title: The use of folic acid and other vitamins before and during pregnancy in a group of women in Melbourne, Australia.
abstract: OBJECTIVE
  to explore the use of folic acid and other vitamin supplements before and during pregnancy, including type, dosage and form; who recommended supplement use and for what reason; and women's understanding of why they took folic acid.
  
  
  METHODS
  cross-sectional survey.
  
  
  METHODS
  a public tertiary referral hospital in Melbourne, Australia.
  
  
  METHODS
  consecutive pregnant women at 36-38-weeks gestation completed a self-administered survey (available in English, Cantonese, Vietnamese, Turkish and Arabic).
  
  
  METHODS
  a structured questionnaire was used. Descriptive statistics are presented, with stratified and regression analyses to compare sub-groups.
  
  
  RESULTS
  of 705 eligible women, 588 (83%) agreed to participate. Of these, 88 (15%) completed the questionnaire in a language other than English. Twenty-nine per cent (168/588) of women took pre-pregnancy folic acid supplements. Only 23% reported taking a folic acid supplement for at least 4 weeks before pregnancy. During pregnancy, 79% of women took folic acid, most of whom commenced before 13 weeks. Other vitamin supplements taken during pregnancy were iron (52%), calcium (24%), Vitamin B6 (14%), pregnancy multivitamins (35%) and zinc (7%). Only 8% took no supplements at all in pregnancy. Factors associated with an increased risk of not taking folic acid were income < or =$30,000 (AUD) (adjusted odds ratio (OR) 2.85, 95% CI 1.84, 4.40), smoking during pregnancy (adjusted OR 2.3, 95% CI 1.26, 4.48) and having other than a first baby (adjusted OR 1.89, 95% CI 1.22, 2.93).
  
  
  CONCLUSIONS
  uptake of folic acid supplementation in the periconceptional period was well below the target that all women planning pregnancy consume 0.4-0.5mg of folate per day. Less than one-third of this sample took a pre-pregnancy folic acid supplement, with differences in uptake by group. A large proportion of respondents also took a range of other vitamin supplements during pregnancy.
  
  
  CONCLUSIONS
  it is important to target women who are less likely to take periconceptional folic acid as well as to increase awareness among women of childbearing age in general.
authors.affiliation: Mother and Child Health Research, La Trobe University, 324-328 Lt Lonsdale St, Melbourne 3000, Australia. d.forster@latrobe.edu.au
authors.forename: Della A
authors.initials: DA
authors.lastname: Forster
authors.forename: Gemma
authors.initials: G
authors.lastname: Wills
authors.forename: Angela
authors.initials: A
authors.lastname: Denning
authors.forename: Melissa
authors.initials: M
authors.lastname: Bolger
mesh_terms: D000328:Adult; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D019587:Dietary Supplements; D005260:Female; D005492:Folic Acid / Q000008:administration & dosage*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D009436:Neural Tube Defects / Q000517:prevention & control*; D016017:Odds Ratio; D010353:Patient Education as Topic / Q000379:methods*; D016742:Preconception Care / Q000379:methods; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods; D039401:Prenatal Nutritional Physiological Phenomena; D012959:Socioeconomic Factors; D014739:Victoria; D014803:Vitamin B Complex / Q000008:administration & dosage*; D055815:Young Adult
chemical_list: D014803:Vitamin B Complex; D005492:Folic Acid