Effects of different maternal nutrition approaches on weight gain and on adipose and muscle tissue development of young bulls in the rearing phase

2021 ◽  
Vol 53 (6) ◽  
Author(s):  
Guilherme Henrique Gebim Polizel ◽  
Ricardo de Francisco Strefezzi ◽  
Roberta Cavalcante Cracco ◽  
Arícia Christofaro Fernandes ◽  
Cassiano Bordignon Zuca ◽  
...  
PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 494-503
Author(s):  
Richard L. Naeye ◽  
William Blanc ◽  
Cheryl Paul

In a study of 467 gestations maternal stature had little correlation with fetal growth but mother's pregravid body weight as well as weight gain and low-calorie diets during pregnancy did have such a correlation. Maternal undernutrition before the third trimester had little or no influence on fetal body, organ, and cellular growth while such effects were pronounced in late gestation. Fetal body and organ growth improved with successive pregnancies except in the most poorly nourished mothers, whose successive neonates became more growth retarded.


2016 ◽  
Vol 66 (S1) ◽  
pp. 335-339 ◽  
Author(s):  
Neha A. Kajale ◽  
Shashi A. Chiplonkar ◽  
Vaman Khadilkar ◽  
Anuradha V. Khadilkar

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 190-190
Author(s):  
Sebanti Ghosh ◽  
Praveen Sharma ◽  
Thomas Forissier ◽  
Poonam Bhambri

Abstract Objectives To demonstrate feasibility of applying Quality Improvement (QI) approach to improve maternal nutrition (MN) services and counseling during ANC provision at a state-run medical college hospital. Methods Doctors and staff from the departments of Obstetrics & Gynaecology (OBGY), Pediatrics and Community Medicine in GSVM Medical College, Kanpur, Uttar Pradesh (a high case load facility) were trained on Point of Care Quality Improvement (POCQI) methodology developed by WHO, URC and All India Institute of Medical Sciences (AIIMS) by a team of QI experts engaged by Alive & Thrive (A&T). Thereafter, the OBGY department formed a QI team with the aim of improving MN component within the ANC services for pregnant women (PW). Specifically, QI aims to be achieved between May– Aug 2019 were set as: At least 80% of PW complete height, weight gain, blood pressure (BP) and hemoglobin (Hb) measurement and receive nutrition counselling, of which 70% can recall the MN nutrition messages imparted during the counselling session. Since no system for recording ANC data existed except Hb (50%), the baseline was set as zero for all other parameters. Post a system process review and problem analysis, 4 areas for improvement were identified: i) Streamlining patient flow; ii) ensuring timely availability of diagnostic reports to facilitate early detection of anemia; iii) recording and tracking of anthropometric data and, iv) provision of nutrition counselling to all PW. Simple and doable changes such as deployment of Red Cross volunteers for crowd management and patient flow, use of government-issued mother and child protection (MCP) cards for recording anthropometric data, engagement of HIV counselor for nutrition counselling etc. were applied with assistance and mentoring from QI experts. Results 84% of the PW completed weight gain, Hb and BP measurement. MN counselling was delivered to 76% of the women. Exit interviews of PW to assess the comprehensiveness of the counselling provided show a steady improvement (∼12–15%) in retention of messages related to weight gain, importance of Ca and IFA, frequency of meals and diet diversity. Conclusions It is feasible to improve MN services including counseling at ANC OPD in medical college hospital using QI approach, without additional resource investment. Funding Sources The Bill & Melinda Gates Foundation.


Author(s):  
Dr. Pratibha Patil ◽  
Dr. Sanjay Patil

Poor nutritional status and inadequate food intake during and prior to pregnancy not only affect Women’s health but also have negative impact on growth and development of fetus.  The birth weight of an infant is a powerful predictor of growth and survival of infant and is dependent on maternal health and nutritional status, pre-pregnancy weight and general weight gain are all strongly associated with fetal growth and development. So, improving maternal nutrition prior to conception and during pregnancy are potential strategies to improve birth weight. The Present study has been carried out to discuss the circumstances under which the effect of maternal nutrition on birth weight can be observed, and to determine the specific contributors of calories and protein to birth weight. Materials and methods: The present study has been carried out at Teaching Medical College and hospital to find out correlation between various factors responsible for maternal weight gain and nutrition with birth weight of baby and to standardize diet chart for pregnant mothers in rural area. The study included 100 women who were followed up from 8 to 10 week of pregnancy till delivery. Anthropometric measurements including maternal weight, height and total weight gain in pregnancy and infant’s birth weight were recorded and all mothers were interviewed for their bio-social variables. Results: The mean birth weight is below 2.4 kg in age <19 years and in 30 years and above, it is >2.5 kg.  The mean birth weight in primipara is 2.4 kg and then it gradually increased maximum up to 2.6 kg in multipara. The mean birth weight in 2.4 kg in mothers below 145cm.Above that till 160 cm there is steady increase in birth weight up to 3.08 kg. The mean birth weight was lowest in cases where maternal weight is below 40 kg and it reached maximum 3 kg in weight group 60-69 kg. The mean birth weight is 2.4 kg in weight gain between 5-9 kg and maximum up to 3 kg in weight gain between 15-19 kg. The mean birth weight is 3.2 kg in high socioeconomic group and 2.2 kg in low socioeconomic group. Conclusion: There is definite relation between maternal age, parity, height, pre-pregnancy weight, weight gain during pregnancy, socioeconomic status and daily dietary intake per day and birth weight of baby. So health policies should be aimed at early detection and effective management of under nutrition to reduce the burden of low birth weight babies and there is a need to focus attention on better maternal nutrition and education on birth spacing, early pregnancy and family planning.


2016 ◽  
Vol 82 (2) ◽  
pp. 321-326
Author(s):  
Wiolene Montanari Nordi ◽  
Débora Botéquio Moretti ◽  
Thaline Maira Pachelli da Cruz ◽  
José Eurico Possebon Cyrino ◽  
Raul Machado-Neto

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1314-1314
Author(s):  
Shivani Kachwaha ◽  
Phuong Nguyen ◽  
Lan Mai Tran ◽  
Rasmi Avula ◽  
Melissa Young ◽  
...  

Abstract Objectives Frontline workers (FLWs) deliver essential nutrition services to reduce maternal undernutrition in India, but coverage and quality remain sub-optimal. Alive & Thrive aimed to strengthen delivery of interpersonal counselling, community mobilization and micronutrient supplements through the government antenatal care (ANC) platform in UP. We studied pathways through which the nutrition-intensified ANC (I-ANC) was intended to impact FLWs capacity, knowledge, and service delivery, compared to standard ANC (S-ANC). Methods We used a cluster-randomized design with cross-sectional surveys at baseline (2017) and endline (2019), ∼500 FLWs per survey. Differences between I-ANC and S-ANC were compared along six impact pathway components (training, availability of materials, supportive supervision, knowledge, service delivery, and counselling content) using mixed-effects regression adjusted for clustering. Results Training exposure was higher in I-ANC than S-ANC (9 percentage points, pp). Nutrition training topics were low-moderate (30–60%) in both arms. Job aids were more available in I-ANC (70–80%) than S-ANC (30–40%). Supply of iron-folate and calcium supplements were low in both arms, with 10–50% having stock-outs. FLWs in I-ANC were more likely to receive supervision visits (7 pp), but gaps remained in both arms. Compared to S-ANC, FLWs in I-ANC had higher knowledge on diet diversity (6 pp), adequate intake (10 pp), iron-folate (10 pp) and calcium supplements (30 pp), pregnancy weight gain (20–30 pp), and early breastfeeding (5 pp), but similarly low knowledge of exclusive breastfeeding. ANC check-ups by FLWs were 20 pp higher in I-ANC. FLWs in I-ANC did more counselling on adequate diet, supplements, and weight gain (10–20 pp). Counselling on diet diversity and breastfeeding were low in both arms. Conclusions Health systems strengthening efforts helped improve the delivery of maternal nutrition interventions in antenatal care in this context, but gaps remain. Several health system elements along the program pathway – supply chain management, training, supervisory practices – require strengthening to further improve FLW knowledge and nutrition service delivery. Funding Sources Bill & Melinda Gates Foundation, through Alive & Thrive, managed by FHI 360.


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