scholarly journals Effect of Preconception Care Intervention on Maternal Nutritional Status and Birth Outcome in a Low-Resource Setting: Proposal for a Nonrandomized Controlled Trial

10.2196/28148 ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. e28148
Author(s):  
Dharitri Swain ◽  
Jasmina Begum ◽  
Swayam Prangnan Parida
Keyword(s):  
Folic Acid ◽  
Nutritional Status ◽  
Birth Outcomes ◽  
Preconception Care ◽  
Controlled Trial ◽  
Adverse Birth Outcomes ◽  
Maternal Nutritional Status ◽  
Care Intervention ◽  
Resource Setting ◽  
Low Resource Setting

Background The provision of preconception care approaches such as maternal assessments and education on healthy lifestyle (including physical activity, nutrition, and dietary supplements such as folic acid), general and sexual health, avoidance of high-risk behavior, and immunizations has been shown to identify and reduce the risk of adverse birth outcomes through appropriate management and preventive measures. Objective The goal of the study is to determine the effect of an integrated preconception care intervention on delivery outcomes, which is a novel challenge for lowering unfavorable birth outcomes in India’s low-resource setting. The main objectives are to investigate the relationship of birth outcomes to both maternal and paternal preconception health and determine the effect of preconception care intervention on improvement of maternal nutritional status and reduction of the risk of adverse birth outcomes such as prematurity, low birth weight, and maternal and neonatal complications. Methods A nonrandomized controlled trial design will be used for comparing 2 groups: preconception care with a standard maternal health care (MHC) program and an integrated MHC program (without preconception care). Two rural field areas of Khordha district, Odisha, will be selected for conducting the study. The study will enroll 782 married women between the ages of 18 and 35 years with their spouses, with 391 women in each group. The couples will receive preconception care based on their health circumstances, and they will be followed up at 3-month intervals before pregnancy. Following pregnancy, they will be followed up for 8 prenatal monitoring and care visits as well as 6 weeks after delivery as part of the standard MCH program. The preconception care intervention package includes couples counseling, contraceptive education and distribution, sex education, lifestyle modification, and nutritional supplementation of iron and folic acid, along with multivitamins if needed. Results The proposal was approved by the institutional ethical committee for conducting the study in June 2020 (Ref No: T/EMF/Nursing/20/6). Participants were enrolled in phase 1 in April 2021, phase 2 of offering preconception services will begin in August 2021, and study outcomes will be measured from 2023 to 2024. Conclusions Through preconception care and counseling, the eligible couples will recognize, embrace, and implement the actions to improve their preconception health. Finally, it is expected that maternal and paternal health will have a significant impact on enhancing maternal nutritional status and birth outcomes. Trial Registration Clinical Trials Registry–India CTRI/2021/04/032836; http://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=48239&EncHid=&userName=CTRI/2021/04/032836 International Registered Report Identifier (IRRID) PRR1-10.2196/28148

scholarly journals Effect of Preconception Care Intervention on Maternal Nutritional Status and Birth Outcome in a Low-Resource Setting: Proposal for a Nonrandomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Dharitri Swain ◽  
Jasmina Begum ◽  
Swayam Prangnan Parida
Keyword(s):  
Folic Acid ◽  
Nutritional Status ◽  
Birth Outcomes ◽  
Preconception Care ◽  
Controlled Trial ◽  
Adverse Birth Outcomes ◽  
Maternal Nutritional Status ◽  
Care Intervention ◽  
Resource Setting ◽  
Low Resource Setting

BACKGROUND The provision of preconception care approaches such as maternal assessments and education on healthy lifestyle (including physical activity, nutrition, and dietary supplements such as folic acid), general and sexual health, avoidance of high-risk behavior, and immunizations has been shown to identify and reduce the risk of adverse birth outcomes through appropriate management and preventive measures. OBJECTIVE The goal of the study is to determine the effect of an integrated preconception care intervention on delivery outcomes, which is a novel challenge for lowering unfavorable birth outcomes in India’s low-resource setting. The main objectives are to investigate the relationship of birth outcomes to both maternal and paternal preconception health and determine the effect of preconception care intervention on improvement of maternal nutritional status and reduction of the risk of adverse birth outcomes such as prematurity, low birth weight, and maternal and neonatal complications. METHODS A nonrandomized controlled trial design will be used for comparing 2 groups: preconception care with a standard maternal health care (MHC) program and an integrated MHC program (without preconception care). Two rural field areas of Khordha district, Odisha, will be selected for conducting the study. The study will enroll 782 married women between the ages of 18 and 35 years with their spouses, with 391 women in each group. The couples will receive preconception care based on their health circumstances, and they will be followed up at 3-month intervals before pregnancy. Following pregnancy, they will be followed up for 8 prenatal monitoring and care visits as well as 6 weeks after delivery as part of the standard MCH program. The preconception care intervention package includes couples counseling, contraceptive education and distribution, sex education, lifestyle modification, and nutritional supplementation of iron and folic acid, along with multivitamins if needed. RESULTS The proposal was approved by the institutional ethical committee for conducting the study in June 2020 (Ref No: T/EMF/Nursing/20/6). Participants were enrolled in phase 1 in April 2021, phase 2 of offering preconception services will begin in August 2021, and study outcomes will be measured from 2023 to 2024. CONCLUSIONS Through preconception care and counseling, the eligible couples will recognize, embrace, and implement the actions to improve their preconception health. Finally, it is expected that maternal and paternal health will have a significant impact on enhancing maternal nutritional status and birth outcomes. CLINICALTRIAL Clinical Trials Registry–India CTRI/2021/04/032836; http://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=48239&EncHid=&userName=CTRI/2021/04/032836 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/28148

scholarly journals Maternal Nutritional Status Predicts Adverse Birth Outcomes among HIV-Infected Rural Ugandan Women Receiving Combination Antiretroviral Therapy

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e41934 ◽  
Author(s):  
Sera Young ◽  
Katherine Murray ◽  
Julia Mwesigwa ◽  
Paul Natureeba ◽  
Beth Osterbauer ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Nutritional Status ◽  
Birth Outcomes ◽  
Adverse Birth Outcomes ◽  
Combination Antiretroviral Therapy ◽  
Maternal Nutritional Status

Randomized controlled trial of continuous Doppler versus intermittent fetoscope fetal heart rate monitoring in a low-resource setting

2018 ◽  
Vol 143 (3) ◽  
pp. 344-350 ◽  
Author(s):  
Paschal F. Mdoe ◽  
Hege L. Ersdal ◽  
Estomih Mduma ◽  
Robert Moshiro ◽  
Ingvild Dalen ◽  
...  
Keyword(s):  
Heart Rate ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Controlled Trial ◽  
Heart Rate Monitoring ◽  
Fetal Heart Rate Monitoring ◽  
Randomized Controlled ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Continuous Doppler

scholarly journals Utilization of preconception care and associated factors in Hosanna Town, Southern Ethiopia

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261895
Author(s):  
Meron Admasu Wegene ◽  
Negeso Gebeyehu Gejo ◽  
Daniel Yohannes Bedecha ◽  
Amene Abebe Kerbo ◽  
Shemsu Nuriye Hagisso ◽  
...  
Keyword(s):  
Child Health ◽  
Pregnant Women ◽  
Birth Outcomes ◽  
Preconception Care ◽  
Previous History ◽  
Care Utilization ◽  
Adverse Birth Outcomes ◽  
Care Services ◽  
History Of ◽  
And Child Health

Introduction There is substantial body of evidence that portrays gap in the existing maternal and child health continuum of care; one is less attention given to adolescent girls and young women until they get pregnant. Besides, antenatal care is too late to reduce the harmful effects that a woman’s may have on the fetus during the critical period of organogenesis. Fortunately, preconception care can fill these gaps, enhance well-being of women and couples and improve subsequent pregnancy and child health outcomes. Therefore, the main aim of the current study was to assess preconception care utilization and associated factors among pregnant women attending antenatal care clinics of public health facilities in Hosanna town. Methods A facility based cross-sectional study design was carried out from July 30, 2020 to August 30, 2020. Data were collected through face-to-face interview among 400 eligible pregnant women through systematic sampling technique. Epi-data version 3.1 and SPSS version 24 was used for data entry and analysis respectively. Both bivariable and multivariable logistic regression analysis was conducted to identify association between dependent and independent variables. Crude and adjusted odds ratio with respective 95% confidence intervals was computed and statistical significance was declared at p-value <0.05. Result This study revealed that 76 (19%, 95% Cl (15.3, 23.2) study participants had utilized preconception care. History of family planning use before the current pregnancy (AOR = 2.45; 95% Cl (1.270, 4.741), previous history of adverse birth outcomes (AOR = 3.15; 95% Cl (1.650, 6.005), poor knowledge on preconception care (AOR = 0.18; 95% Cl (0.084, 0.379) and receiving counseling on preconception care previously (AOR = 2.82; 95% Cl (1.221, 6.493) were significantly associated with preconception care utilization. Conclusions The present study revealed that nearly one-fifth of pregnant women have utilized preconception care services. History of family planning use before the current pregnancy, previous history of adverse birth outcomes, poor knowledge on preconception care and receiving counseling on preconception care previously were significantly associated with preconception care utilization. Integrating preconception care services with other maternal neonatal child health, improving women’s/couples knowledge & strengthening counseling services is pivotal.

scholarly journals Home use of misoprostol for early medical abortion in a low resource setting: secondary analysis of a randomized controlled trial

2015 ◽  
Vol 95 (2) ◽  
pp. 173-181 ◽  
Author(s):  
Kirti Iyengar ◽  
Marie Klingberg-Allvin ◽  
Sharad D. Iyengar ◽  
Mandira Paul ◽  
Birgitta Essén ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Medical Abortion ◽  
Low Resource ◽  
Randomized Controlled ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Effect of Maternal Multiple Micronutrient vs Iron–Folic Acid Supplementation on Infant Mortality and Adverse Birth Outcomes in Rural Bangladesh

JAMA ◽  
2014 ◽  
Vol 312 (24) ◽  
pp. 2649 ◽  
Author(s):  
Keith P. West ◽  
Abu Ahmed Shamim ◽  
Sucheta Mehra ◽  
Alain B. Labrique ◽  
Hasmot Ali ◽  
...  
Keyword(s):  
Folic Acid ◽  
Infant Mortality ◽  
Birth Outcomes ◽  
Folic Acid Supplementation ◽  
Adverse Birth Outcomes ◽  
Acid Supplementation ◽  
Rural Bangladesh ◽  
Multiple Micronutrient ◽  
Iron Folic Acid Supplementation ◽  
Iron Folic Acid
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