scholarly journals Relative Validity and Reproducibility of a Dietary Screener Adapted for Use Among Pregnant Women in Dhulikhel, Nepal

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 823-823
Author(s):  
Kelly Tiderencel ◽  
Krupali Shah ◽  
Abha Shrestha ◽  
Emily S Barrett ◽  
Archana Shrestha ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Reference Method ◽  
Leafy Vegetables ◽  
Low Income Countries ◽  
Food Groups ◽  
Citrus Fruits ◽  
Funding Sources ◽  
Dietary Screener ◽  
Excellent Reproducibility

Abstract Objectives Culturally appropriate dietary assessments are lacking in many low-income countries including Nepal. Here we examined the reproducibility and validity of a dietary screener which was translated and adapted to assess diet quality among pregnant Nepalese women. Methods A pilot cohort of singleton pregnant women (N = 101; age 25.9 ± 4.1 years) was recruited from a tertiary, periurban hospital in Nepal. An adapted Nepali version of the PrimeScreen questionnaire, assessing weekly consumption frequency of 12 healthy and 9 unhealthy food groups, was administered twice and a month apart in both the 2nd and 3rd trimester. Up to four inconsecutive 24-hr dietary recalls (24-HDRs) were also completed each trimester and utilized as the reference method for validation. For each trimester, data from multiple 24-HDRs were averaged across days, and items were grouped to match the classification and the three weekly consumption categories (0–1, 2–3 or 4 + servings/week) of the 21 food groups represented on the PrimeScreen. Gwet's agreement coefficients (AC1) were used to evaluate the reproducibility and validity of the adapted PrimeScreen against the 24-HDRs in both 2nd and 3rd trimester. Results In the 2nd trimester, the adapted PrimeScreen demonstrated good to excellent reproducibility (AC1 > 0.6) for majority of the food groups; the reproducibility was moderate for eggs (AC1 = 0.4), and poor (AC1 < 0.4) for citrus fruits and leafy vegetables. In the 3rd trimester, AC1 for reproducibility of the PrimeScreen ranged from 0.4 (moderate agreement) to 1 (excellent agreement), with values ≥0.6 for 90% of the items indicating good to excellent reproducibility for the majority of the food groups. Compared to 24-HDRs, the adapted PrimeScreen showed moderate to excellent validity (AC1 ≥ 0.4) for all food groups except for eggs and leafy vegetables in both the 2nd and 3rd trimester, and additionally citrus fruits and cruciferous vegetables in the 2nd trimester alone. Classification into 3 consumption categories (0–1, 2–3 or 4 + servings/week) were consistent (percentage agreement > 80%) between the PrimeScreen and 24-HDR for 80% of the food groups in both 2nd and 3rd trimester. Conclusions The adapted PrimeScreen questionnaire appears to be a reliable and valid instrument for assessing the dietary intake of most food groups among pregnant women in Nepal. Funding Sources NIH/FIC.

scholarly journals Income Level but Not Nutrition Knowledge Is Associated with Dietary Diversity of Rural Pregnant Women from Northern Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Emmanuel Amoako Agyei ◽  
Stephen Kofi Afrifa ◽  
Adam Munkaila ◽  
Patience Kanyiri Gaa ◽  
Eugene Dogkotenge Kuugbee ◽  
...  
Keyword(s):  
Vitamin A ◽  
Pregnant Women ◽  
Low Birthweight ◽  
Dietary Diversity ◽  
Nutrition Knowledge ◽  
Rural District ◽  
Leafy Vegetables ◽  
Northern Ghana ◽  
Food Groups ◽  
Essential Nutrients

Essential nutrients are necessary for reducing the risk of maternal mortality, prenatal mortality, and low-birthweight infants. Dietary diversity can play an important role in supplying essential nutrients to both the mother and the foetus. We evaluated nutrition knowledge, attitudes, and dietary diversity of pregnant women. In addition, we investigated the sociodemographic determinants of dietary diversity among pregnant women from a rural district in Ghana. Participants were pregnant women receiving antenatal care from a rural district hospital in Ghana. Dietary diversity was measured using a 24-hour dietary recall questionnaire. Multiple linear regression was used to determine the sociodemographic characteristics of dietary diversity. About 85% of the pregnant women knew that they should eat more in comparison to nonpregnant women, and only 16.9% knew the importance of folic acid supplementation during pregnancy. Mean (SD) dietary diversity score of the participants was 5.27 (1.35), 85.4% did not consume any fruits, and 82.3% did not take milk and milk products. Almost all participants took at least one food item in the starchy staples and green leafy vegetables food groups. Moreover, 53% consumed vitamin A-rich fruits, vegetables, and tubers; 7.7% organ meats; and 30.8% eggs. Those who earned a monthly income of ≥GHC 500 or US$ 87 (B = 1.82; 0.90–2.73; p < 0.001 ) significantly had higher dietary diversity scores compared to those who earned less. Dietary diversity of the pregnant women was suboptimal. The consumption of vitamin A- and iron-rich foods was inadequate. Income was an important determinant of the dietary diversity of pregnant women from Northern rural Ghana.

Nutritional Status of Rural Pregnant Women of Haryana State, Northern India

2002 ◽  
Vol 16 (2) ◽  
pp. 121-131 ◽  
Author(s):  
Sudesh Jood ◽  
Saroj Bishnoi ◽  
Neelam Khetarpaul
Keyword(s):  
Pregnant Women ◽  
Fats And Oils ◽  
Leafy Vegetables ◽  
Dietary Intakes ◽  
Food Groups ◽  
Green Leafy Vegetables ◽  
Northern India ◽  
Daily Food ◽  
Limited Food ◽  
Vegetables And Fruits

Average daily food intakes of 90 rural pregnant women belonging to arid, semi-arid and wet zones of Haryana State, Northern India have been determined. As a result of questionnaires and interviews, food intake for three consecutive days were collected. Intakes of cereals, pulses, roots and tubers, other vegetables and sugar and jaggery by the respondents were significantly lower than the prescribed Indian Recommended Dietary Intakes (RDI). The consumption of milk and milk products and fats and oils was significantly higher than that of RDI whereas, green leafy vegetables and fruits were the most limited food items. As the diets of rural pregnant women were inadequate with respect to some food groups, which resulted in lower intake of protein, β-carotene and ascorbic acid. Despite their poor intake their weights and heights were not much below the standards. BMI classification projected that only about one fourth of the respondents were underweight. There is pressing need to educate rural pregnant women regarding their increased nutritional requirements.

scholarly journals Trends in Key Food Groups Consumption in Low Income Mexican Women (P18-015-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Elsa Gaona-Pineda ◽  
Brenda Martínez tapía ◽  
Sonia Rodríguez-Ramírez ◽  
Andrea Arango-Angarita ◽  
Danae Gabriela Valenzuela Bravo ◽  
...  
Keyword(s):  
Low Income ◽  
Fast Food ◽  
Dairy Products ◽  
Plain Water ◽  
Mexican Women ◽  
Food Groups ◽  
Cured Meats ◽  
Funding Sources ◽  
Sweetened Beverages ◽  
Health And Nutrition

Abstract Objectives To describe trends in the proportion of key food groups (KFG) for public health consumption among low income Mexican women (LIMW). Methods From National Surveys of Health and Nutrition a sample of 655 LIMW in 2012, 1158 in 2016 and 2835 in 2018 was analyzed. From a food frequency questionnaire, foods and beverages were classified into 13 KFG: fruits, vegetables, legumes, meats, poultry and fish, plain water, egg and dairy products, cured meats, fast food and fried Mexican snacks, salty snacks, candies and desserts, sweetened cereals, sweetened beverages and sweetened dairy beverages. Consumption was defined if a KFG was consumed at least 10 grams/day and 3 days/week, 7 days/week was the criterion for fruits, vegetables and plain water. The proportion of LIMW that consumed each KFG was compared through time. Results There were greater decreases in the proportion of LIMW which consumed salty snacks, candies and desserts, sweetened cereals and cured meats, egg and dairy products. Moderate reductions were found in sweetened beverages, legumes and meats, poultry and fish. Less than 40% of LIMW consumed fruits and less than 30% vegetables, with no changes. Approximately 15% of LIMW did not drink water daily. (Table 1). Conclusions Important decreases in consumption of KFG in LIMW were found. Further research is needed in order to understand which factors could be related with those changes. Funding Sources Mexican Ministry of Health. National Coordination of "PROSPERA" Supporting Tables, Images and/or Graphs

scholarly journals Knowledge and Acceptance of Labour Analgesia in Pregnant Women

2018 ◽  
Vol 16 (3) ◽  
pp. 302-306 ◽  
Author(s):  
Mona Sharma ◽  
Saurya Dhungel ◽  
Sujata Niroula ◽  
Manan Karki
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Acceptance Rate ◽  
Labour Analgesia ◽  
Low Income Countries ◽  
Cross Sectional

Background: Labour analgesia, though practiced worldwide, is not very popular in low-income countries. The aim of the study was to assess the awareness, attitude, acceptance, and reasons for hindrance of labour analgesia among patients visiting a tertiary care center in the capital cityMethods: It was a cross sectional study conducted in Obstetrics and Gynecology outpatient department of Kathmandu Medical College Teaching Hospital in the month of August 2017. All pregnant patients presenting for antenatal checkup was included. Data was collected based on a questionnaire after informed consent. Statistical analysis was done in SPSS version 20 and results were expressed in frequencies and percentage.Results: Total of 270 pregnant women participated in the study. Out of these forty-four (16.3%) patients were aware about labour analgesia. The acceptance rate was high (72.2%). Majority (84.6%) had no problem with expenditure associated with labour analgesia.Conclusions: Despite low awareness about painless delivery among the antenatal women, the acceptance rate is high.

scholarly journals Maternal Dietary Intake During Pregnancy and Its Association with Size of Offspring at Birth and One Year of Age (P11-031-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sarika Tyagi ◽  
G S Toteja ◽  
Neena Bhatia
Keyword(s):  
Birth Weight ◽  
Dietary Intake ◽  
Pregnant Women ◽  
Pearson Correlation ◽  
Leafy Vegetables ◽  
Micronutrient Deficiencies ◽  
Food Groups ◽  
One Year ◽  
Maternal Dietary Intake ◽  
Slum Population

Abstract Objectives In resource poor countries like India pregnant women are prone to inadequate dietary intake which causes macronutrient and micronutrient deficiencies and consequently leads to low‐birth weight infants with higher risks of morbidity and mortality. Present study was planned with the following objectives: To assess dietary intake of pregnant women during third trimester.To correlate maternal dietary intake with size of infants at birth and at one year of age. Methods This longitudinal study was carried out among slum population of Delhi. Dietary intake data was obtained from 144 pregnant women during pregnancy (gestational age > 28 weeks) using 24 hr recall and Food Frequency Questionnaire (FFQ) method. Pregnant women were followed upto delivery and birth size (weight, length, head circumference and MUAC) of infants was measured within 72 hours of birth. Infants were followed quarterly upto one year of age for anthropometric measurements. For statistical analysis One Way ANOVA and Pearson correlation coefficient methods were used. Results Food consumption data revealed that average consumption of all food groups was lower than the Recommended Dietary Intake (RDI) and percentage adequacy was poor for cereals (96.25%), pulses (51.3%), green leafy vegetables (24.4%), other vegetables (42.5%), fruits (34.8%) and milk and milk products (36.9%).Median intake for all the nutrients was also found lower than Recommended Dietary Allowances (RDA). Percentage adequacy was alsopoor for energy (70.4%), protein (61.0%), thiamine (70.8%), riboflavin (28.6%), niacin (54.9%), B6 (41.6%), folates (35.1%), ascorbic acid (99.4%), retinol (16.2%), calcium (33.6%), iron (28.6%), magnesium (90.1%), and zinc (57.8%).Maternal food group intake and nutrient intake during pregnancy were found significantly correlated with weight, length and MUAC of infants at birth but not at 12 months of age. Even though birth weight and weight at 12 months increased consistently with increase in maternal energy and protein adequacy, this association was not significant at 12 months of age. Conclusions Dietary intake of pregnant women was lower than the recommended dietary intake among slum population of Delhi. Maternal dietary intake was found significantly associated with size of infants at birth. Funding Sources Indian Council Of Medical Research, New Delhi, India.

scholarly journals Association Between Nutrition-related Intentions and Food Selections Among Food Pantry Clients in Baltimore City (P04-046-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yuxuan Gu ◽  
Sally Yan ◽  
Bengucan Gunen ◽  
Lisa Poirier ◽  
Shahmir Ali ◽  
...  
Keyword(s):  
Low Income ◽  
Fruits And Vegetables ◽  
Processed Meat ◽  
Food Groups ◽  
Funding Sources ◽  
Food Pantries ◽  
Behavior Change Interventions ◽  
Johns Hopkins University ◽  
Scoring Tool ◽  
Public Health Promotion

Abstract Objectives Ten % of low-income households in Baltimore rely on food pantries for long-term hunger relief. Although behavioral intentions have been shown to be associated with food choices in many settings, little is known about the relationship between pantry client food selections and their nutrition-related intentions. This study aims to address this gap to inform social and behavior change interventions in food pantries. Methods Data was collected from 74 clients of 7 food pantries in Baltimore between September and October 2018. The overall nutritional quality of the foods received was measured using the Food Assortment Scoring Tool (FAST), with a higher score indicating a greater proportion of healthy foods. Client nutrition-related intentions were assessed via a survey. Three additive scales were created from the survey: how many days clients are most likely to try to eat healthier, to cook, and to cook with a kid in an average week in the last six months. We explored the association between clients’ nutrition-related intentions and their average FAST scores and average client bag Gross Weight Share (GWS) of various food groups. Results On average, the FAST score of client food bags was 63.0 ± 10.4. About half of the clients did not intend to eat healthier (n = 40) or cook (n = 37) on any days of an average week. On average, clients who intended to eat healthier had a score of 63.1 ± 11, compared to 62.97 ± 9.96 among those who did not. Clients who intended to cook had a score of 62.64 ± 11.57, compared to 63.45 ± 9.18 among those who did not. Clients who intended to cook with a kid had a score of 63.25 ± 13.98, compared to 63 ± 9.59 among those who did not. In terms of specific food groups, clients who intended to eat healthier and cook had a higher GWS of fresh fruits and vegetables, while clients who did not intend to cook or cook with a kid had a higher GWS of high-processed meat. These relationships were not statistically significant. Conclusions We did not find that clients’ nutrition-related intentions are associated with the healthfulness of the foods they select. Resources directed at improving food pantries might be better directed at improving access to healthier foods, as opposed to intentions regarding these foods. Funding Sources Johns Hopkins University Lerner Center for Public Health Promotion.

scholarly journals Colonization of Extended-Spectrum-β-Lactamase- and NDM-1-Producing Enterobacteriaceae among Pregnant Women in the Community in a Low-Income Country: a Potential Reservoir for Transmission of Multiresistant Enterobacteriaceae to Neonates

2015 ◽  
Vol 59 (6) ◽  
pp. 3652-3655 ◽  
Author(s):  
Fanny Chereau ◽  
Perlinot Herindrainy ◽  
Benoit Garin ◽  
Bich-Tram Huynh ◽  
Frederique Randrianirina ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Low Income Countries ◽  
New Delhi ◽  
Content Type ◽  
Low Income Country ◽  
Extended Spectrum ◽  
Multiresistant Bacteria ◽  
Potential Reservoir ◽  
Rectal Colonization

ABSTRACTThe spread of extended-spectrum-β-lactamase-producingEnterobacteriaceae(ESBL-PE) in low-income countries, where the burden of neonatal sepsis is high, may have a serious impact on neonatal mortality rates. Given the potential for mother-to-child transmission of multiresistant bacteria, this study investigated the ESBL-PE rectal colonization among pregnant women at delivery in the community in Madagascar and estimated a prevalence of 18.5% (95% confidence interval, 14.5% to 22.6%). One strain ofKlebsiella pneumoniaeisolated was also a New Delhi metallo-β-lactamase-1 (NDM-1) producer.

scholarly journals Prevalence and Associated Risk Factors for Anaemia Among Pregnant Women Attending Ante-Natal Clinic, Eswatini

2021 ◽  
Author(s):  
Rumbidzai Dodzo ◽  
Ropo Ebenezer Ogunsakin ◽  
Themba G. Ginindza
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Health Concern ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Factors Associated ◽  
Anaemia In Pregnancy ◽  
Associated Risk Factors

Abstract Background: Anaemia is one of the most common nutritional deficiency diseases observed globally and it affects about a third of the world’s population. Anaemia in pregnant women is a worldwide public health concern that has severe consequences for both mothers and infants, including maternal death and foetal and infant mortality. In Low-income countries (LICs), 25% of indirect maternal mortality and 30% of neonatal deaths are due to anaemia in pregnancy. Therefore, this study aimed to determine the prevalence of anaemia and assess associated factors among pregnant women attending ante-natal care (ANC) clinic in the Kingdom of Eswatini, which might help for screening, prevention and treatment of anaemia and ultimately prevent its adverse effects. Method: A total of 550 pregnant women between 15 and 49 years from three health facilities were randomly enrolled using a cross-sectional study design, from January to March 2021. Non-probability sampling approach was used to select the appropriate study unit. A face-toface interview was done using a structured questionnaire to collect data. Multiple logistic regression was performed to assess the factors associated with anaemia among the women.Results: The overall anaemia prevalence among pregnant women was 43.1% (95% CI: 38.947.3). The mild, moderate and severe cases of anaemia were 21.3% (95%CI: 17.9-24.9); 21.1% (95%CI: 17.8-24.7) and 0.7% (95%CI: 0.2-1.9), respectively. The prevalence of anaemia was high among women aged 20-24 (11.1%, 95%CI: 8.6-14.0) and 25-29years (11.1%, 95%CI: 8.6-14.0). Factors associated with anaemia included living in the urban area (OR=1.8, 95%CI: 1.19-2.72, p=0.005) and having anaemia 6 months before pregnancy (OR=4.64, 95%CI: 1.1518.71, p=0.031). Additionally, gestational age at first ANC also was positively associated with anaemia: 3rd trimester (OR=10.42, 95%CI: 4.27-25.4, p<0.001) and 2nd trimester (OR=1.62, 95%CI: 1.02-2.60, p=0.043) Conclusion: Anaemia remains prevalent among pregnant women in Eswatini. Thus, a comprehensive anaemia prevention program would be justified and could lower the country’s burden of anemia.

scholarly journals A Qualitative Study to Explore Dietary Knowledge, Beliefs and Practices Among Pregnant Women in a Rural Health Zone in Democratic Republic of Congo.

2020 ◽  
Author(s):  
Benito Maykondo Kazenza ◽  
Christiane Horwood ◽  
Lyn Haskins ◽  
Sphindile Mapumulo ◽  
Mala Ali Mala Mapatano ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Local Community ◽  
Democratic Republic ◽  
Health Workers ◽  
Low Income Countries ◽  
Dietary Practices ◽  
Maternal Malnutrition ◽  
Key Informants ◽  
Dietary Knowledge

Abstract BACKGROUNDA nutritious and healthy diet during pregnancy is essential for the health of both mother and baby. Inadequate dietary intake during pregnancy contributes to maternal malnutrition and can have lifelong effects on the health of the child. Maternal malnutrition is common in many low-income countries, including the Democratic Republic of the Congo (DRC). Kwango province, DRC, has a high prevalence of malnutrition among all population groups, including macro and micronutrient deficiencies among pregnant women. The study aimed to explore the dietary knowledge and practices of pregnant woman in this areaMETHODSThis study adopted a qualitative approach using in-depth interviews (IDIs) with pregnant women and key informants, and focus group discussions (FGDs) with fathers and grandmothers in the community, to explore women’s knowledge and practice about diet during pregnancy. Data was collected between January and April 2018. IDIs were conducted with pregnant women who were recruited at antenatal clinics during their second and third trimester. IDIs were undertaken with selected key informants, who were health workers providing care to pregnant women, and included doctors, nurses, nutritionist and community health workers. All IDIs and FGDs were audio-recorded, transcribed verbatim and translated to English. Triangulation method and thematic analyses were used.RESULTSOverall, women showed good general knowledge about nutrition and the need for increased and varied foods during pregnancy, but little technical knowledge about nutrients and sources of nutrition. Healthcare facilities, media, NGOs and family members were the main sources of nutritional information. However, women were unable to put this knowledge into practice, primarily due to poverty and poor access to a variety of foods. The Popokabaka community accessed food from farming, fishing and from the market, although purchasing food was frequently unaffordable. Cassava flour was the most common daily food. Food taboos, traditional practices, and late ANC attendance were identified as factors that influenced dietary practices.CONCLUSIONSVarious social, economic and environmental factors within the local community influenced dietary practices among pregnant women in rural DRC. A comprehensive approach is required to improve nutrition, and address food insecurity, cultural practices and improve health outcomes of both mother and child.

scholarly journals Changes in perceived knowledge about childbirth among pregnant women participating in the Senses of Birth Intervention in Brazil: A cross-sectional study

2020 ◽  
Author(s):  
Luísa M M Fernandes ◽  
Sônia Lansky ◽  
Bernardo J Oliveira ◽  
Amélia A L Friche ◽  
Christine T. Bozlak ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Perceived Knowledge ◽  
Cross Sectional ◽  
Knowledge Domains ◽  
Normal Birth ◽  
The Mean ◽  
The Impact

Abstract Background: Senses of Birth (SoB) is a health education intervention in Brazil that addresses reproductive rights, the benefits and risks of normal birth and cesarean, and use of evidence-based practices (EBP) during labor and childbirth, aiming to reduce unnecessary cesareans in the country. This study evaluates the impact of the SoB intervention on pregnant women’s perceived knowledge about normal birth, cesarean, and use of EBP in childbirth. Method: 1,287 pregnant women answered a structured questionnaire, immediately after their visit to the exhibition, between March 2015 and March 2016, in four cities. To identify the impact of the intervention on women’s perceived knowledge and possible association with socioeconomic and demographic characteristics, statistical analyses were performed including paired T-tests, ANOVA, and logistic and linear regressions. Results: The mean score (MS) of perceived knowledge after the intervention was higher than the mean score before experiencing the SoB for all three knowledge domains: Normal Birth (MS Before= 3.71 x MS After= 4.49), Cesarean (MS Before= 3.54 x MS After= 4.26) and EBPs (MS Before= 3.14 x MS After= 4.14). The results suggest that SoB intervention was more effective for low income women (B = 0.206; p < 0.001 for EBP), women without private health insurance (OR 2.47, 95% CI: 1.49- 4.09 for normal birth), women with private prenatal care (OR 2.42, 95% CI: 1.59- 3.66 for normal birth), women experiencing their first pregnancy (OR 1.92, 95% CI: 1.31-2.82 for EBP; OR 1.37, 95% CI: 1.03-1.84 for normal birth; OR 1.37, 95% CI: 1.03-1.84 for cesarean), and women in their first or second trimester at the time of the intervention (OR 1.64, 95% CI: 1.13-2.39 for EBP; OR 1.48, 95% CI: 1.11-1.97 for normal birth; OR 1.85, 95% CI: 1.40-2.41 for cesarean). Conclusion: The study showed opportunities to increase knowledge among Brazilian pregnant women for the three knowledge domains, and a need to focus the discussion on how to achieve a positive experience of birth using EBP. The intervention gains relevance considering the lack of evidence of the efficacy of non-clinical interventions to reduce unnecessary cesareans in middle and low-income countries targeting women.

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