Background: Iron deficiency anemia in pregnant women is a crucial global health problem. Iron deficiency anemia is impacted on health during antenatal, labor and postpartum period. Although the national policy provides the preventive and solving the maternal anemia, the statistics of maternal anemia are still high.
Purpose: The aim of the study is to develop a health promotion program that is suitable for maternal anemia.
Methods: Qualitative research was used to develop the health promotion program on maternal anemia through in-depth interviews. Ten pregnant women who had hematocrit less than 33 volume percentages or hemoglobin less than 11 g/dl and five healthcare professionals were selected by purposive sampling. A total of fifteen participants were interviewed based on the semi-structured questionnaire for 30-45 minutes per case at the antenatal care clinic, Watbot hospital, Phitsanulok, Thailand. The period of the study was six months from the first of August 2022 until the end of January 2023.
Results: Thematic analysis was used to analyze the data and identified three main themes: 1) encouragement the attitude of self-care during pregnancy; 2) accessibility of the program ; and 3) practical use of the program and integrating the program based on the context of pregnant women and healthcare professionals.
Conclusion: The health promotion program was developed suitable for maternal anemia. The tailored program should be tested in terms of feasibility, accessibility, and practical use. It will support pregnant women with anemia, develop a key performance index of maternal and child health, decrease risks and complications, and promote maternal and child health based on the various contexts.
Article Matrics
Abstract views : 469 times
PDF Downloads: 407
Downloads
Download data is not yet available.
References
Achebe, M. M., & Gafter-Gvili, A. (2017). How I treat anemia in pregnancy: iron, cobalamin, and folate. Blood, 129(8), 940–949. https://doi.org/10.1182/blood-2016-08-672246.
Aljanfawi, S. A. (2022). Dynamics of Workload and Burnout among Nurses in the Intensive Care Unit during COVID-19 Pandemic. Hail Journal of Health Sciences, 4(2), 42-46. https://doi.org/10.4103/hjhs.hjhs_25_22.
American College of Obstetricians and Gynecologists (ACOG). (2021). Anemia in Pregnancy: ACOG Practice Bulletin, Number 233. Obstetrics and gynecology, 138(2), e55–e64. https://doi.org/10.1097/AOG.0000000000004477.
Anney, V.N. (2014). Ensuring the Quality of the Findings of Qualitative Research: Looking at Trustworthiness Criteria. Journal of Emerging Trends in Educational Research and Policy Studies (JETERAPS), 5(2), 272-281. Retrieved fromhttps://www.researchgate.net/profile/Vicent-Anney/post/How-are-validity-and-reliability-issues-dealt-with-in-qualitative-studies/attachment/59d61daa79197b8077979180/AS%3A272153998495749%401441897977647/download/Ensuring+the+quality+of+the+findings+of+qualitative+research+%284%29.pdf.
Baillie L. (2015). Promoting and evaluating scientific rigour in qualitative research. Nursing standard (Royal College of Nursing (Great Britain): 1987), 29(46), 36–42. https://doi.org/10.7748/ns.29.46.36.e8830.
Bayisa, D., Waltengus, F., Lake, S., Wakuma, B., Bayisa, L., Chala, M., Regasa, M. T., Besho, M., & Mosisa, G. (2022). Pregnant women's knowledge, attitudes, and associated factors toward physical exercise during pregnancy among those attending antenatal care at Bahir Dar city, Northwest Ethiopia. SAGE open medicine, 10, 20503121221115252. https://doi.org/10.1177/20503121221115252.
Bradbury N. A. (2016). Attention span during lectures: 8 seconds, 10 minutes, or more?. Advances in physiology education, 40(4), 509–513. https://doi.org/10.1152/advan.00109.2016.
Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Braymann, C. (2015). Iron deficiency anemia in pregnancy. Seminars in Hematology, 52(4), 339-347. https://doi.org/10.1053/j.seminhematol.2015.07.003.
Bureau of Nutrition, Department of Health, Ministry of Public Health. (2011). Nutritive values of Thai foods. Nonthaburi: Department of Health, Ministry of Public Health. Retrieved from https://nutrition2.anamai.moph.go.th/th/thai-food-composition-table. (In Thai)
Camaschella, C. (2015). Iron-deficiency anemia. New England Journal of Medicine, 372(19), 1832-1843. https://doi.org/10.1056/NEJMra1401038.
Center of Disease Control (CDC). (1989). CDC Criteria for anemia in children and childbearing-aged women. MMWR Morbidity and Mortality Weekly Report, 138(22), 400-404.
Center of Disease Control (CDC). (1998). Recommendations to prevent and control iron deficiency in the United States. MMWR Recomm Rep, 47(RR-3), 1-29.
Chatterjee, N. & Fernandes, G. (2014). “This is normal during pregnancy”: A qualitative study of anaemia-related perceptions and practices among pregnant women in Mumbai, India. Midwifery, 30(1), e56-e63. https://doi.org/10.1016/j.midw.2013.10.012.
Cho, H., Sagherian, K., Scott, L. D., & Steege, L. M. (2022). Occupational fatigue, workload and nursing teamwork in hospital nurses. Journal of advanced nursing, 78(8), 2313–2326. https://doi.org/10.1111/jan.15246.
Creswell, J.W. (2014). Research Design: Qualitative, Quantitative and Mixed MethodsApproaches. (4th ed.). Thousand Oaks, CA: SAGE Publications.
Department of Health, Ministry of Public Health. (2022). Health data centre for standard on maternal and child care service of Department of Health, Ministry of Public Health [serial on internet]. Retrieved 2023 May 28, from http://www.hpc.go.th/director/data/standardUpload/LR_profile_090217_105208.pdf. (In Thai)
Department of Health, Ministry of Public Health. (2023). Standard of care on maternal and child service of Department of Health, Ministry of Public Health [serial on internet]. Retrieved 2023 May 28, from http://www.hpc.go.th/director/data/standardUpload/LR_profile_090217_105208.pdf. (In Thai)
Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., Escobar Pinzon, L. C., & Dietz, P. (2021). The relationship between workload and burnout among nurses: The buffering role of personal, social and organisational resources. PloS one, 16(1), e0245798. https://doi.org/10.1371/journal.pone.0245798. Food Division, Bureau of Food, Food and Drug Administration, Ministry of Public Health. (2016). Knowledge of food and nutrition for all ages. Bangkok: Food and Drug Administration. Retrieved from https://nutrition2.anamai.moph.go.th/th/thai-food-composition-table. (In Thai)
Grant, A., Morgan, M., Mannay, D. et al. (2019). Understanding health behaviour in pregnancy and infant feeding intentions in low-income women from the UK through qualitative visual methods and application to the COM-B (Capability, Opportunity, Motivation-Behaviour) model. BMC Pregnancy Childbirth, 19, 56. https://doi.org/10.1186/s12884-018-2156-8.
Holloway, I., Wheeler, S., & Holloway, I. (2010). Qualitative research in nursing and healthcare: Chichester. (3rd ed.). Wiley-Blackwell, Chichester.
Klankhajhon, S., Pansuwan, K., Klayjan, K., & Nensat, N. (2021). Perspectives of Pregnant Women Regarding Iron Deficiency Anemia. Jurnal Ners, 16(2), 119–127. https://doi.org/10.20473/jn.v16i2.27418.
Maha, S.S., Tondare, S.B., Tondare, M.B. (2017). Study of impact of anemia on pregnancy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(11), 4847-4850. https://doi.org/10.18203/2320-1770.ijrcog20174692.
Moshi, F.V., Kibusi, S.M. & Fabian, F. (2020). Exploring factors influencing pregnant Women’s attitudes, perceived subjective norms and perceived behavior control towards male involvement in maternal services utilization: a baseline finding from a community based interventional study from Rukwa, rural Tanzania. BMC Pregnancy Childbirth, 20(1), 634. https://doi.org/10.1186/s12884-020-03321-z.
Pinchaleaw, D. (2017). Nurses and management of iron deficiency anemia in pregnant women. Journal of the Police Nurses, 9(2), 195-201. Retrieved fromhttps://he01.tci-thaijo.org/index.php/policenurse/article/view/107966. (In Thai)
Pipatkul, W., Sinsuksai, N., & Phahuwatanakorn, W. (2015). Effects of a nutrition and iron supplement promoting program on iron deficiency anemia in pregnant women. Journal of Nursing Science, 33(1), 69-76. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/41215. (in Thai)
Polit, D. F., & Beck, C. T. (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in nursing & health, 29(5), 489–497. https://doi.org/10.1002/nur.20147.
Senanayake, H.M., Premaratne, S.P., Palihawadana, T., & Wijetrat, S. (2010). Simple educational intervention will improve the efficacy of routine antenatal iron supplementation. The journal of obstetrics and gynaecology research, 36(3), 646-650. https://doi.org/10.1111/j.1447-0756.2010.01197.x.
Shenton, A.K. (2004). Strategies for ensuring trustworthiness in qualitative research projects. Education for Information, 22(2), 63-75. Retrieved from https://www.pm.lth.se/fileadmin/_migrated/content_uploads/Shenton_Trustworthiness.pdf.
Sirisopa, N. & Pongchaidecha M. (2015). Evaluation of a Pharmaceutical care program with pregnant women with Iron deficiency anemia. Journal of Science & Technology, Ubon Ratchathani University, 17(2), 53-62. Retrieved from https://www.ubu.ac.th/web/files_up/08f2015060411525383.pdf. (In Thai)
Smith, H.J., Portela, A.G. & Marston, C. (2017). Improving implementation of health promotion interventions for maternal and newborn health. BMC Pregnancy Childbirth, 17, 280. https://doi.org/10.1186/s12884-017-1450-1.
Tana C. (2017). Anemia in pregnancy [serial on internet]. Retrieved 2019 April 28, from http://www.med.cmu.ac.th. (In Thai)
Tandon, R., Jain, A., & Malhotra, P. (2018). Management of Iron Deficiency Anemia in Pregnancy in India. Indian journal of hematology & blood transfusion: an official journal of Indian Society of Hematology and Blood Transfusion, 34(2), 204–215. https://doi.org/10.1007/s12288-018-0949-6.
Techakampholsarakit, L., Kantaruksa, K., & Sansiriphun, N. (2018). Interventions to promote anemia prevention among pregnant women: A systemic review. Nursing Journal, 45(1), 62-74. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/136158/101616. (In Thai)
Vardell, E. (2020). Global Health Observatory Data Repository. Medical reference services quarterly, 39(1), 67–74. https://doi.org/10.1080/02763869.2019.1693231.
World Health Organization (WHO). (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva: World Health Organization (WHO). Retrieved from https://www.who.int/publications/i/item/WHO-NMH-NHD-MNM-11.1.
World Health Organization (WHO). (2012). The Global Prevalence of Anemia in 2011. Geneva: World Health Organization (WHO). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488658/.
World Health Organization (WHO). (2016). WHO recommendations on antenatal care for a positive pregnancy experience. Luxembourg: World Health Organization (WHO). Retrieved from https://www.who.int/publications/i/item/9789241549912.
World Health Organization (WHO). (2022). Global health observatory (GHO) data: Anemia in pregnant women [Online]. Retrieved 2023 May 5, fromhttps://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-anaemia-in-pregnant-women-(-).
Zinsser, L. A., Stoll, K., Wieber, F., Pehlke-Milde, J., & Gross, M. M. (2020). Changing behaviour in pregnant women: A scoping review. Midwifery, 85, 102680. https://doi.org/10.1016/j.midw.2020.102680.
Zofkie, A. C., Garner, W. H., Schell, R. C., Ragsdale, A. S., McIntire, D. D., Roberts, S. W., & Spong, C. Y. (2022). An evidence-based definition of anemia for singleton, uncomplicated pregnancies. PloS one, 17(1), e0262436. https://doi.org/10.1371/journal.pone.0262436.