护理之前或期间加强行为改变沟通和咨询非常重要。由于遗忘是不依从的主要原因，女性应将铁剂放在容易拿到的地方。
