Prevention of spina bifida: Knowledge, attitudes and practices of midwives and state auxiliary midwives in the health district of Kozah (Togo)

Abstract

Introduction
Spina bifida is caused by a neural tube defect (NTD). It is a severe congenital malformation that can be prevented by folic acid supplementation.
Aim
To evaluate the knowledge, attitudes and practices of midwives and auxiliary midwives on the prevention of spina bifida.
Method
This was a descriptive cross-sectional study conducted from June 21 to July 22, 2020 in the Kozah health district. State midwives (SFE) and auxiliary state midwives (AAE) who perform prenatal and preconception consultations were included. The software Epi data was used to process the data.
Results
A total of 76 women were interviewed, of whom 55.3% were SFE and 44.7% AAE. Most of the respondents (96%) knew about spina bifida. 44 (57,9%) of them were aware of folic acid as a means of preventing spina bifida. Also, 22 respondents knew the duration (before and during pregnancy). They systematically prescribed folic acid combined with iron salts to all pregnant women for the prevention of anemia during pregnancy
Conclusion
The SFE and AAE in the Kozah health district did not know the recommendations for preventing spina bifida. Therefore, it would be desirable to organize continuous training for them in the prevention of spina bifida and NTD.