Nutrition Education Intervention for Pregnant Women with High Oral Mutans Streptocci Levels

2008 ◽  
Vol 108 (9) ◽  
pp. A90
Author(s):  
E.L. Shanley ◽  
C.A. Thompson ◽  
J.L. Rogers ◽  
J. Goyzueta ◽  
J.M. Douglass ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Education Intervention

scholarly journals The Impact of an Antenatal Balanced Plate Nutrition Education Intervention on Infant Birthweight: A Cluster Randomized Controlled Trial in Rural Bangladesh (OR25-01-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Morseda Chowdhury ◽  
Michael Dibley ◽  
Ashraful Alam ◽  
Patrick J Kelly ◽  
Camille Raynes-Greenow
Keyword(s):  
Randomized Controlled Trial ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Rural Population ◽  
Low Birthweight ◽  
Controlled Trial ◽  
Education Intervention ◽  
Community Based ◽  
Randomized Controlled ◽  
Cluster Randomized

Abstract Objectives Low birthweight (LBW) is strongly associated with neonatal mortality. Evidence that nutrition education improves diet during pregnancy and reduces LBW is still weak. We investigated the effect of a nutrition education intervention for pregnant women in improving birthweight of infants. Our primary hypothesis was that women who receive the ‘balanced plate nutrition education’ during pregnancy would deliver babies 100 g heavier than those who receive standard nutrition education. Methods We conducted a parallel, two-arm, cluster-randomized controlled trial in Bangladesh, in which we randomly assigned 36 clusters in equal ratio to intervention or standard care. Participants in the intervention clusters received ‘balanced plate nutrition education’ with a practical demonstration from community health workers 4–7 times starting from the first trimester of pregnancy. The participants in the control clusters received standard nutrition education delivered by healthcare providers during antenatal care. Eligible participants were pregnant women of 12 weeks gestation or less. The primary outcome was mean birthweight and incidence of LBW (defined as birthweight less than 2500 gm). The trial is registered with number ACTRN12616000080426. Results We included all assigned participants in the intervention (445) and comparison (448) groups in the analyses (Figure 1). Baseline characteristics were balanced between the treatment groups (Table 1). The mean birthweight increased by 125.3 g (95% confidence interval (CI) 5·7, 244·9; P = 0·04) and the risk of LBW was reduced by 54% (relative risk (RR) 0·46; 95% CI 0·28, 0·78; P = 0·004) in the intervention compared to the comparison group (Table 2). In post hoc analyses amongst adolescent mothers we observed a significant improvement in birthweight and reduction in LBW (mean difference 297·3 g; 95% CI 85·0, 509·6; P = 0·006 and RR 0·31; 95% CI 0·12, 0·77; P = 0·01). Conclusions A community-based balanced plate nutrition education was effective in increasing birthweight and reducing the incidence of LBW in a rural population of Bangladesh. A community-based, balanced-plate nutrition education was effective in increasing birthweight and reducing the incidence of low birthweight in a rural population of Bangladesh. Funding Sources James P. Grant School of Public Health; Bangladesh, and Sydney Medical School; Australia. Supporting Tables, Images and/or Graphs

scholarly journals Food-related taboos and misconceptions during pregnancy among rural communities of Illu Aba Bor zone, Southwest Ethiopia. A community based qualitative cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dereje Tsegaye ◽  
Dessalegn Tamiru ◽  
Tefera Belachew
Keyword(s):  
Rural Communities ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Birth Outcome ◽  
Fetal Head ◽  
Health Extension Workers ◽  
Traditional Beliefs ◽  
Southwest Ethiopia ◽  
Food Items ◽  
Food Taboos

Abstract Background Poor maternal nutrition adversely affects pregnancy and birth outcomes. In many societies, there are dietary restrictions due to misconceptions or food taboos during pregnancy which consequently results in the depletion of important nutrients. These cultural malpractices and beliefs can influence the dietary intake of pregnant women which subsequently affects the birth outcome. The study aimed at exploring the extent of food taboos and misconceptions during pregnancy in rural communities of Illu Aba Bor Zone, Southwest Ethiopia. Methods A qualitative study was conducted using an in-depth interviews of key informants and focus group discussions among purposively selected pregnant women and their husbands, health care workers, health extension workers, and elderly people. Data were transcribed verbatim, thematized; color-coded, and analyzed manually using the thematic framework method. Result Thorough reading and review of the transcripts generated three major themes. The primary theme was the belief and practice of taboos related to the intake of certain food items during pregnancy. Pregnant women, their husbands, and mothers-in-law believed that certain foods should be avoided during pregnancy. The second theme was foods that were held as taboo and the reason attached to it. The most common food items held as taboo were related to the consumption of vegetables like cabbage, pumpkin, milk and milk products, sugar cane, fruits like bananas and avocado and egg. The main reasons to avoid these foods were beliefs that it can be plastered on the fetal head, making fatty baby which is difficult for delivery. The third theme was the reasons underlying adherence to food taboos which is deeply embedded in the person’s believes and attitudes of the pregnant women, who were nested within the influence of the social environment surrounding them and the traditional beliefs and values of the society in general. Conclusions The results showed a widespread practice of food taboos during pregnancy in the study area. The finding suggested that there is a need for strengthening the nutrition counseling components of antenatal care follow-up and planning comprehensive nutrition education through involving important others to dispel such traditional beliefs and prevent food taboo practices in the study community.

scholarly journals Effect of nutrition education by health professionals on pregnancy-specific nutrition knowledge and healthy dietary practice among pregnant women in Asmara, Eritrea: a quasi-experimental study

2021 ◽  
pp. bmjnph-2020-000159
Author(s):  
Lidia Ghirmai Teweldemedhin ◽  
Helen Gebretatyos Amanuel ◽  
Soliana Amanuel Berhe ◽  
Ghidey Gebreyohans ◽  
Zemenfes Tsige ◽  
...  
Keyword(s):  
Experimental Study ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Health Professionals ◽  
Repeated Measures ◽  
Nutritional Knowledge ◽  
Dietary Practice ◽  
Quasi Experimental ◽  
Knowledge And Practice

BackgroundHealthy pregnancy and birth outcomes are greatly influenced by the intake of adequate and balanced nutrition. Pregnant women’s nutritional knowledge and practice have been identified as an important prerequisites for their proper nutritional intake. The antenatal period with the opportunities for regular contact with health professionals appears to be the ideal time and setting to institute the intervention which could maximise pregnant women’s outcome and that of their baby by motivating them to make nutritional changes.ObjectiveTo assess the effect of nutrition education on the appropriate nutritional knowledge and practice of pregnant women.MethodologyA facility-based single-group pre–post quasi-experimental study design was employed in five health facilities providing antenatal care (ANC) service in Asmara on 226 pregnant women. A predesigned and pretested questionnaire was used to collect data regarding nutritional knowledge via interview by trained data collectors during the pretest, immediate post-test and 6 weeks later. The practice was assessed at pre-intervention and 6 weeks later only. Repeated measures analysis of variance and paired t-test were used to make comparisons in knowledge and practice scores, respectively, using SPSS (V.22).ResultsTraining provided to pregnant women resulted in a significant increase on the mean scores of their knowledge from 29.01/47 (SE=0.35) pre-intervention to 42.73/47 (SE=0.24) immediate post-intervention. However, the score declined significantly from immediate after intervention to 6-week follow-up by 1.79 (SE=0.22). Although the score declined, knowledge at 6-week follow-up was still significantly greater than that of pre-intervention (p<0.0001). Health professionals (70.2%) were the primary source of information for pregnant women. The pregnancy-specific dietary practice score at 6-week follow-up (M=13.13/16, SE=0.09) was significantly higher than that of pre-intervention (M=12.55/16, SE=0.16). There was no significant interaction between the categories of demographic characteristics and change in practice and knowledge.ConclusionThis study has shown that the nutrition messages given to pregnant women by trained health professionals using a holistic approach in a sustained manner played a huge role in increasing their knowledge and in introducing positive dietary practices among them. Thus, ANC clinics must play a leading role in coordinating the effort of awareness creation regarding nutrition during pregnancy.

scholarly journals Maternal Nutrition Education Provided by Midwives: A Qualitative Study in an Antenatal Clinic, Uganda

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Joyce Nankumbi ◽  
Tom Dennis Ngabirano ◽  
Gorrette Nalwadda
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Maternal Nutrition ◽  
Mode Of Delivery ◽  
Antenatal Clinic ◽  
Organization Mode ◽  
Healthy Habits ◽  
Service Training ◽  
Special Circumstances ◽  
Depth Interviews

Maternalnutrition during pregnancy affects the health of the mother and baby. The objective of this paper is to describe the maternal nutrition education offered by midwives to women attending an antenatal clinic. The study also examined the resources, support, and the needs of the midwives in offering the nutrition education. Six in-depth interviews with the midwives, six direct structured observations of the group education, and 12 one-on-one interactions of midwife and pregnant women observations were completed. The interviews and field observation notes were typed and analyzed using the latent content analysis. The emerging themes were the maternal nutrition education and the education needs of the midwives. The content and presentation of maternal nutrition were inadequate in scope and depth. The maternal nutrition education was offered to only pregnant women attending the first antenatal care visit. The routine antenatal education session lasted 45 minutes to 1 hour, covering a variety of topics, but the nutritional component was allotted minimal time (5–15 minutes). The organization, mode of delivery, guidelines, resources, and service environment were extremely deficient. The relevance of appropriate weight gain during pregnancy, guidelines for healthy habits, avoidance of substance abuse, and nutrition precautions in special circumstances was missing in the nutrition presentation. Information, maternal nutrition education resources, infrastructure, and health system gaps were identified. There was an inefficient nutrition education offered to the pregnant women attending the antenatal clinic. As means of promoting effective nutrition education, appropriate in-service training, mentorship, and support for the midwives are needed, as well as infrastructural and resource provision.

scholarly journals Effect of nutrition education intervention on undernutrition among under five children in urban and rural areas of Bhopal district, Madhya Pradesh

2018 ◽  
Vol 5 (10) ◽  
pp. 4536
Author(s):  
Shailendra Meena ◽  
Pratibha Meena
Keyword(s):  
Nutrition Education ◽  
Rural Areas ◽  
Normal Weight ◽  
Madhya Pradesh ◽  
Dietary Behaviour ◽  
Nutrition Status ◽  
Education Intervention ◽  
Z Score ◽  
Area Reduction ◽  
Urban And Rural Areas

Background: Nutrition education is defined as instruction or training intended to lead to acquired nutrition-related knowledge and/or nutrition-related skills and be provided in individual. It is also demonstrably capable of improving dietary behaviour and nutrition status on its own.Methods: A prospective observational study was conducted in the urban and rural ICDS projects of Bhopal district, Madhya Pradesh from July 2014 to June 2015. Three types of instruments were used: NIPCCD Suposhan Guide, a structured questionnaire and anthropometric measurements including weight, height and MUAC. Data was entered into Microsoft Excel and was analyzed by using EPI Info version 7.Results: As per Z score 7.9% children had normal weight (Z score above -1SD), 31.7% had mild underweight (Z score between -1SD to -2SD), 40.7% had moderate underweight (Z score between -2SD to -3SD) and 19.6% had severe underweight (Z score below -3SD). Reduction in moderate underweight was from 39.2% to 33.9% and in severe underweight it was from 19.3% to 15.2% in urban area. In the rural area reduction in moderate underweight was from 44.1% to 36.6% and in the severe underweight group it was from 20.4% to 9.7%.Conclusions: In our nutrition education intervention we found that a well planned, short, simple, focused and based on locally available food items delivered with little empathy can do a lot even in weaker sections of the society. 

Effect of nutrition education intervention based on Pender's Health Promotion Model in improving the frequency and nutrient intake of breakfast consumption among female Iranian students

2013 ◽  
Vol 17 (3) ◽  
pp. 657-666 ◽  
Author(s):  
Tahereh Dehdari ◽  
Tahereh Rahimi ◽  
Naheed Aryaeian ◽  
Mahmood Reza Gohari
Keyword(s):  
Health Promotion ◽  
Nutrition Education ◽  
Nutrient Intake ◽  
Control Group ◽  
Education Intervention ◽  
Health Promotion Model ◽  
Breakfast Consumption ◽  
Pender's Health Promotion Model ◽  
Iranian Students ◽  
Experimental Group

AbstractObjectiveTo determine the effectiveness of nutrition education intervention based on Pender's Health Promotion Model in improving the frequency and nutrient intake of breakfast consumption among female Iranian students.DesignThe quasi-experimental study based on Pender's Health Promotion Model was conducted during April–June 2011. Information (data) was collected by self-administered questionnaire. In addition, a 3 d breakfast record was analysed. P < 0·05 was considered significant.SettingTwo middle schools in average-income areas of Qom, Iran.SubjectsOne hundred female middle-school students.ResultsThere was a significant reduction in immediate competing demands and preferences, perceived barriers and negative activity-related affect constructs in the experimental group after education compared with the control group. In addition, perceived benefit, perceived self-efficacy, positive activity-related affect, interpersonal influences, situational influences, commitment to a plan of action, frequency and intakes of macronutrients and most micronutrients of breakfast consumption were also significantly higher in the experimental group compared with the control group after the nutrition education intervention.ConclusionsConstructs of Pender's Health Promotion Model provide a suitable source for designing strategies and content of a nutrition education intervention for improving the frequency and nutrient intake of breakfast consumption among female students.

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