AWARENESS OF FOLIC ACID SUPPLEMENTATION FOR PREVENTING NEURAL TUBE DEFECTS AMONG GYNECOLOGISTS AND PEDIATRIC SURGEONS
Main Article Content
Keywords
Neural Tube Defects, folic acid, awareness.
Abstract
Objectives: To assess the level of Awareness of Folic Acid Supplementation for Preventing Neural Tube Defects among Gynecologists and Pediatric Surgeons.
Materials and Methods: This cross-sectional study was conducted in Lady Reading Hospital Peshawar, after approval by the hospital’s ethical committee. A total of 50 participants meeting the inclusion criteria were enrolled. Data were collected through a structured, self-administered questionnaire assessing knowledge, awareness, and practices regarding folic acid supplementation, including demographic details, understanding of its preventive role in neural tube defects, and counseling practices. Data analysis was performed using SPSS version 26.
Results: The mean participant age was 47.40±6.97 years, with 46% males and 54% females. Most were aged 41–50 years (48%) and specialized in pediatric surgery (58%), while 82% had over 10 years of experience. Regarding qualification, 70% held FCPS, 20% MCPS, and 10% MBBS/diploma. Overall, 78% demonstrated adequate awareness of folic acid supplementation, and 22% showed inadequate awareness. No significant associations were observed between awareness level and demographic factors such as gender, age, specialty, experience, or qualification (p > 0.05).
Conclusion: It was concluded that while most gynecologists and pediatric surgeons were aware of folic acid’s preventive role in neural tube defects, notable gaps persisted in their detailed knowledge and counseling practices. Continuous medical education, updated guidelines, and emphasis on preconception counseling are crucial to ensure timely supplementation and reduce neural tube defects in Pakistan.
References
2. Kancherla V. Neural tube defects: a review of global prevalence, causes, and primary prevention. Child's Nervous System. 2023;39(7):1703-10.
3. Abate BB, Kumsa H, Kibret GA, Wodaynew T, Habtie TE, Kassa M, et al. Preconception Folic Acid and Multivitamin Supplementation for the Prevention of Neural Tube Defect: An Umbrella Review of Systematic Review and Meta-analysis. Neuroepidemiology. 2025;59 (4):412-25.
4. Mahmood L. The metabolic processes of folic acid and Vitamin B12 deficiency. Journal of Health Research and Reviews (In Developing Countries). 2014;1(1):5-9.
5. Gomes S, Lopes C, Pinto E. Folate and folic acid in the periconceptional period: recommendations from official health organizations in thirty-six countries worldwide and WHO. Public health nutrition. 2016;19(1):176-89.
6. Cordero AM, Crider KS, Rogers LM, Cannon MJ, Berry R. Optimal serum and red blood cell folate concentrations in women of reproductive age for prevention of neural tube defects: World Health Organization guidelines. Morbidity and Mortality Weekly Report. 2015;64(15):421.
7. Williams JL, Abelman SM, Fassett EM, Stone CE, Petrini JR, Damus K, et al. Health care provider knowledge and practices regarding folic acid, United States, 2002–2003. Maternal and Child Health Journal. 2006;10(Suppl 1):67-72.
8. Anzaku AS. Assessing folic acid awareness and its usage for the prevention of neural tube defects among pregnant women in Jos, Nigeria. Journal of Basic and Clinical Reproductive Sciences. 2013;2(1):13-7.
9. Bekkers RL, Eskes TK. Periconceptional folic acid intake in Nijmegen, Netherlands. The Lancet. 1999;353(9149):292.
10. De Walle H, Cornel M, De Jong-Van den Berg L. Three years after the Dutch folic acid campaign: growing socioeconomic differences. Preventive medicine. 2002;35(1):65-9.
11. Kim MJ, Kim J, Hwang EJ, Song Y, Kim H, Hyun T. Awareness, knowledge, and use of folic acid among non-pregnant Korean women of childbearing age. Nutrition research and practice. 2018;12(1):78-84.
12. Billah SM, Raynes-Greenow C, Ali NB, Karim F, Lotus SU, Azad R, et al. Iron and folic acid supplementation in pregnancy: findings from the baseline assessment of a maternal nutrition service programme in Bangladesh. Nutrients. 2022;14(15):3114.

