scholarly journals Exploring maternal nutrition counseling provided by health professionals during antenatal care follow-up: a qualitative study in Addis Ababa, Ethiopia-2019

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Matyas Atnafu Alehegn ◽  
Tsegaye Kebede Fanta ◽  
Agumas Fentahun Ayalew
Keyword(s):  
Pregnant Women ◽  
Study Design ◽  
Health Professionals ◽  
Maternal Nutrition ◽  
Addis Ababa ◽  
Nutrition Counseling ◽  
Institutional Barriers ◽  
Size Adjustment ◽  
Sample Size Adjustment ◽  
Pregnant Mothers

Abstract Background Nutritional awareness and practice of women during pregnancy could be determining their nutritional status, which significantly affects the outcome of pregnancy. Therefore this study aims to explore the maternal nutrition counseling provided by health professionals for pregnant women, Barriers to maternal nutrition, and major interventions. Methods A descriptive study design with a qualitative method by using ground theory tradition, based on constructivist research approach and Charmaz’s (2000) study design has been conducted from September-01/2019 _November-16/2019 among pregnant women who got ANC service in Addis Ababa, Ethiopia. A purposive sampling technique was used. Practical observations and in-depth interviews were conducted. The sample size adjustment has been carried out according to the information saturation obtained, and finally, 81 practical observations, In-depth interview with two center managers, nine health professionals and eleven term pregnant women has been conducted. An observational checklist and Semi-structured, open-ended questionnaires were used. Data, the environment, and methodological triangulation were carried out. A conceptual framework has been established based on the data collected about the whole process of maternal nutrition counseling during pregnancy. ATLAS TI software was utilized for information analysis. The results Most participants responded that maternal nutrition counseling provided to pregnant mothers is not adequate and neglected by most stakeholders. From 81 practical observations, health professionals counseled to mothers were 10 what to feed, 4 what to limit to consume, and 5 were counseled about what to eat during pregnancy. Close to all the respondents agreed on the importance of providing nutrition counseled by the nutritionists. Most of the study participants emphasized a shortage of time as primary barriers. Institutional Barriers, Professional Barriers, Maternal Barriers, and Community Barriers were major barriers to nutrition counseling. Conclusions Generally, maternal nutrition counseling provided to pregnant mothers was not adequate and neglected by most stakeholders. Shortage of time due to client flow, Institutional Barriers, Professional Barriers, Maternal Barriers, and Community Barriers were major categories of maternal nutritional counseling barriers. Information update and timely preparation were recommended to health professionals.

scholarly journals Dietary diversity practice and associated factors among pregnant women attending ANC in Kolfe Keranyo sub city health centers, Addis Ababa, Ethiopia

2020 ◽  
Author(s):  
Walelgn Tefera ◽  
Tsegahun Worku Brhanie ◽  
Mamo Dereje
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Addis Ababa ◽  
Health Centers ◽  
Nutrition Information ◽  
Monthly Income ◽  
The Mean ◽  
Pregnant Mothers

AbstractBackgroundAdequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on dietary diversity among pregnant women.ObjectivesThis study was designed to assess the dietary diversity practice and associated factors among pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia, 2018MethodsInstitution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05.ResultThe mean DDS was 5.45± 1.83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26., 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second ANC visit had more dietary diversity than at first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusion and RecommendationThe mean DDS among the pregnant mothers was 5.45. 60.9% of pregnant women had good dietary diversity score and 39.1 % had poor dietary diversity. Mothers education, monthly income, second and third ANC visit and nutrition information had a positive significant with pregnant mothers’ dietary diversity (P<0.05. Early initiation of ANC visit and incorporation of nutrition education in each visit should be practice. Health extension workers should provide nutritional education to every pregnant woman.

scholarly journals Dietary Diversity Practice and Associated Factors Among Pregnant Women Attending Anc in Kolfe Keranyo Sub City Health Center, Addis Ababa, Ethiopia.

2020 ◽  
Author(s):  
Tsegahun Worku Brhanie ◽  
Walelgn Tefera ◽  
Mamo Dereje
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Addis Ababa ◽  
Health Centers ◽  
Nutrition Information ◽  
Monthly Income ◽  
The Mean ◽  
Pregnant Mothers

Abstract Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on dietary diversity among pregnant women. Objectives: This study was designed to assess the dietary diversity practice and associated factors among pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Result: The mean DDS was 5.45 +-1.83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second ANC visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusion and Recommendation: The mean DDS among the pregnant mothers was 5.45. 60.9% of pregnant women had a good dietary diversity score and 39.1 % had poor dietary diversity. Mothers’ education, monthly income, second and third ANC visit and nutrition information had a positive significant with pregnant mothers’ dietary diversity (P<0.05. Early initiation of ANC visit and incorporation of nutrition education at each visit should be practiced. Health extension workers should provide nutritional education to every pregnant woman.

scholarly journals Adaptive study design to assess effect of TRPV4 inhibition in patients with chronic cough

2021 ◽  
pp. 00269-2021
Author(s):  
Valerie J. Ludbrook ◽  
Kate E. Hanrott ◽  
James L. Kreindler ◽  
Joanna E. Marks-Konczalik ◽  
Nick P. Bird ◽  
...  
Keyword(s):  
Study Design ◽  
Chronic Cough ◽  
Transient Receptor Potential ◽  
Sensory Nerves ◽  
Transient Receptor Potential Vanilloid ◽  
Investigational Drug ◽  
Study Results ◽  
Size Adjustment ◽  
Sample Size Adjustment ◽  
Trpv4 Channel

ObjectiveAirway sensory nerves involved in the cough reflex are activated by adenosine triphosphate (ATP) agonism of P2X purinoceptor 3 (P2X3) receptors. Transient receptor potential vanilloid 4 (TRPV4) channel activation causes ATP release from airway cells and it is hypothesised that a TRPV4-ATP-P2X3 axis contributes to chronic cough. An adaptive study was run to determine if TRPV4 inhibition, using the selective TRPV4 channel blocker GSK2798745, was effective in reducing cough.MethodsA two-period randomised, double blinded, placebo-controlled crossover study was designed with interim analyses for futility and sample size adjustment. Refractory chronic cough patients received either GSK2798745 or placebo once daily for 7 days with a wash-out between treatments. PK samples were collected for analysis of GSK2798745 at end of study. The primary endpoint was total cough counts assessed objectively during day-time hours (10 h) following 7 days of dosing.ResultsInterim analysis was performed after 12 participants completed both treatment periods. This showed a 32% increase in cough counts on Day 7 for GSK2798745 compared to placebo; the pre-defined negative criteria for the study were met and the study was stopped. At this point 17 participants had been enrolled (Mean 61yrs; 88% female), and 15 had completed the study. Final study results for posterior median cough counts showed a 34% (90% CrI: −3%, +85%) numerical increase for GSK2798745 compared to placebo.ConclusionThere was no evidence of an anti-tussive effect of GSK2798745. The study design allowed the decision on lack of efficacy to be made with minimal participant exposure to the investigational drug.

scholarly journals Knowledge of Preconception Care and Associated Factors among Pregnant Mothers with Pre-existing Diabetes Mellitus in selected Governmental Hospitals, Addis Ababa Ethiopia

2019 ◽  
Author(s):  
Aychew Kassie ◽  
Tigistu Gebreyohannis Gebretensaye ◽  
Mesfin Abebe
Keyword(s):  
Diabetes Mellitus ◽  
Pregnant Women ◽  
Associated Factors ◽  
Preconception Care ◽  
Addis Ababa ◽  
Duration Of Diabetes ◽  
Unintended Pregnancies ◽  
Women's Knowledge ◽  
Women’S Knowledge ◽  
Pregnant Mothers

Abstract Background: Many women with diabetes mellitus experience high rates of unintended pregnancies, infant morbidity and mortality and preventable birth defects.Thus, preconception care offers the potential for earlier risk assessment and intervention that can benefit women before pregnancy and ensure the healthiest possible start for the newborn child. The aim of this study is to assess the knowledge and experience of preconception care and associated factors among pregnant mothers with pre-existing diabetes mellitus. Methods: Facility based quantitative cross-sectional study design was employed among 142 conveniently selected pregnant women between March 11and April 12, 2018. Logistic regression including bivariate and multivariate analysis considering 95% CI was utilized to examine association between dependent and independent variables. P-value < 0.05 was considered statistically significant. Result: this study found that 67(42.7%) of pregnant women with pre-existing diabetes mellitus had good knowledge on preconception care. Educational level, occupation and duration of diabetes was associated with knowledge about preconception care AOR= 0.24 [0.065, 0.828], AOR= 0.042[0.102(0.011-0.918] and AOR= 0.035 [3.599(.095-11.833] respectively. Conclusion: women’s knowledge on preconception care in this study is low. Education, occupation and duration of diabetes were factors associated with knowledge of preconception care. Establishment of preconception care strategies addressing all components of the care and increasing women’s knowledge about preconception care is an important component to ensure prevention of potential risks.

scholarly journals PENGARUH KEBUTUHAN GIZI TERHADAP PERUBAHAN BERAT BADAN IBU HAMIL DI DESA PETIS RT 02 RW 02 KECAMATAN DUDUK SAMPEYAN KABUPATEN GRESIK

2018 ◽  
Vol 1 (1) ◽  
pp. 20-26
Author(s):  
Eppy Setiyowati ◽  
Desi Emilyati
Keyword(s):  
Body Weight ◽  
Pregnant Women ◽  
Study Design ◽  
Simple Random Sampling ◽  
Normal Weight ◽  
Cross Sectional ◽  
Body Weight Data ◽  
Nutritional Needs ◽  
The Village ◽  
Pregnant Mothers

Pregnancy caused by changes in body weight of pregnant women, which is not significantly impact on the growth of the fetus in the womb, experiencing anemia and low birth weight. The purpose of this study analyzed the nutritional needs of pregnant mothers to changes in maternal and fetal body weight in the Village District of RW 02 Petis Duduk Sampeyan Gresik. Analytical study design with cross sectional study design. The population is all pregnant women in the village of RT 02 RW 02 Petis Sitting Sampeyan District of Gresik by 33 people. Sampling sampling techniques with simple random sampling. The instrument uses observation. This variable is the nutritional needs of pregnant women and changes in maternal and fetal body weight. Data were analyzed with the Mann-Whitney test with α = 0.05. The result showed the majority (66.7%) of respondents need good nutrition. Aswell as the vast majority (66.7%) of respondents normal weight. It can be concluded that there is influence the nutritional needs of pregnant mothers to changes in maternal and fetal body weight in the Village District of RW 02 Petis Sitting Sampeyan Gresik. More nurses can improve the promotion program to improve maternal and fetal body weight through promotion and education in local communities about the importance of maternal and fetal weight.

scholarly journals Pengaruh Kebutuhan Gizi Terhadap Perubahan Berat Badan Ibu Hamil di Desa Petis RT 02 RW 02 Kecamatan Duduk Sampeyan Kabupaten Gresik

2017 ◽  
Vol 1 (1) ◽  
pp. 20-26
Author(s):  
Eppy Setiyowati ◽  
Desi Emilyati
Keyword(s):  
Body Weight ◽  
Pregnant Women ◽  
Study Design ◽  
Simple Random Sampling ◽  
Normal Weight ◽  
Cross Sectional ◽  
Body Weight Data ◽  
Nutritional Needs ◽  
The Village ◽  
Pregnant Mothers

Pregnancy caused by changes in body weight of pregnant women, which is not significantly impact on the growth of the fetus in the womb, experiencing anemia and low birth weight. The purpose of this study analyzed the nutritional needs of pregnant mothers to changes in maternal and fetal body weight in the Village District of RW 02 Petis Duduk Sampeyan Gresik. Analytical study design with cross sectional study design. The population is all pregnant women in the village of RT 02 RW 02 Petis Sitting Sampeyan District of Gresik by 33 people. Sampling sampling techniques with simple random sampling. The instrument uses observation. This variable is the nutritional needs of pregnant women and changes in maternal and fetal body weight. Data were analyzed with the Mann-Whitney test with α = 0.05. The result showed the majority (66.7%) of respondents need good nutrition. As well as the vast majority (66.7%) of respondents normal weight. It can be concluded that there is influence the nutritional needs of pregnant mothers to changes in maternal and fetal body weight in the Village District of RW 02 Petis Sitting Sampeyan Gresik. More nurses can improve the promotion program to improve maternal and fetal body weight through promotion and education in local communities about the importance of maternal and fetal weight

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

Nutrients ◽  
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.

scholarly journals Design of a prospective follow-up study on early parenthood and smoking behaviour during pregnancy in Finnish primary healthcare

2021 ◽  
pp. 140349482110224
Author(s):  
Mikael O. Ekblad ◽  
Hanna P. Wallin ◽  
Marjukka Pajulo ◽  
Päivi E. Korhonen
Keyword(s):  
Pregnant Women ◽  
Study Design ◽  
Primary Healthcare ◽  
Routine Data ◽  
Smoking Behaviour ◽  
Self Report ◽  
Health Clinic ◽  
Follow Up Study ◽  
Study Population

Aims: The primary aim of the study is to explore different factors affecting parents’ smoking behaviour, and especially how smoking may be connected with individual differences in the psychological process of becoming a parent. In the current paper, we present the study design together with basic information on the study population. Methods: The Central Satakunta Maternity and Child Health Clinic (KESALATU) Study is an ongoing prospective follow-up study in primary healthcare of the Satakunta region of southwest Finland. Families were recruited during their first maternity clinic visit between 1 September 2016 and 31 December 2019, and participation will continue until the child is 1.5 years of age. The study combines different sources and types of data: e.g. routine data obtained from primary healthcare clinic records, specific parental self-report data and data from a new exhaled carbon monoxide meter indicating maternal smoking. The data are collected using frequently repeated assessments both during pregnancy and postnatally. The methods cover the following areas of interest: family background factors (including smoking and alcohol use), self-reported parental–foetal/infant attachment and mentalization, self-reported stress, depression and quality of life. Results: 589 pregnant women and their partners were asked to participate in the study during the collection time period. The final study population consisted of 248 (42.1%) pregnant women and 160 (27.1%) partners. Conclusions: The new methods and study design have the potential to increase our understanding about the link between early parenting psychology, prenatal psychosocial risk factors and parental health behaviour.

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.

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