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8 - Evaluation of health care professionals knowledge and attitudes regarding maternal vitamin D supplementation
Gizem Kara Elitok, Lida Bülbül, Memnune Evci, Umut Zübarioğlu, Türkan Toraman, Duygu Besnili Acar, Evrim Kıray Baş, Sinan Uslu, Ali Bülbül
Objective: To determine the knowledge and attitudes of healthcare professionals regarding vitamin D supplementations in pregnant and breastfeeding mothers.
Material and Method: Our study was conducted between April and May 2015 with the participation of 752 healthcare professionals (pediatrician, pediatric resident, specialist family physician, family physician resident, general family practitioner and nurse). The study questionnaire was created by researchers in accordance with experiences and literature information. Ethics committee approval was obtained. In questionnaire along with the demographic characteristics of the participants, the knowledge and practices on vitamin D supplementation for pregnant women and nursing mothers were asked. The data were analyzed by percentage and chi-square tests.
Results: A total of 574 physicians (76.4%) and 178 nurses (23.6%) participated in our study. Of these, 418 (55.6%) participiants suggested vitamin D supplementation to pregnants. The ratio of family physician specialists recommendations of vitamin D supplementation (66.7%) was higher than the other groups (p<0.001). The highest dose of vitamin D supplementation suggested to pregnants was 800-1000 IU/day with a rate of 23.4%. A total of 451 of participiants (60.0%) recommend vitamin D supplementation to breastfeeding mothers. Pediatric residents and specialists recommendations of vitamin D supplementation rate (70.0% and 63.6%, respectively) were higher than the other groups (p<0.001). Highest rate of vitamin D supplementation recommended to breastfeeding mothers was 800-1000 IU/day with a rate of 27.0%. The rate of recommendation according to the Ministry of Healths recoomendations to pregnant women with 1200 IU/day of vitamin D was 6.0% and breastfeeding mothers with 1200 IU/day of vitamin D was 4.5%.
Conclusion: We found that the rate of recommendation and doses of vitamin D supplementation to breastfeeding mothers and infants by healthcare professionals were low in our study. It has been determined that training programs for healthcare professionals should be organized in order to prevent vitamin D deficiency.
Keywords: Breastfeeding mothers, pregnants, healthcare professionals, vitamin D
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