Document Detail


Pregnancy intendedness and the use of periconceptional folic acid.
MedLine Citation:
PMID:  12728127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Periconceptional use of folic acid can prevent birth defects, including at least 50% of neural tube defects. This study used an ongoing surveillance system to explore the association between pregnancy intendedness and women taking periconceptional folic acid.
METHODS: Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) surveys a stratified random sample of women after a live birth. In 1998-1999, 1867 women completed the survey (64.0% response rate); responses were weighted for nonresponse. Women were asked whether they took folic acid most days in the month before becoming pregnant.
RESULTS: Overall, 33.2% of women took folic acid most days in the month before becoming pregnant, and 39.9% said that their pregnancy was unintended. Adolescent mothers were less likely to take periconceptional folic acid (9.2%) and more likely to report unintended pregnancy (62.0%) than older women. Overall, women who said that their pregnancy was intended were more likely to report that they had taken periconceptional folic acid (odds ratio: 4.75; 95% confidence interval: 3.16-7.14); after controlling for maternal age and income the odds ratio was 3.70 (95% confidence interval: 2.38-5.56).
CONCLUSIONS: Women whose pregnancies were intended were more likely to have been taking periconceptional folic acid than women whose pregnancies were unintended. The importance of fertile women's taking daily multivitamins that contain 400 microg (0.4 mg) of folic acid should be stressed among women who are not contemplating pregnancy, especially adolescents and low-income women.
Authors:
Kenneth D Rosenberg; Jill M Gelow; Alfredo P Sandoval
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  111     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-02     Completed Date:  2003-05-09     Revised Date:  2012-10-10    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1142-5     Citation Subset:  AIM; IM    
Affiliation:
Office of Family Health, Oregon Department of Human Services, Portland, Oregon 97232, USA. ken.d.rosenberg@state.or.us
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Behavioral Risk Factor Surveillance System
Dietary Supplements*
Female
Folic Acid / therapeutic use*
Humans
Intention*
Neural Tube Defects
Oregon
Population Surveillance
Preconception Care*
Pregnancy / psychology*,  statistics & numerical data
Pregnancy, Unwanted / psychology,  statistics & numerical data
Chemical
Reg. No./Substance:
59-30-3/Folic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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