scholarly journals An ADePT evaluation for incorporating the TIPPS periodontal health intervention into primary care antenatal programmes to enhance infant birth weight in Palestine: a feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Lamis Abuhaloob ◽  
Nahla Helles ◽  
Peter Mossey ◽  
Ruth Freeman
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Sample Size ◽  
Feasibility Study ◽  
Trial Design ◽  
Decision Tool ◽  
Periodontal Health ◽  
The Cost ◽  
Infant Birth ◽  
Full Trial

Abstract Background A feasibility study was conducted to implement the Talk, Instruct, Practice, Plan and Support (TIPPS) intervention for pregnant women to enhance infant birth weight in a conflict area in Low- and Middle-Income Countries (LMIC). The decision tool, A process for Decision-making after Pilot and feasibility Trials (ADePT), examines the methodological factors identified in a feasibility study, that may require modification for a full trial. Thus, this study aimed to use the ADePT decision tool to evaluate if the feasibility study had achieved its objectives and to identify the need for intervention, clinical context and trial design modification. Methods A one-arm, pretest–posttest feasibility study recruited 25 pregnant women in their first trimester and clinic staff from a primary healthcare clinic located in Gaza City, Palestine. The TIPPS periodontal health intervention was delivered by antenatal care nurses to the pregnant women during their regular follow-up appointments. The ADePT framework was applied to evaluate the findings from the feasibility study. The ADePT checklist demonstrated sample size estimation, recruitment, consent, intervention adherence, intervention acceptability, costs and duration, completion and appropriateness of outcome assessments, retention, logistics, and synergy between protocol components. Results All recruited pregnant women (25, aged 16–35 years old) consented to participate in the study, and the adherence to the intervention was 88% (22 women). The TIPPS intervention was acceptable, but there was ambivalence over who should deliver it in the clinic. Only the cost of toothbrushing and TIPPS information materials was calculated, while the cost of nurses’ time was not included. The missing values of data were few (12% of gingival bleeding data and 22% from infant birth weight data). This intervention significantly reduced the mean percentage of plaque and bleeding scores after 3 months. The sample size for future randomised controlled trial was estimated around 400 participants. The participants stated the value of the intervention. The clinic staff voiced concerns regarding time and the cost of nurses providing the TIPPS intervention. This allowed suggestions to be made regarding the modification of trial design and context of implementation. Conclusions The ADePT evaluation showed it was possible to progress to full trial with modifications in the trial design.

scholarly journals An ADePT evaluation for incorporating the TIPPS periodontal health intervention into primary care ante-natal programmes to enhance infant birthweight in Palestine: a feasibility study.

2021 ◽  
Author(s):  
Lamis Abuhaloob ◽  
Nahla Helles ◽  
Peter Mossey ◽  
Ruth Freeman
Keyword(s):  
Pregnant Women ◽  
Feasibility Study ◽  
Trial Design ◽  
Health Intervention ◽  
Size Estimation ◽  
Decision Tool ◽  
Periodontal Health ◽  
Design Modification ◽  
Clinic Staff ◽  
Full Trial

Abstract Background: A feasibility study was conducted to implement the T alk, I nstruct, P ractice, P lan and S upport (TIPPS) intervention for pregnant women to enhance infant birthweight in a conflict area in L ow and M iddle I ncome C ountries ( LMIC). The decision tool, A process for De cision-making after P ilot and feasibility T rials (ADePT) examines the methodological factors identified in a feasibility study, that may require modification for a full trial. Objectives: To use the ADePT decision tool to evaluate if the feasibility study had achieved its objectives and to identify the need for intervention, clinical context and trial design modification. Basic research design: Feasibility study: a one-arm, pre-test-post-test design. The ADePT framework was applied to evaluate the findings from the feasibility study. Clinical setting: Primary healthcare clinic located in Gaza City, Palestine. Participants: 25 pregnant women in their first trimester and clinic staff. Interventions: The TIPPS periodontal health intervention delivered by ante-natal nurses. Main outcome measures: ADePT checklist: sample size estimation, recruitment, consent, intervention adherence, intervention acceptability, costs and duration, completion and appropriateness of outcome assessments, retention, logistics and synergy between protocol components. Results: 25 pregnant women (aged 16-35 years old) attended the baseline and 22 (88%) completed the second follow-up appointment. This intervention significantly reduced (P<0.001) the mean percentage of plaque and bleeding scores from the baseline to Time 2. The participants stated the value of the intervention. The clinic staff voiced concerns regarding time and the cost of nurses providing the TIPPS intervention. This allowed suggestions to be made regarding the modification of trial design and context of implementation. Conclusions: The ADePT evaluation showed it was possible to progress to full trial with modifications in the trial design.

scholarly journals An ADePT Evaluation for Incorporating the TIPPS Periodontal Health Intervention Into Primary Care Ante-Natal Programmes to Enhance Infant Birthweight in Palestine: A Feasibility Study

2020 ◽  
Author(s):  
Lamis Abuhaloob ◽  
Nahla Helles ◽  
Peter Mossey ◽  
Ruth Freeman
Keyword(s):  
Pregnant Women ◽  
Feasibility Study ◽  
Trial Design ◽  
Health Intervention ◽  
Size Estimation ◽  
Decision Tool ◽  
Periodontal Health ◽  
Design Modification ◽  
Clinic Staff ◽  
Full Trial

Abstract Background: A feasibility study was conducted to implement the TIPPS intervention for pregnant women to enhance infant birthweight in a conflict area in a LMIC. The decision tool, ADePT examines the methodological factors, identified in a feasibility study, that may require modification for a full trial. Objectives: To use the ADePT decision tool to evaluate if the feasibility study had achieved its objectives and to identify the need for intervention, clinical context and trial design modification.Basic research design: Feasibility study: a one-arm, pre-test-post-test design. The ADePT framework was applied to evaluate the findings from the feasibility study.Clinical setting: Primary healthcare clinic located in Gaza City, Palestine. Participants: 25 pregnant women in their first trimester and clinic staff.Interventions: The TIPPS periodontal health intervention delivered by ante-natal nurses.Main outcome measures: ADePT checklist: sample size estimation, recruitment, consent, intervention adherence, intervention acceptability, costs and duration, completion and appropriateness of outcome assessments, retention, logistics and synergy between protocol components.Results: 25 pregnant women attended the baseline and 22 completed the second follow-up appointment. Data acquisition of the primary and secondary outcomes was mainly successful, the adherence and acceptability of the intervention was noted. The participants stated the value of the intervention. The clinic staff voiced concerns regarding time and costs of nurses providing the TIPPS intervention. This allowed suggestions to be made regarding modification of trial design and context of implementation. Conclusions: The ADePT evaluation showed it was possible to progress to full trial with modifications in trial design.

scholarly journals Examination of Prenatal Dietary Choline Intake, and Maternal and Infant Outcomes

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 993-993
Author(s):  
Rosemary Gatliff ◽  
Joshua Phelps ◽  
Christi Arthur ◽  
Aline Andres
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Maternal Body Mass Index ◽  
Food Records ◽  
Choline Intake ◽  
Infant Birth ◽  
Dietary Choline ◽  
Maternal Bmi

Abstract Objectives The objectives of this study were to explore associations between maternal dietary choline intake and diet quality, maternal body mass index (BMI), and infant birth weight. Methods De-identified secondary data from 251 participants in a study involving pregnant women were analyzed to investigate associations between maternal dietary choline intake and infant birth weight; maternal dietary choline intake and 2015 Healthy Eating Index (HEI) scores; as well as 2015 HEI scores and maternal BMI. HEI scores were calculated from 3-day food records obtained during gestation (&lt;10, 12, 18, 24, 30, 36 weeks). Overall dietary choline intake during pregnancy was computed from all food records. Spearman's rank-order correlations, a one-sample Wilcoxon signed rank test, and a mixed linear model were used to test the hypotheses. Results There was a statistically significant correlation between maternal choline intake and the 1st trimester and 3rd trimester 2015-HEI scores (rs(207) = 0.204, P = 0.003 and rs(207) = 0.249, P = 0.00028, respectively). Median intake of dietary choline, 267 milligrams, was significantly lower (P &lt; 0.0005) than the adequate Intake for pregnant women (450 milligrams). There were trends (0.05 &lt; P &lt; 0.1) pointing to a pattern of negative association between maternal BMI and 1st, 2nd, and 3rd trimester 2015-HEI scores. Mixed model analysis revealed a statistically significant negative correlation (β = −0.001, P = 0.010) between maternal choline intake and infant birth weight. Conclusions As dietary choline increased, there was an associative decrease in birthweight; however, overall diet quality was poor and dietary choline intake was significantly lower than the recommended intake for pregnant women. These findings reflect the current body of evidence that pregnant women are at risk for choline inadequacy and that overall diet quality may help in preventing low choline intake during pregnancy. Funding Sources USDA-ARS Project.

scholarly journals Multi-strain Probiotic Increases the Gut Microbiota Diversity in Obese Pregnant Women: Results from a Randomized, Double-blind Placebo-controlled Study

2019 ◽  
Author(s):  
Sofie Ingdam Halkjær ◽  
Victoria Elisabeth de Knegt ◽  
Bobby Lo ◽  
Lisbeth Nilas ◽  
Dina Cortes ◽  
...  
Keyword(s):  
Birth Weight ◽  
Gut Microbiota ◽  
Pregnant Women ◽  
Controlled Study ◽  
Obese Women ◽  
Probiotic Supplementation ◽  
Positive Effects ◽  
Significant Difference ◽  
Gestational Week ◽  
Infant Birth

Abstract Background: Maternal obesity is associated with adverse pregnancy outcomes. Probiotic supplementation during pregnancy may have positive effects on blood glucose, gestational weight gain (GWG), and the risk of gestational diabetes mellitus (GDM). The primary aim was to determine the feasibility of probiotic intervention in obese pregnant women from the early second trimester until delivery. The secondary aim was to investigate the effect of daily probiotic supplementation on GWG, maternal glucose homeostasis, infant birthweight, and maternal gut microbiota. We carried out a randomized double-blinded placebo-controlled study in 50 obese pregnant women. Participants were randomly allocated to two treatment groups, multi-strain probiotic [Vivomixx®] or placebo at 14–20 weeks of gestation until delivery. Participants were followed with two pre-delivery visits at gestational week 27-30 and 36-37 and with one post-delivery visit 2-3 days after birth. All visits included blood and fecal sampling. An oral glucose tolerance test was performed at inclusion and gestational week 27-30. Results: Forty-nine participants completed the study. Thirty-eight participants took more than 80% of the Vivomixx® capsules (n=21), placebo (n=17). There was no significant difference in HbA1c levels and the occurrence of GDM between groups. There was no significant difference in GWG and infant birth weight between groups in intention to treat analysis. There was, however, a lower mean GWG (11.9 vs 13.0 kg) and lower mean infant birthweight (3554 vs 3658 g) in the probiotic group in the per protocol analysis, due to sample size this difference did not reach statistical significance. Fecal microbiota analyses showed an overall increase in α-diversity over time in the Vivomixx® group only (p=0.016). Conclusions: Administration of probiotics during pregnancy is feasible in obese women. Multi-strain probiotic can modulate the gut microbiota in obese women during pregnancy. A larger study population is needed to uncover whether the results regarding lower GWG and infant birth weight after probiotic supplementation are significant. Trial registration: ClincalTrials.gov Identifier: NCT02508844, registered on May 11, 2015.

scholarly journals PENINGKATAN BERAT BADAN IBU SAAT HAMIL BERHUBUNGAN DENGAN BERAT BADAN LAHIR BAYI

2021 ◽  
Vol 7 (4) ◽  
pp. 818-823
Author(s):  
Muhammad Subaim ◽  
Lidya Ariyanti
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Statistical Tests ◽  
P Value ◽  
Normal Infant ◽  
Maternal Weight ◽  
Chi Square ◽  
Weight Category ◽  
Infant Birth

Background : Infant mortality occurs in perinatal insanction (0 - 6 days), followed by death in neonatal indancy (7 – 28 days) and infant time (>28 days-<1year). The cause of death of perinatal babies in Lampung Province in 2013 was caused by asphyxia by 37.14% and the largest neonatal death was caused by BBLR by 28.18%.Purpose : Known correlation of weight gain of mothers while pregnant with the results of baby birth weight in Ambon Market Bandar Lampung Year 2019Methods: Quantitative research type, analytical survey research design with cross sectional approach. The population of 108 pregnant women based on the slovin formula was obtained by a sample of 85 respondents, sampling techniques using simple random sampling.Analyze univariate data and bivariate statistical tests using chi squaretest.Result : From 85 respondents obtained 51 respondents (60.0%) experienced normal weight gain, 34 respondents (40.0%) abnormal weight gain, 58 respondents (68.2%) with normal infant birth weight category, 27 respondents (31.8%) with the weight category of babies born abnormally. Conclusion : Statistical test results using chi square test are obtained p-value = 0.001 (< 0.05) which means there is a correlation of increase in maternal weight while pregnant with the results of baby birth weight in Ambon Market Bandar Lampung City Year 2019. Suggestion Pregnant women can maintain nutritional status from the beginning of the trimester to the end of the trimester through regular consumption of nutrients and energy according to the needs of the condition of the pregnant woman. Keywords : BB Enhancement, Pregnant Women, Baby Birth Weight ABSTRAK Pendahuluan: Kematian bayi terjadi pada masa bayi perinatal (0 - 6 hari), diikuti kematian pada masa bayi neonatal (7 – 28 hari) dan masa bayi (>28 hari-<1tahun). Penyebab kematian bayi perinatal Provinsi Lampung tahun  2013 disebabkan  karena  asfiksia  sebesar 37,14% dan kematian neonatal terbesar disebabkan BBLR sebesar28,18%.Tujuan:Diketahui korelasi peningkatan berat badan ibu saat hamil dengan hasil berat badan lahir bayi di Pasar Ambon Kota Bandar Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif, rancangan penelitian Survei Analitik dengan pendekatan crosssectional. Populasi 108 ibu hamil berdasarkan rumus slovin didapat sampel sebanyak 85 responden, teknik sampling menggunakan simple random sampling. Analisa data univariat dan bivariat, uji statistik menggunakan uji chisquare.Hasil: Dari 85 responden didapat 51 responden (60,0%) mengalami peningkatan berat badan normal, 34 responden (40,0%) mengalami peningkatan berat badan tidak normal, 58 responden (68,2%) dengan kategori berat lahir bayi normal, 27 responden (31,8%) dengan kategori berat bayi lahir tidak normal.Kesimpulan: Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,001 (<0.05) yang artinya terdapat korelasi peningkatan berat badan ibu saat hamil dengan hasil berat badan lahir bayi di Pasar Ambon Kota Bandar Lampung Tahun 2019.Saran ibu hamil dapat menjaga status gizi mulai dari awal trimester hingga akhir trimester melalui konsumsi zat gizi dan energi yang teratur sesuai dengan kebutuhan kondisi ibuhamil. Kata Kunci :Peningkatan BB, Ibu Hamil, Berat Badan Lahir Bayi 

Factors Affecting Weight Gain and Infant Birth Weight in Pregnant Women

1996 ◽  
Vol 96 (9) ◽  
pp. A69
Author(s):  
Gloria Coffman ◽  
M.A. Smith ◽  
Mary Dundas ◽  
Marjorie Luttrell
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Factors Affecting ◽  
Infant Birth

scholarly journals Modifying effects of maternal Hb concentration on infant birth weight in women receiving prenatal iron-containing supplements: a randomised controlled trial

2015 ◽  
Vol 115 (4) ◽  
pp. 644-649 ◽  
Author(s):  
Linlin Wang ◽  
Zuguo Mei ◽  
Hongtian Li ◽  
Yali Zhang ◽  
Jianmeng Liu ◽  
...  
Keyword(s):  
Folic Acid ◽  
Birth Weight ◽  
Randomised Controlled Trial ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Double Blind ◽  
Randomised Controlled ◽  
Hb Concentration ◽  
Infant Birth ◽  
Very High

AbstractConcerns have been raised about the benefits of Fe-containing supplements on infant birth weight among women with normal/high Hb levels at baseline. Thus far, no clinical trials have examined whether the effects of prenatal Fe-containing supplements on birth weight vary by maternal Hb levels. We compared the effects of Fe–folic acid (IFA) or multiple micronutrients (MMN) with folic acid (FA) supplements on birth weight among pregnant women with mild/no anaemia or high Hb levels. A double-blind randomised controlled trial was conducted in 2006–2009. In total, 18 775 pregnant women with mild/no anaemia (<100 g/l) were enrolled from five counties in north China. During the period from before 20 weeks of gestation to delivery, the women randomly received a daily supplement containing the following: (1) FA (400 μg); (2) IFA (FA, 400 μg; Fe, 30 mg); or (3) MMN (FA, Fe and thirteen additional vitamins and minerals). Birth weight was measured within the 1st hour of birth. Maternal Hb concentration was determined at enrolment. Among women with normal (≤132 g/l) or high (133–145 g/l) baseline Hb levels, IFA or MMN supplementation had no effect on birth weight. Among women with very high (>145 g/l) baseline Hb levels, IFA and MMN supplements increased birth weight by 91·44 (95 % CI 3·37, 179·51) g and 107·63 (95 % CI 21·98, 193·28) g (P<0·05), respectively, compared with the FA group. No differences were found between the IFA and the MMN group, regardless of maternal Hb concentration. In conclusion, the effects of Fe-containing supplements on birth weight depended on baseline Hb concentrations. The Fe-containing supplements improved birth weight in women with very high Hb levels before 20 weeks of gestation.

scholarly journals Protein intake and daily activities influence to infant birth weight

2018 ◽  
Vol 8 (1) ◽  
pp. 65
Author(s):  
Rossa Kurnia Ethasari ◽  
Sapja Anantanyu ◽  
Kusnandar Kusnandar
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Daily Activity ◽  
Protein Intake ◽  
Simple Random Sampling ◽  
Daily Activities ◽  
Contributing Factors ◽  
Third Trimester ◽  
Chi Square ◽  
Infant Birth

<p>Pregnancy is a crucial period time of life. One of the contributing factors in pregnancy is mother’s nutritional need, one of which is protein intake. A pregnant woman’s protein need must be fulfilled for the health of both mother and baby. A more active lifestyle of a pregnant woman will also induce more baby’s brain development than a less active one. To analyze the correlation between protein intake and daily activity with infant birth weight in third trimester pregnant women. Analytic observational using prospective cohort design.Independent variables are protein intake and daily activities.Protein intake data is acquired from 2x24 hours food recall, daily activity is measured using Baecke questionnaire and infant birth weight is measured using a baby scale.Sample size of this study is 109 women achieved using simple random sampling. Statistic test used was chi square test.Mean number of pregnant women’s protein intake per day is 0,68±0,469gr.Bivariate test result shows a significant correlation between protein intake and infant birth weight(p=0,000) and a sighificant correlation between daily activities and infant birth weight(p=0,000). There is a correlation between protein intake with infant birth weight in third trimester pregnant women; and there is a correlation between daily activity with infant birth weight in third trimester pregnant women.</p>

scholarly journals PREDIKTOR DETERMINAN BERAT BADAN LAHIR BAYI DI WILAYAH KERJA PUSKESMAS LINGKAR TIMUR KOTA BENGKULU TAHUN 2011

2018 ◽  
Vol 5 (1) ◽  
pp. 07-12
Author(s):  
Tetes Wahyu Witradharma
Keyword(s):  
Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Nutrient Intake ◽  
Fetal Brain ◽  
Secondary Data ◽  
Low Birth Weight Infants ◽  
Cross Sectional ◽  
Maternal Nutritional Status ◽  
Infant Birth

Nutrition for pregnant women is very influential on the fetus. Poor maternal nutritional status before conception and during pregnancy will lead to low birth weight infants (LBW), fetal brain growth retardation, anemia on fetus, susceptible to infectious diseases and abortion. The aim is to determine determinant predictor of infant birth weight in Puskesmas Lingkar Timur Area Bengkulu City 2011. This study used cross sectional by analytic approach. The sample were 88 people. Data obtained in  Puskesmas Lingkar Timur Area Bengkulu City from January to February 2011. Data research used secondary data which consisted of weight gain of pregnant women TM2, TM3, MUAC, Hb, iron (Fe), infant birth weight that obtained from the register book KIA BPS in Puskesmas Lingkar Timur Area Bengkulu City. Significant value of MUAC 0.0005 (p <0.05) and significant value of Hb 0.0005 (p <0.05). This study shows that MUAC and Hb are determinant predictor of weight infants. Therefore it is necessary for the promotion of research results that can be followed by monitoring nutrient intake and nutritional status  in pregnant women.

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