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

Author: Nabihah Shamsuddin¹

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Objectives. The pandemic covid-19 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 socio demographic characteristic, the effectiveness of TDI and its challenges.

Methods. This retrospective cross-sectional study is based on a universal sampling of secondary data of antenatal books 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%), others (5%) and Chinese (3%). Majority of samples with secondary educational level (60.6%), unemployed (57.3%) and 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 pre-and-post TDI was 9.85g/dL and 11.20 g/dL, respectively, with p<0.001 showing 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 limitations. 


Keywords: Total Dose Infusion (TDI), Government health clinic, Antenatal mother

  1. Seremban 2 Health Clinic
  2. Ampangan Health Clinic
  3. Rantau Health Clinic
  4. Senawang Health Clinic
  5. KLIA Quarters Healh Clinic


Correspondence to: Nabihah Shamsuddin, Family Medicine Specialist, Rantau Health Clinic, Seremban, Negeri Sembilan, Malaysia, [email protected].



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