Total Dose Infusion Among Antenatal Mothers with Iron Deficiency Anaemia (IDA) in Seremban District Government Health Clinics During COVID-19 Pandemic

Authors

  • Mastura I Seremban 2 Health Clinic, Jalan S2 D8, City Centre, 70300 Seremban, Negeri Sembilan, Malaysia
  • Iliza I Ampangan Health Clinic, Jalan Kuala Pilah, Taman Paroi Jaya, 70400 Seremban, Negeri Sembilan, Malaysia
  • Nabihah S Rantau Health Clinic, Kampung Masjid, 71200 Rantau, Negeri Sembilan, Malaysia
  • Jolyn R Senawang Health Clinic, Persiaran Senawang 2, Taman Cendana, 70450 Seremban, Negeri Sembilan, Malaysia
  • Asliza A KLIA Quarters Health Clinic, Taman Memancing Istana Bunian, 71800 Nilai, Negeri Sembilan, Malaysia

DOI:

https://doi.org/10.31344/ijhhs.v6i0.409

Keywords:

total dose infusion (TDI), government health clinic, antenatal mother

Abstract

Objectives. The COVID-19 pandemic has changed the way things are done in primary care. Total Dose Infusion (TDI) is one of the services introduced in Seremban government health clinics, which was previously done only in a hospital setting. The study aims to describe the effectiveness of TDI and its challenges.

Methods. This retrospective cross-sectional study is based on a universal sampling of secondary data from antenatal books of patients that received TDI from February to September 2021. Sociodemographic data were described descriptively, and the effectiveness of TDI was measured using paired t-test.

Results. Overall, 246 samples were included. The mean age was 29.71 years old with predominantly (68.7%) Malays followed by Indian (28%), Chinese (3%) and others (5%). The majority of samples had secondary educational levels (60.6%), were unemployed (57.3%) and had low parity (76%). The mean period of amenorrhea (POA) at TDI was 29.62 weeks with mean serum ferritin of 12.18ug/L, and the mean dose of intravenous iron dextran given was 963.51 mg. In comparison, mean haemoglobin preand- post TDI was 9.85g/dL and 11.20 g/dL, respectively, with p<0.001 showing a significant improvement of haemoglobin pre-and-post TDI.

Conclusion. This study has shown a significant difference between pre-TDI haemoglobin levels compared to the post-TDI haemoglobin level. Therefore, we concluded that this service is equally effective if given in government health clinic settings, despite some limitations.

International Journal of Human and Health Sciences Supplementary Issue: 2022 Page: S19

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Published

2022-03-13

How to Cite

I, M., I, I., S, N., R, J., & A, A. (2022). Total Dose Infusion Among Antenatal Mothers with Iron Deficiency Anaemia (IDA) in Seremban District Government Health Clinics During COVID-19 Pandemic. International Journal of Human and Health Sciences (IJHHS), 6, S19. https://doi.org/10.31344/ijhhs.v6i0.409

Issue

2022: Supplementary Issue: 2022

Section

Oral Presentation

License

Copyright (c) 2022 Mastura I, Iliza I, Nabihah S, Jolyn R, Asliza A

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