Exploring Attitudes Toward Egg Consumption During Pregnancy in Kenya (P10-054-19)

Abstract Objectives Eggs are nutrient-rich and have the potential to improve maternal nutrition during pregnancy and birth outcomes, but cultural beliefs may inhibit consumption during pregnancy. This study sought to understand pregnant women's and key influencers’ knowledge, attitudes, beliefs, and practices as well as facilitators and barriers related to consuming eggs during pregnancy in Kenya. Methods The study was conducted in an urban (Nairobi) and rural (Kiambu) area, had 3 phases and primarily used mixed qualitative methods to triangulate data. Phase I included in-depth interviews, 24-hour dietary recall, and free-listing and pile-sorting exercises with pregnant women (n = 36), husbands (n = 12) and mothers-in-law (n = 12) of pregnant women, and health workers (n = 24). Phase II involved egg preparation exercises with pregnant women (n = 39). Phase III involved a week-long trial of egg consumption with pregnant women (n = 24). We used thematic content analysis methods to analyze qualitative data and tabulated quantitative data. Results All participants recognized eggs as nutritious for pregnant women and their unborn children, though only 25% of pregnant women consumed eggs the previous day. Participants believed eating too many eggs during pregnancy (1 or more eggs daily) leads to a large baby and complications during delivery. Unaffordability and unavailability of eggs also inhibit consumption. Health workers are the most trusted source of information on maternal nutrition, while other pregnant and nonpregnant women in the community were cited as those who most often discourage egg consumption. Fried and boiled eggs are the most common and preferred preparation methods due to ease and limited number of ingredients. Almost all women complied with the household trial, said they would continue eating eggs during pregnancy, and would recommend consuming eggs in moderation to other pregnant women. Conclusions Although participants believed consuming eggs during pregnancy is beneficial, cultural norms, practices, and beliefs may prevent pregnant women from eating them daily. Interpersonal communication from health workers and agricultural policies to promote affordability could lead to increased consumption, which in turn could have potential positive impacts on maternal nutrition and birth outcomes. Funding Sources RTI International.

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Is It Possible to Promote Egg Consumption During Pregnancy? Findings From a Study on Knowledge, Perceptions, and Practices in Kenya

Food and Nutrition Bulletin ◽

10.1177/0379572119839516 ◽

2019 ◽

Vol 40 (2) ◽

pp. 151-170 ◽

Cited By ~ 1

Author(s):

Courtney H. Schnefke ◽

Chessa K. Lutter ◽

Faith Thuita ◽

Albert Webale ◽

Valerie L. Flax ◽

...

Keyword(s):

Pregnant Women ◽

Interpersonal Communication ◽

Maternal Nutrition ◽

Health Workers ◽

Cultural Beliefs ◽

Phase Iii ◽

Health Providers ◽

Agricultural Policies ◽

Egg Consumption ◽

Almost All

Background: Eggs are nutrient rich and have the potential to improve maternal nutrition during pregnancy and birth outcomes, but cultural beliefs may inhibit consumption during pregnancy. Objective: To understand knowledge, attitudes, beliefs, practices, facilitators, and barriers related to consuming eggs during pregnancy in Kenya. Methods: The study had 3 phases. Phase I included in-depth interviews and free-listing and pile-sorting exercises with pregnant women (n = 36), husbands (n = 12), and mothers-in-law (n = 12) of pregnant women, and health providers (n = 24). Phase II involved egg preparation exercises with pregnant women (n = 39). Phase III involved a weeklong trial of egg consumption with pregnant women (n = 24). We used thematic content analysis methods to analyze qualitative data and tabulated quantitative data. Results: All participants recognized eggs as nutritious for pregnant women; 25% of pregnant women consumed eggs the previous day. However, participants believed eating too many eggs during pregnancy (1 or more eggs daily) leads to a large baby and delivery complications. Unaffordability and unavailability also inhibit consumption. Health workers are the most trusted source of information on maternal nutrition. Almost all women complied with the household trial, said they would continue eating eggs and would recommend eggs to other pregnant women in moderation. Conclusions: Although participants believed consuming eggs during pregnancy is beneficial, cultural norms, practices, and beliefs may prevent pregnant women from eating them daily. Interpersonal communication from health workers and agricultural policies to promote affordability could lead to increased consumption.

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Food Taboos and Cultural Beliefs Influence Food Choice and Dietary Preferences among Pregnant Women in the Eastern Cape, South Africa

Nutrients ◽

10.3390/nu11112668 ◽

2019 ◽

Vol 11 (11) ◽

pp. 2668 ◽

Cited By ~ 6

Author(s):

Gamuchirai Chakona ◽

Charlie Shackleton

Keyword(s):

South Africa ◽

Pregnant Women ◽

Nutrition Education ◽

Maternal Nutrition ◽

Cultural Beliefs ◽

Meat Products ◽

River Valley ◽

Care Practice ◽

Healthy Population ◽

Food Taboos

A well-nourished and healthy population is a central tenet of sustainable development. In South Africa, cultural beliefs and food taboos followed by some pregnant women influence their food consumption, which impacts the health of mothers and children during pregnancy and immediately afterwards. We documented food taboos and beliefs amongst pregnant isiXhosa women from five communities in the Kat River Valley, South Africa. A mixed-methods approach was used, which was comprised of questionnaire interviews with 224 women and nine focus group discussions with 94 participants. Overall, 37% of the women reported one or more food practices shaped by local cultural taboos or beliefs. The most commonly avoided foods were meat products, fish, potatoes, fruits, beans, eggs, butternut and pumpkin, which are rich in essential micronutrients, protein and carbohydrates. Most foods were avoided for reasons associated with pregnancy outcome, labour and to avoid an undesirable body form for the baby. Some pregnant women consumed herbal decoctions for strengthening pregnancy, facilitating labour and overall health of both themselves and the foetus. Most learnt of the taboos and practices from their own mother or grandmother, but there was also knowledge transmission in social groups. Some pregnant women in the study may be considered nutritionally vulnerable due to the likelihood of decreased intake of nutrient-rich foods resulting from cultural beliefs and food taboos against some nutritious foods. Encouraging such women to adopt a healthy diet with more protein-rich foods, vegetables and fruits would significantly improve maternal nutrition and children’s nutrition. Adhering to culturally appropriate nutrition education may be an important care practice for many pregnant women in the Kat River Valley.

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PENERAPAN KOMUNIKASI TERAPEUTIK OLEH BIDAN KEPADA IBU HAMIL DALAM KEGIATAN ANTE NATAL CARE DI PUSKESMAS JELAPAT KECAMATAN MEKARSARI KABUPATEN BARITO KUALA

AL-ULUM : Jurnal Ilmu Sosial dan Humaniora ◽

10.31602/alsh.v4i1.1462 ◽

2018 ◽

Vol 4 (1) ◽

Author(s):

Helmi Helmi

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Interpersonal Communication ◽

Health Workers ◽

Service Needs ◽

Message Delivery ◽

Therapeutic Communication ◽

Nonverbal Message ◽

Quality Health ◽

Termination Phase

Therapeutic communication is the ability or skill of health workers to help clients adapt to stress, overcome pathological disorders and learn how to connect with others. Therapeutic communication activities mean interaction to facilitate help overcome health problems. The purpose of therapeutic communication to develop the personal client / patient towards a more positive.This research uses descriptive method of qualitative approach intended to describe, describe, and describe in detail about therapeutic communication form conducted by midwife in orientation phase, working and termination phase and exploring support factor and inhibiting of communication therapeutic to patients in the care of Antenatal care. While the pregnant mother's patients conducted in-depth interviews after receiving Antenatal care service.The results obtained, the process of Antenatal services at Puskesmas Jelapat Barito Kuala District is in accordance with antenatal care standards that is guided by 10 T. Therapeutic communication conducted midwives to pregnant women patients in providing services Antenatal care at Puskesmas Jelapat Barito Kuala District. therapeutic communication forms performed by the midwife either at the stage or the initial phase (orientation), the working stage and termination stage is interpersonal communication through verbal, written, and nonverbal message delivery. Midwives can identify and describe supporting and inhibiting factors in therapeutic communication. The patient's assessment is conceptually impaired but the patient benefits from therapeutic communication.Suggestion; quality health service needs awareness of Puskesmas Jelapat about the importance of therapeutic communication, all midwives in Puksesmas Jelapat to improve skill or ability in communicating with patient, Puskesmas Jelapat suggested make SOP which firmly, evaluative and responsive especially for therapeutic communication service implementation, preparing a draft of Therapeutic Communication SOP in the ANC service to be submitted to the Puskesmas Leadership Keywords: Therapeutic Communication, Midwife. Pregnant Women, Antenatal Care (ANC)

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Maternal nutritional adequacy and gestational weight gain and their associations with birth outcomes among Vietnamese women

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2643-6 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Nga Thuy Tran ◽

Lam Thi Nguyen ◽

Yatin Berde ◽

Yen Ling Low ◽

Siew Ling Tey ◽

...

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Pregnant Women ◽

Gestational Weight Gain ◽

Birth Outcomes ◽

Maternal Nutrition ◽

Nutrition Status ◽

Control Group ◽

Gestational Weight ◽

Vietnamese Women

Abstract Background During pregnancy, a mother’s nutritional needs increase to meet the added nutrient demands for fetal growth and development. An enhanced understanding of adequate nutrition and sufficient weight gain during pregnancy can guide development of policies and strategies for maternal nutrition care, actions that will ultimately promote better pregnancy outcomes. In a sample of pregnant women in Vietnam, this study characterized maternal nutrition status and gestational weight gain at a mid-pregnancy baseline, then examined the association of these variables with specific birth outcomes. Methods The study used baseline data from a randomized, controlled trial that compared pregnant Vietnamese women who received a nutritional intervention group with those who received only standard dietary counseling (control group). At baseline (26–29 weeks gestation), mothers’ dietary reports were collected, and intake of 10 macro- and micronutrients was estimated; data for baseline gestational weight gain was collected for all pregnant women enrolled into the study (n = 228). This analysis also used weights, lengths, and head circumferences at birth for infants of mothers in the control group. Results At baseline, 95% of the pregnant women had concurrent inadequacies for more than five nutrients, and nearly half had concurrent inadequacies for more than ten nutrients. Almost two-thirds of the pregnant women did not meet recommendations for gestational weight gain. We found a significant, inverse association between the number of nutrient inadequacies and gestational weight gain (overall p ≤ 0.045). After adjusting for potential confounders, gestational weight gain was positively associated with birth weight, length at birth, birth weight-for-age z-score and length-for-age z-score (all p ≤ 0.006). Conclusions Our findings raise concern over the high proportion of pregnant women in Vietnam who have multiple concurrent nutrient inadequacies and who fall short of meeting recommended gestational weight gain standards. To ensure better birth outcomes in this population, policies and strategies to improve the status of maternal nutrition are greatly needed. Trial registration The trial was retrospectively registered at clinicaltrials.gov on December 20, 2013, registration identifier: NCT02016586.

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The link between knowledge of the maternal diet and breastfeeding practices in mothers and health workers in Poland

International Breastfeeding Journal ◽

10.1186/s13006-021-00406-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Karolina Karcz ◽

Izabela Lehman ◽

Barbara Królak-Olejnik

Keyword(s):

Medical Staff ◽

Maternal Nutrition ◽

Health Workers ◽

Maternal Diet ◽

Cultural Beliefs ◽

Milk Composition ◽

Lactation Period ◽

Good Level ◽

Dietary Restrictions ◽

Level Of Knowledge

Abstract Background There are multiple misconceptions concerning the breastfeeding mother’s diet and its adverse impact on breast milk composition and the breastfed child’s health, which might lead to breastfeeding cessation. Although prophylactic maternal dietary restrictions are not recommended, mothers all over the world are often recommended to avoid certain foods, due to cultural beliefs, social pressure and even outdated or ambiguous medical recommendations. In Poland, there is no systematic approach to breastfeeding education in the form of nationwide educational programs for particular social groups. It was estimated that in 2017 only 3–4% of Polish infants were exclusively breastfed at 6 months of age. The aim of this study was to recognize the scale of common dietary misconceptions among lactating mothers in Poland and to compare knowledge and opinions between medical staff and mothers who have ever breastfed a child. In addition, the paper is an attempt to identify factors contributing to the still current practice of recommending prophylactic dietary restrictions to breastfeeding mothers by medical staff. Methods The study was conducted in Poland, in January – February 2019. The study used a diagnostic poll method and was conducted mainly in an electronic form. A total of 1159 completed questionnaires data were analyzed: 35.1% completed by medical staff and 64.9% by mothers in non-medical professions. Statistical calculations were conducted with Chi-square test, logistic regression and U Mann Whitney test (level of significance set at 0.05). Results The respondents presented a good level of knowledge and predominantly assessed the questioned statements correctly. Duration of breastfeeding was found to be the main factor determining respondents’ knowledge (p < 0.05). Concerning medical staff, the parity (p < 0.001) and applying an elimination diet when themselves breastfeeding (p < 0.001) had a significant impact on recommendation of prophylactic dietetic restrictions to the lactating women. Conclusions Regardless of a resonably good level of knowledge on maternal nutrition in the lactation period, both breastfeeding mothers and medical staff are still convinced of the beneficial effect of preventive dietary restrictions, which affects further lactational counselling and lactational performance.

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Intervening With Incarcerated Pregnant Women to Improve Prenatal Care and Birth Outcomes

PsycEXTRA Dataset ◽

10.1037/e558802014-001 ◽

2014 ◽

Author(s):

Catherine A. Forestell ◽

Danielle Dallaire

Keyword(s):

Prenatal Care ◽

Pregnant Women ◽

Birth Outcomes

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STUDI KUALITATIF : KEBUTUHAN IBU HAMIL DENGAN DIABETES MELITUS GESTASIONAL DI KABUPATEN KARANGANYAR JAWA TENGAH

Jurnal Kesehatan Kusuma Husada ◽

10.34035/jk.v12i1.476 ◽

2020 ◽

pp. 17-26

Author(s):

Arista Apriani ◽

M Mufdlilah ◽

Menik Sri Daryanti

Keyword(s):

Social Support ◽

Pregnant Women ◽

Health Center ◽

Blood Sugar ◽

Interpretative Phenomenological Analysis ◽

Health Workers ◽

Phenomenological Analysis ◽

Lifestyle Changes ◽

Structured Interviews ◽

Diabetes Melitus

ABSTRAK GDM dapat berpotensi menimbulkan komplikasi serius yang dapat mengakibatkan risiko kesehatan jangka pendek dan jangka panjang bagi ibu dan bayinya. diagnosis GDM menimbulkan efek emosional yang negatif. Persepsi ibu hamil tentang GDM dapat memengaruhi perubahan gaya hidup. Garis pertama penatalaksanaan DMG yaitu dengan perubahan gaya hidup. Tujuan menggali secara mendalam kebutuhan ibu dengan diagnosis diabetes melitus gestasional. Metode penelitian kualitatif dengan pendekatan fenomenologi. Lokasi di Kabupaten Karanganyar yaitu Puskesmas Jaten I, Puskesmas Matesih dan RSUD Kabupaten Karanganyar, pada bulan Oktober 2019 - Januari 2020. Sampel secara criterion sampling Pengumpulan data dengan semistructure interview dengan one on one interview. Uji Keabsahan Data dengan Credibility pada penelitian ini menggunakan strategi validitas triangulasi, Tranferability, Dependability, Confirmability. Analisis data dengan Interpretative Phenomenological Analysis (IPA). Hasil penelitian kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga dalam hal mengontrol pola makan, mengatarkan periksa ke tenaga kesehatan, dan mengingatkan untuk aktifitas olah raga. Dukungan sosial, yaitu cara mengontrol gula darah. Dukungan tenaga kesehatan, yaitu saran dan motivasi untuk mengontrol gula darah. Informasi mendapat saran atau perawatan DMG dalam kehamilan adalah dari tenaga kesehatan yaitu bidan, dokter, serta selain tenaga kesehatan dari teman dan internet. Kesimpulannya kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga, dukungan sosial, dukungan tenaga kesehatan dan informasi. Kata kunci: diabetes melitus gestasional, kehamilan, kebutuhan. ABSTRACT GDM can overcome serious problems that can overcome short-term and long-term health problems for mother and baby. a diagnosis of GDM has a negative emotional effect. Pregnant women 's perception of GDM can affect lifestyle changes. The first line of management of DMG is lifestyle changes. Diagnosis of gestational diabetes mellitus. Qualitative research methods by studying phenomenology. Locations in Karanganyar Regency are Jaten I Health Center, Matesih Health Center and Karanganyar District Public Hospital, in October 2019 - January 2020. Sample sampling criteria Data collection by semi-structured interviews with one-on-one interviews. Data Validity Test with Credibility in this study using the triangulation validity strategy, Transparency, Dependability, Confirmability. Data analysis with Interpretative Phenomenological Analysis (IPA). The results of the study of the needs of pregnant women with DMG identified four themes, namely supporting the family in terms of controlling diet, sending check to health workers, and reminding for sports activities. Social support, which is a way to control blood sugar. Support of Health Workers, namely advice and motivation to control blood sugar. The information obtained from DMG advice or treatment in the assessment is from health workers, namely midwives, doctors, and also health workers from friends and the internet. In conclusion, the needs of pregnant women with DMG identified four themes, namely family support, social support, support of health workers and information.

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Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes

Nutrients ◽

10.3390/nu13051652 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1652

Author(s):

Margaret Charnley ◽

Lisa Newson ◽

Andrew Weeks ◽

Julie Abayomi

Keyword(s):

Pregnant Women ◽

Maternal Obesity ◽

Maternal Nutrition ◽

Saturated Fatty Acids ◽

Poor Quality ◽

Dietary Quality ◽

Obstetric Outcomes ◽

Dietary Intakes ◽

Singleton Pregnancy ◽

Cross Sectional

Good maternal nutrition is key to optimal maternal and foetal health. A poor-quality diet is often associated with obesity, and the prevalence and severity of maternal obesity has increased significantly in recent years. This study observed dietary intakes in pregnant women living with obesity and assessed the quality of their diet. In total, 140 women with a singleton pregnancy, aged > 18 years and BMI ≥ 35 kg/m2, were recruited from antenatal clinics, weighed and completed food diaries at 16-, 28- and 36-weeks’ gestation. Clinical data were recorded directly from the women’s medical records. Nutrient intake was determined using ‘MicrodietTM’, then compared to Dietary Reference Values (DRVs). Energy intakes were comparable with DRVs, but intakes of sugar and saturated fatty acids were significantly higher. Intake of fibre and several key micronutrients (Iron, Iodine, Folate and Vitamin D) were significantly low. Several adverse obstetric outcomes were higher than the general obstetric population. Women with obesity, often considered ‘over nourished’, may have diets deficient in essential micronutrients, often associated with poor obstetric outcomes. To address the intergenerational transmission of poor health via poor diets warrants a multi-disciplinary approach focusing away from ‘dieting’ onto positive messages, emphasising key nutrients required for good maternal and foetal health.

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Differential Effects of Maternal Diets on Birth Outcomes and Metabolic Parameters in Rats After Ethanol Consumption during Pregnancy

British Journal Of Nutrition ◽

10.1017/s0007114520005152 ◽

2020 ◽

pp. 1-25

Author(s):

Yidi Wang ◽

Bradley A. Feltham ◽

Michael N. A. Eskin ◽

Miyoung Suh

Keyword(s):

Total Cholesterol ◽

Birth Outcomes ◽

Maternal Nutrition ◽

Maternal Diet ◽

Hdl Cholesterol ◽

Nutrition Intervention ◽

Metabolic Parameters ◽

Nutrition Status ◽

Sprague Dawley ◽

Metabolic Outcomes

Abstract Maternal nutrition status plays an important role in the development of fetal alcohol spectrum disorders (FASD), but its direct evidence is lacking. This study compared a standard chow with a semi-purified energy dense (E-dense) diet on birth and metabolic outcomes in rats after ethanol (EtOH) consumption during pregnancy. Pregnant Sprague-Dawley rats were randomized into four groups: chow (n=6), chow+EtOH (20% v/v) (n=7), E-dense (n=6), and E-dense+EtOH (n=8). Birth outcomes including litter size, body and organ weights were collected. Metabolic parameters were measured in dams and pups at postnatal day (PD) 7. Maternal EtOH consumption decreased body weights (p <0.0001) and litter sizes (p <0.05) in chow-fed dams. At PD7, pups born to dams fed E-dense diet had higher body (p <0.002) and liver weights (p <0.0001). These pups also had higher plasma total cholesterol (p <0.0001), triacyclglycerol (p <0.003) and alanine aminotransferase (p <0.03) compared to those from chow-fed dams. Dams fed E-dense diet had higher plasma total- (p <0.0001) and HDL-cholesterol (p <0.0001) and lower glucose (p <0.0001). EtOH increased total cholesterol (p <0.03) and glucose (p <0.05) only in dams fed the E-dense diet. Maternal exposure to E-dense diet attenuated prenatal EtOH-induced weight loss and produced different metabolic outcomes in both dams and pups. While the long-lasting effects of these outcomes are unknown, this study highlights the importance of maternal diet quality for maternal health and infant growth, and suggests that maternal nutrition intervention may be a potential target for alleviating FASD.

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