Publication:
Efficacy of a 28-compartment pillbox for improving iron supplement compliance in healthy pregnant women: a randomised controlled trial

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Issued Date

2021

Resource Type

Article

Language

eng

File Type

application/pdf

ISSN

1443615

DOI

10.1080/01443615.2020.1856056

Other identifier(s)

2-s2.0-85101886477

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of Obstetrics and Gynaecology. Vol 41, No.8 (2021), p.1210-1215

Suggested Citation

Rattanapiratanon A., Kongsomboon K., Hanprasertpong T. Efficacy of a 28-compartment pillbox for improving iron supplement compliance in healthy pregnant women: a randomised controlled trial. Journal of Obstetrics and Gynaecology. Vol 41, No.8 (2021), p.1210-1215. doi:10.1080/01443615.2020.1856056 Retrieved from: https://hdl.handle.net/20.500.14740/8102

Title

Efficacy of a 28-compartment pillbox for improving iron supplement compliance in healthy pregnant women: a randomised controlled trial

Author(s)

Rattanapiratanon A.
 Kongsomboon K.
 Hanprasertpong T.

Abstract

A randomised controlled trial was conducted. The primary objective was to evaluate the efficacy of a pillbox for increasing iron supplement compliance by comparing the proportion of pregnant women who had no remaining iron tablets between pregnant women attending ANC who were given a pillbox to use and women with no pillbox in four-week period between ANC visits. The secondary objective was to evaluate the reasons for poor compliance and possible factors associated with the non-compliance. One hundred and ninety pregnant women were enrolled, 95 participants were randomised into each of the groups. The proportion of pregnant women who had no remaining iron tablets at the end was statistically significantly lower in the pillbox group than in the control group [53.3% and 23.1%, respectively, p <.001, RR2.308 (95% CI 1.515 − 3.517)]. The most common reason given for having of iron tablets remaining was forgetfulness. The visual analog scale (VAS) scores indicated that patient’s responsibility feeling, duration of sleep each day and presence of a handicapped or small child in care significantly influenced the proportion of pregnant women who had remaining iron tablets at the end in both groups. We concluded that a pillbox was found to be an effective tool for improving pregnant women’s compliance with taking their iron supplements.IMPACT STATEMENTWhat is already known about this subject? Antenatal care (ANC) influences maternal and neonatal outcomes. The incidence of anaemia in pregnant women is reported to be around 42% and approximately 50% result from iron deficiency. Maternal anaemia increases the risk of foetal low birth weight, preterm birth, perinatal mortality, stillbirth and maternal mortality. What do the results of this study add? The 28–compartment pillbox is effective for improving iron supplement compliance in healthy pregnant women. Forgetfulness is the most common reason given for having remaining iron tablets. The lower score on the visual analog scale of patient’s feeling of responsibility, long duration of sleep a day and the presence of a handicapped or small child in their care were significantly associated with having remaining iron tablets. What are the implications are of these finding for clinical practice and/or further research? The 28–compartment pillbox can be implied to routine antenatal care for improving iron supplement compliance in healthy pregnant women. Health care providers should be reminded to encourage compliance with iron supplement prescription in pregnant women who are at risk of poor compliance as indicated by low VAS of the patient’s feeling of responsibility, long duration of sleep in a day and pregnant women who have responsibility to take care of handicapped or small children. © 2020 Informa UK Limited, trading as Taylor & Francis Group.

Subject(s)

Ferrous fumarate
 Folic acid
 Pyridoxine
 Iron derivative
 Adult
 Article
 Comparative effectiveness
 Controlled study
 Disabled person
 Female
 Follow up
 Human
 Iron therapy
 Major clinical study
 Medical history
 Medication compliance
 Pregnant woman
 Prescription
 Randomized controlled trial
 Responsibility
 Risk assessment
 Risk factor
 Risk reduction
 Sleep time
 Tablet
 Visual analog scale
 Devices
 Dietary supplement
 Drug administration
 Drug self administration
 Patient compliance
 Pregnancy
 Pregnant woman
 Prenatal care
 Procedures
 Psychology
 Tablet manufacture
 Adult
 Dietary Supplements
 Drug Administration Schedule
 Female
 Humans
 Iron Compounds
 Patient Compliance
 Pregnancy
 Pregnant Women
 Prenatal Care
 Self Administration
 Tablets

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URI

https://hdl.handle.net/20.500.14740/8102

Collections

Scopus: Year 1983-2021

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