Attention action needs to be taken in regard to the Dietary Intake of Pregnant Women in Amman

2021 ◽  
Vol 17 ◽  
Author(s):  
Hadeel Ali Ghazzawi ◽  
Rand Blasi ◽  
Duha Abu Lawi

Background: Women experience a significant increase in nutritional needs during pregnancy due to the several changes during this phase. Failure to meet these increased nutritional needs may cause irreversible effects and predispose outcomes to metabolic complications. Scarce data to establish the base of nutritional status among pregnant women in Jordan was available. Objective: The study aimed to assess and evaluate energy and nutrients consumption among a group of pregnant women in Amman Governorate during the second or third trimesters; in order to compare the consumption with “Recommended Dietary Allowance” (RDA). Methods: A cross-sectional study was carried out in 2018 at the Ministry of Health’s (MoH) Maternal and Children Health Centers (MCHC) in Amman to assess the dietary intake for a convenient sample of 300 seemingly healthy pregnant women aged between 17 and 40 years-old and at ≥ 13 weeks of gestation. Maternal demographic cheracteristics, medical history, anthropometric measurements and dietary data (three days recall) were collected. Results: The daily mean intake of carbohydrates exceeded the recommended intake for 45.3% of pregnant women. Fiber intake was less than 28g/day for 90% of them. Total fats intake (45.6g/day) was lower than the RDA for 42.3% of the pregnant women. Two-thirds of the pregnant women consumed a moderate amount of saturated fats (14.6g/day). The mean daily intake of proteins was 50.5±20.2g. More than two-thirds consumed protein less than the RDA; subsequently, intakes of all essential amino acids were below RDAs. The intake of fat-soluble vitamins was lower than RDA for vitamins D, E, and K.While, the intake of vitamin A, was higher than RDA. The intake of minerals was lower than RDA for (calcium, fluoride, iodine, iron, zinc, and selenium), while the intakes of sodium and copper were higher. Conclusion: The results showed inadequate and imbalanced dietary intake in comparison with RDA. Maternal nutrition and diets of pregnant women in this study show alarming indicators that may negatively affect the well-being of both pregnant women and fetal growth.

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1652
Author(s):  
Margaret Charnley ◽  
Lisa Newson ◽  
Andrew Weeks ◽  
Julie Abayomi

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.


Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1152
Author(s):  
Simona Najpaverova ◽  
Miroslav Kovarik ◽  
Marian Kacerovsky ◽  
Zdenek Zadak ◽  
Miloslav Hronek

Maternal nutrition and metabolism play important roles for the well-being of both mother and fetus during pregnancy. This longitudinal study brings an original evaluation of the relationship between the nutritional energy and macronutrients intake (NEMI) and pregnancy outcomes and an assessment of the changes in such intake over the previous ten years. Sixty-five healthy Czech pregnant women were examined in three pregnancy periods (1st: 17th–27th; 2nd: 28th–35th; 3rd: 36th–38th gestational weeks). Results of 7-day dietary records were analyzed using NutriDan software. Energy intake decreased from 30.0 kcal/kg to 25.0 kcal/kg during pregnancy. The data also showed a decrease in macronutrients intake (p < 0.0001) with the advancing stage of pregnancy. Positive correlations were demonstrated between NEMI and birth weight (r = 0.410, p < 0.001). In the second pregnancy period, NEMI (excluding carbohydrates) positively associated with neonatal birth length (p < 0.01) and negatively with duration of birth (p < 0.05). An increased NEMI in the last period of pregnancy shortened the length of pregnancy.


2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Anette Lundqvist ◽  
Ingegerd Johansson ◽  
AnnaLena Wennberg ◽  
Johan Hultdin ◽  
Ulf Högberg ◽  
...  

Author(s):  
Isabel Peraita-Costa ◽  
Agustín Llopis-González ◽  
Alfredo Perales-Marín ◽  
Ferran Sanz ◽  
Agustín Llopis-Morales ◽  
...  

The Mediterranean diet (MD) is a dietary pattern with important benefits. The objectives of this study were to assess the adherence to the MD among pregnant women in Valencia (Spain) and characterize the pregnant women according to their level of adherence. Finally, we aimed to examine the role of MD adherence during pregnancy in the anthropometric development of the newborn. The study included 492 pregnant women who were followed at La Fe Hospital in 2017. The self-administered “Kidmed” questionnaire for data collection on dietary information evaluation was used and a clinical history review of mothers and newborns was performed. Two groups of mothers were identified: those with low adherence (LA) and optimal adherence (OA). The study revealed that 40.2% of the women showed LA to the MD. The newborns born to these women presented a higher risk of being small for gestational age (SGA) {adjusted odds ratio (aOR) = 1.68; 95% confidence interval (CI) 1.02–5.46} when adjusting for parental body mass index (BMI) and multiple gestation, but not when adjusting for all significant possible confounders (aOR = 2.32; 95% CI 0.69–7.78). The association between MD and SGA was not significantly affected by the use of iron and folic acid supplements (aOR = 2.65; 95% CI 0.66–10.65). The profile of the pregnant woman with LA is that of a young smoker, with a low level of education and a low daily intake of dairy products. These results suggest that LA to the MD is not associated with a higher risk of giving birth to a SGA newborn.


2020 ◽  
Vol 22 (1) ◽  
pp. 1-7
Author(s):  
Fernanda Scherer-Adami ◽  
Michele Dutra-Rosolen ◽  
Francieli Schedler ◽  
Ioná Carreno ◽  
Mabel N. Alves

Objective To evaluate weight gain during pregnancy according to the pregestational state in women who underwent prenatal care in Primary Health Care.Methods A cross-sectional study with the participation of 255 pregnant women. Socioeconomic and demographic variables were collected using a structured questionnaire. Women were evaluated for nutritional status and dietary intake. Data related to the age of the pregnant woman, gestational week, current weight, pregestational weight, and height were obtained from the prenatal follow-up form. The Statistical Package for the Social Sciences (SPSS) was used for statistical analysis.Results Pregestational nutritional status assessment showed that 43.2% (n=110) of the women started gestation with overweight and 4.3% (n=11) started with low weight. 51% percent (n=130) gained gestational weight above the recommended level. The mean age of women with pregestational BMI ≥ 25 kg/m² was significantly higher than that of those with BMI <25 kg/m² (p<0.001). Total energy (p=0.037) and calcium (p=0.004) intake were higher in women with weight gain above the recommended.Discussion The results presented highlight the importance of strategies in public health to avoid excess weight gain during pregnancy.Conclusion Pregnant women presented a gestational weight gain above the recommended maximum value according to pregestational BMI, which may contribute to adverse maternal and infant outcomes.


2021 ◽  
Vol 4 (3) ◽  
pp. 108-116
Author(s):  
Tiara Fatmarizka ◽  
Raudhatus Shofy Ramadanty ◽  
Dini Afriani Khasanah

Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved. 


Author(s):  
Onyemaechi Ngozi Edith ◽  
Malann Yoila David

Aim: This research aim was to investigate the impact of living conditions (Socio demographic characteristics) of pregnant women on their malarial status. Study Design: In order to achieve the objectives of the study, Cross sectional survey was used. This is because only a subsect of the population was used. Descriptive designs was utilised in the Questionnaire aspect of the study. Place and Duration of Study: The Presidential Malarial initiative PMI/USAID - funded Insectary Laboratory at Nasarawa State University, Keffi/six (6) Months. Methodology: Blood samples were collected from the participating pregnant women by pricking their thumb and the blood droplet was examined using a direct thin and thick blood smear preparation stained with giemsa for the presence of the ring form stages of the parasites in the blood of the individuals in the laboratory. Qualitative data were sourced through Questionnaire administration to 589 pregnant women in Antenatal care clinics (ANC) in the area and their malaria status was also determined. Results: Study results showed a high prevalence rate of malaria in pregnancy (70.5%), the greater number of occurrences being in Lugbe (42.3%) than in Gosa (28.2%). Those living in houses built with wood recorded more positive cases of malaria and are at greater risk of infection (odds = 1.866%). Conclusion: This study has shown an increased rate of malaria infection amongst pregnant women living in wood and mud houses. The result also shows high rate of malaria occurrences due to low living conditions amongst pregnant women domiciled in this area of study. Hence, pregnant women should as a routine be placed on malaria prophylaxis and periodically checked as they can be asymptomatic, only exhibiting symptoms when its already late.


2021 ◽  
Vol 9 (02) ◽  
pp. 121-127
Author(s):  
Eka Yuli Handayani ◽  
Ermiza ◽  
Mia Widiastuti

Nutrition is a process of using food that is consumed normally. Nutrition in pregnancy is a healthy and balanced diet that must be consumed during pregnancy. Assessment of the nutritional status of pregnant women can be known by the presence of weight gain during pregnancy, measuring the upper arm circumference (LILA), and measuring Hb. Nutrition plays a major role in maternal and child health. Poor maternal nutritional status will affect growth and development during pregnancy. The benefits of balanced nutrition during pregnancy are meeting the nutritional needs of the mother and fetus, achieving nutritional status under normal circumstances. Maternal weight before pregnancy and weight gain during pregnancy is less (underweight) or more (overweight) than normal will make pregnancy a risk (low risk). This study aims to determine the knowledge of pregnant women about nutrition during pregnancy in Sialang Jaya Village in 2021, the research method used is a descriptive method with a cross sectional research design. The population in this study were pregnant women, with a sample of 30 respondents. Sampling using Total Sampling. In this study, the measuring instrument used was in the form of a questionnaire as many as 20, while the data analysis was carried out by univariate analysis which resulted in a frequency distribution. The results showed that based on the knowledge of 30 respondents who had good knowledge as many as 3 respondents (10.0%), 13 respondents with sufficient knowledge (43.3%), and those with less knowledge were 14 respondents (46.7%). The conclusion from the research conducted by researchers is that the average knowledge of pregnant women about nutrition during pregnancy in Sialang Jaya Village 2021 is less knowledgeable. To increase knowledge, pregnant women should get information directly from health workers, social media, the environment and others related to pregnant women.


2017 ◽  
Vol 1 (2) ◽  
pp. 72
Author(s):  
Zahidatul Rizkah ◽  
Trias Mahmudiono

 Background: Chronic Energy  Deficiency, and Anemia in pregnancy have become two the indirect and major causes of maternal and infant mortality cases in Indonesia. Objectives: The purpose of this study was to determine the effect of age, gestational age, gravida on Chronic Energy Deficiency occurrence and anemia. Methods: . The purpose of this study was to determine the effect of age, gravida, and work status on Chronic Energy Deficiency occurrence and Anemia.Results: The results showed that unemployed mothers had a probability of 0.824 times for Chronic Energy Deficiency compared with working mothers, multigravidal mothers had a probability of 1.021 times for Chronic Energy Deficiency compared with primigravida mothers, and 3,200 times for Chronic Energy Deficiency compared with primigravida mothers. Pregnant women <20 years of age have an anemia risk of 2.250 times compared with age 20-35 years, and age> 35 years have anemia risk 5.885 times greater than the age of 20-35 years. Unhealthy mothers and mothers who have risk of Anemia 1.990 greater than pregnant women who work.Conclusion: The conclusion of this research is that there is influence of work status, primigravida to Chronic Energy Deficiency occurrence, and there is influence of age, working status, and gravida on occurrence Anemia in pregnant mother. Advice for pregnant women is to conduct counseling to health workers on a regular basis and meet the nutritional needs during pregnancy according to the advice of health workers to prevent the occurrence of Chronic Energy Deficiency and anemia during pregnancy.ABSTRAK Latar Belakang: Proporsi ibu hamil dengan KEK di Indonesia berdasarkan Riset Kesehatan Dasar mengalami peningkatan yaitu pada tahun 2010 sebesar 33,5% meningkat menjadi 38,5% pada tahun 2013.  Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui pengaruh umur, gravida, dan status  bekerja  terhadap kejadian KEK dan Anemia pada ibu hamil.  Metode: Penelitian cross-sectional ini melibatkan 153 ibu hamil yang periksa selama bulan Januari-Desember 2014 sebagai sampel. Sampel ini dipilih secara acak dengan menggunakan teknik simple random sampling. Pengaruh antar variabel dianalisis menggunakan uji Logistic Regression (α = 0,05).  Hasil: Hasil penelitian menunjukkan bahwa ibu yang tidak bekerja memiliki kemungkinan 0,824 kali untuk mengalami KEK dibandingkan dengan ibu yang bekerja, ibu multigravida memiliki kemungkinan 1,021 kali untuk mengalami KEK dibandingkan dengan ibu primigravida, dan 3,200 kali untuk mengalami KEK dibandingkan dengan ibu primigravida, . Ibu hamil yang berumur < 20 tahun memiliki resiko mengalami Anemia 2,250 kali dibandingkan dengan umur 20-35 tahun, dan usia > 35 tahun memiliki resiko mengalami Anemia 5,885 kali lebih besar dibandingkan dengan usia 20-35 tahun. Ibu yang tidak bekerja memiliki resiko mengalami Anemia 1,990 lebih besar dibandingkan dengan ibu hamil yang bekerja.Kesimpulan: Kesimpulan dari penelitian ini adalah terdapat pengaruh status bekerja, primigravida terhadap kejadian KEK, dan terdapat pengaruh umur, status bekerja, dan gravida  terhadap kejadian Anemia pada ibu hamil. Saran untuk ibu hamil adalah untuk melakukan konseling kepada petugas kesehatan secara teratur dan memenuhi kebutuhan nutrisinya selama hamil sesuai saran petugas kesehatan untuk mencegah terjadinya KEK dan anemia pada masa kehamilan.


2014 ◽  
Vol 21 (06) ◽  
pp. 1113-1116
Author(s):  
Nasira Naseem ◽  
Ijaz-Ul-Haque Taseer ◽  
Sohail Safdar

Objective: To see the frequency of anemia in pregnant ladies and its possible outcomes. Study design: Descriptive cross sectional study. Setting: Fatima Jinnah Women Hospital, Multan. Duration of study: Six months. Material and method: This prospective cross sectional study was conducted at Gynae and Obst. OPD at Fatima Jinnah Women Hospital, Multan. Non probability convenient sampling technique was used. All the pregnant women between 20-35 years irrespective of gestational age or any concurrent illness having parity upto 5 were registered for the study after getting written consent for participation. The pregnant ladies were evaluated by asking history of blood loss, parity, multiple pregnancy, worm infestation, use of NSAIDS and blood transfusion. They were especially asked about dietary habits which were rated as good, average and poor. Their socio economic status was assessed and was placed into high, middle and low income groups. Blood samples were drawn for blood counts and hemoglobin estimation in all the women presenting at hospital. Reflotron photometer, Roche Diagnostic was used for the blood testing. A cut off value of< 11 g/dl irrespective of duration of pregnancy was used for anemia. Peripheral blood film was examined for RBC morphology. Mean corpuscular volume (MCV) was used to categorize into micorcytic (< 76fl), macrocytic (>98fl) and normocytic (78-98fl). Fetal well being was evaluated by serial abdominal ultrasounds. Results: Three hundred pregnant women attending Gyne and Obst. OPD, Fatima Jinnah Women Hospital, Multan, were registered according to the study protocol. The duration of the study was 6 months. Maternal age was between 25-35 years. 86 % women were multiparous, 79% women presented during 3rd trimester, 15% during the 2nd trimester and 6% during 1st trimester. Thirty eight percent women had hemoglobin 8-9.9 g/dl, 48% had from 7-7.9 g/dl and 10%were falling between 5-7 g/dl. Eighty eight percent had microcytic hypochromic anemia, 12% with dimorphic picture and 4% were having low MCV and MCH but normal MCHC and these were referred for hemoglobin electrophoresis. Fifty eight percent had monthly income 2-4 thousands rupees and only 10% were earning 4-10 thousands per month. Seventy eight percent had poor diet and 22% had an average and no women were fit into the criteria for good diet. History of breast feeding was positive in 92% of the women. History of use of iron supplement was also asked, 28% had used various preparations of iron and folate for a variable period from 1-4 months, 72% never used hematinic supplements. History of previous blood transfusion during pregnancy and labour was present in 16% of the women. Three percent had fetal growth retardation. Conclusions: Prevalence of anemia during 3rd trimester of pregnancy in is high our society. It can have significant effects on maternal and fetal out come. It is a preventable cause which can be treated easily. Poverty and lack of education are the most important causes of anemia during pregnancy.


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