Micronutrient supplementation in pregnancy: a KAP survey with healthcare consultants in India


  • Sunita Chandra Rajendra Nagar Hosipital and IVF Centre, Rajendra Nagar, Lucknow, Uttar Pradesh, India
  • Sheela V. Mane Anugraha Nursing Home, Bengaluru, Karnataka, India
  • Parag Biniwale Biniwale Clinic, Shivaji Nagar, Pune, Maharashtra, India
  • M. Tripura Sundari KIMS Hospitals, Begumpet, Ramgopalpet, Secunderabad, Telangana, India
  • Anuradha Mulye Pfizer Ltd., Bandra East, Mumbai, Maharashtra, India
  • Charles Adhav Pfizer Ltd., Bandra East, Mumbai, Maharashtra, India




Micronutrient supplementation, Pregnancy, Folic acid, KAP


Background: Maternal nutrition during pregnancy is a serious public health issue as it negatively impacts women and their children. The most commonly used nutritional interventions during pregnancy are folic acid and omega-3 fatty acid (n-3 FA). This survey aimed to evaluate the knowledge, attitude and perception towards folic acid, n-3 FA and other supplementation amongst healthcare practitioners (HCPs).

Methods: A close-ended questionnaire-based survey was distributed among obstetricians-gynaecologists and HCPs overlooking pregnant and lactating women between July and September 2022 in India. An excel based survey analysis was performed once the survey completed.

Results: A total of 500 valid questionnaires were collected. Only 55% of them recommended n-3 FA, whereas 45% did not recommend as they believed that the typical Indian diet provides enough n-3 FA and supplements are not necessary. The majority (58.91%) of prescribers prescribed n-3 FA to all pregnant women, followed by older women with a history of abortion and high-risk pregnancy. Both eicosapentaenoic acid and docosahexaenoic acid were favoured in clinical practice. In addition, 56.8% of HCPs recommended folic acid at a dose of 5 mg/day for patients with a bad obstetric history, while 43.2% of HCPs recommended folic acid at a dose of 1 mg/day.

Conclusions: Supplements and adequate nutrition can reduce the likelihood of poor maternal and foetal outcomes in high-risk pregnancies. Nutritional supplementation is a cost-effective and safe risk-reduction method, given the high prevalence of pregnancy complications. However, more knowledge dissemination on n-3 FA supplements, folic acid and micronutrients is essential.


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