[Iron, folic acid, and vitamin D supplementation during pregnancy: patient compliance] / Supplémentations en fer, acide folique, vitamine D pendant la grossesse : observance des patientes.

INTRODUCTION: For over 20 years, there have been many recommendations for iron, folic acid, and vitamin D supplements during pregnancy and periconceptional periods. Despite the recommendations, the deficiency rate remains high. METHOD: A quantitative, prospective, descriptive, multicentric survey was conducted with new mothers (n=200) hospitalized in the postpartum department in three different levels of maternity hospitals. A questionnaire based on current medical literature on the topic was used to question pregnant women about their pregnancy and their periconceptional period. The purpose of this study was to record the compliance and the reasons of non-compliance of pregnant women concerning their intake of supplementary iron, vitamin D and acid folic during their pregnancy. RESULTS: Less than one out of two women reported having received a prescription for folic acid or vitamin D; and two thirds of pregnant women reported having received iron supplementation during their pregnancy. More than one in three women who had received a supplementation prescription reported not knowing the aim. The multiparity (p=0.03) and social assistance affiliation (p=0.05) are significant parameters influencing a poor compliance of supplementations. CONCLUSIONS: The supplementations during pregnancy and periconceptional period are still insufficient in regards to recommendations. Public health measures could be applied at a younger age through the establishment of nutrition courses.

[Iron, folic acid, and vitamin D supplementation during pregnancy: patient compliance]. / Supplémentations en fer, acide folique, vitamine D pendant la grossesse : observance des patientes.

INTRODUCTION: For over 20 years, there have been many recommendations for iron, folic acid, and vitamin D supplements during pregnancy and periconceptional periods. Despite the recommendations, the deficiency rate remains high. METHOD: A quantitative, prospective, descriptive, multicentric survey was conducted with new mothers (n=200) hospitalized in the postpartum department in three different levels of maternity hospitals. A questionnaire based on current medical literature on the topic was used to question pregnant women about their pregnancy and their periconceptional period. The purpose of this study was to record the compliance and the reasons of non-compliance of pregnant women concerning their intake of supplementary iron, vitamin D and acid folic during their pregnancy. RESULTS: Less than one out of two women reported having received a prescription for folic acid or vitamin D; and two thirds of pregnant women reported having received iron supplementation during their pregnancy. More than one in three women who had received a supplementation prescription reported not knowing the aim. The multiparity (p=0.03) and social assistance affiliation (p=0.05) are significant parameters influencing a poor compliance of supplementations. CONCLUSIONS: The supplementations during pregnancy and periconceptional period are still insufficient in regards to recommendations. Public health measures could be applied at a younger age through the establishment of nutrition courses.

Supplémentations en fer, acide folique, vitamine D pendant la grossesse : observance des patientes.

INTRODUCTION: For over 20 years, there have been many recommendations for iron, folic acid, and vitamin D supplements during pregnancy and periconceptional periods. Despite the recommendations, the deficiency rate remains high. METHOD: A quantitative, prospective, descriptive, multicentric survey was conducted with new mothers (n=200) hospitalized in the postpartum department in three different levels of maternity hospitals. A questionnaire based on current medical literature on the topic was used to question pregnant women about their pregnancy and their periconceptional period. The purpose of this study was to record the compliance and the reasons of non-compliance of pregnant women concerning their intake of supplementary iron, vitamin D and acid folic during their pregnancy. RESULTS: Less than one out of two women reported having received a prescription for folic acid or vitamin D; and two thirds of pregnant women reported having received iron supplementation during their pregnancy. More than one in three women who had received a supplementation prescription reported not knowing the aim. The multiparity (p=0.03) and social assistance affiliation (p=0.05) are significant parameters influencing a poor compliance of supplementations. CONCLUSIONS: The supplementations during pregnancy and periconceptional period are still insufficient in regards to recommendations. Public health measures could be applied at a younger age through the establishment of nutrition courses.

Maternal factors influencing the decision to breastfeed newborns conceived with IVF.

OBJECTIVES: The breastfeeding initiation rate is extremely disparate worldwide and remains low in France, with a breastfeeding initiation rate of 60.2%. Some studies have reported increased early parenting difficulties in women who conceived with in vitro fertilization (IVF). Our study had two main objectives: (1) to determine by a retrospective chart review the demographic and medical factors associated with breastfeeding versus formula feeding in women who had undergone IVF and (2) to assess by survey study the reasons for the infant feeding decision (breastfeeding versus formula feeding) for women who conceived by IVF. SUBJECTS AND METHODS: By telephone interviews, we conducted a longitudinal nonexperimental cohort study of French women who had a live birth after IVF. Fertility data and obstetric outcomes were collected from individual medical records. RESULTS: Among women who had a live birth after IVF (n=73), 63% (n=46) initiated breastfeeding for a mean duration of 6.2±6.2 months. In our IVF population, the breastfeeding initiation rate was similar to that in the general French population. The following three factors were found to have a significant negative influence on breastfeeding initiation: duration of infertility greater than 2 years, cesarean delivery, and history of formula feeding when the women themselves were newborns. CONCLUSIONS: Long duration of infertility and history of cesarean delivery after IVF negatively influenced the breastfeeding initiation rate. For this subgroup of patients, postpartum care should be enhanced to support the early mother-baby relationship and promote breastfeeding.