A METHOD TO IMPROVE IRON COMPLIANCE IN TREATING IRON DEFICIENCY ANAEMIA IN PREGNANCY.

Corresponding Author:
Dr. Deepthi Balakrishnan,
Mayuram, HNRA 460,
Pattoor, Vanchiyoor P. O.,
Thiruvanathapuram-695035,
Kerala,
India.
E-mail:deepthibalakrishna@gmail.com

ABSTRACT

BACKGROUND

Anaemia among pregnant women is a serious global health concern. Iron deficiency is the most prevalent nutritional deficiency on the globe. In India, pregnant women are amongst the most vulnerable population for iron deficiency anaemia. Even though iron supplements are prescribed, the compliance to therapy is inconsistent. Since India has a predominant rural population, shortage of medical manpower and lack of healthcare facilities may contribute to poor compliance with therapy.

MATERIALS AND METHODS

An observational study was conducted with 140 pregnant anemic women, from a rural area of SUT medical college, Thiruvananthapuram, India. Direct observers were assigned as volunteers, who monitored consumption of oral iron supplementation tablets by pregnant women. The direct observer was an adult in the family who was willing to participate. A detailed history and baseline investigations were done before the initiation of study and periodical assessment of haemoglobin levels was done to evaluate progress and monitor haemoglobin levels.

RESULTS

The mean adherence rate and haemoglobin levels in the direct observers’ group were higher compared to the control group, across all visits. The mean haemoglobin values of participants in study group during 1^st visit was 8.97 gm%, whereas in control group, it was 8.98 gm%; In the 2^nd visit, mean haemoglobin level in the study group was 9.47 gm% and 9.18 gm% in the control group; In the 3^rd visit, mean haemoglobin was 9.99 gm% in the study group and 9.32 gm% in control group. There was no statistical difference in the mean haemoglobin values between two groups in the first two visits. Although the mean haemoglobin values were similar on baseline investigations (1^st visit), there was a difference of 0.30 gm% in 2^nd visit and 0.67 gm% difference in the 4^th Visit. The difference in haemoglobin values at 4^th visit was statistically significant.

CONCLUSION

It is suggested that assigning a direct observer, as a volunteer for monitoring and delivering oral iron supplementation, amplifies the adherence of pregnant women to oral iron tablets.

KEY WORDS

Anaemia, Compliance, Monitoring, Supervision, Direct Observer.