scholarly journals Nutrient intake and dietary pattern among pregnant women visiting the tertiary level hospital of Nepal

2020 ◽  
Vol 19 (1) ◽  
pp. 13-18
Author(s):  
Amit Timilsina ◽  
Rajan Paudel ◽  
Anisha Shrestha
Keyword(s):  
Pregnant Women ◽  
Energy Intake ◽  
Dietary Pattern ◽  
Nutrient Intake ◽  
Good Health ◽  
First Trimester ◽  
University Teaching ◽  
Structured Interviews ◽  
Third Trimester ◽  
Cross Sectional

Background: Pregnancy demands adequate nutritional requirements for foetal growth, good health of pregnant women and to avoid adverse effects during pregnancy. Women from developing countries with limited resources have inadequate consumption of nutritional diets. This paper assesses the nutrient intake and dietary pattern of Nepalese pregnant women compared with recommended nutrient intake. This paper also observes trimester wise nutrient intake among pregnant women in Nepal.Methodology: A descriptive cross-sectional study was conducted among 323 pregnant women who visited Gynaecology and Obstetrics Out-Patient Department (OPD) at Tribhuvan University Teaching Hospital (TUTH) for regular Antenatal Care (ANC) check-ups. Systematic random sampling methods were followed and data were collected from September 2016 to October 2016. Nutrient intake was evaluated with a 24-hour dietary recall method and compared with the Nepalese Food Composition Table 2017 for available nutrients. Face-to-face structured interviews were conducted to assess the nutrient intake of the respondents. The data were entered in Microsoft Excel 2007 and statistical analysis was carried out in SPSS v26. The descriptive analysis was done to identify the distribution of socio-demographic variables of pregnant women. The one-way Analysis of Variance (ANOVA) was used to compare the mean of nutrient intake distribution while Tukey’s post-hoc test was done to compare trimester-wise nutrient intakes.Results: Except for fat, the intake of nutrients were below the Nepalese Recommended Nutrient Intake. Carbohydrate and energy intake in the second and third trimester was significantly different from that in the first trimester (p = 0.006 and 0.004 respectively for carbohydrates and p = 0.009 and 0.002 respectively for energy intake). However, riboflavin intake was significantly lower only in the third trimester as compared to the first (p = 0.025) while there were no significant intake differences between the first and second trimester and second and third trimester. No significant trimester wise differences were observed for intake distribution of other nutrients. Cereal intake was found to be abundant in the diet of pregnant women followed by pulses, legumes, and other vegetables.Conclusion: The research concludes inadequate nutrient intake among pregnant women as compared to the national Recommended Nutrient Intake.  

scholarly journals Midwives’ role in drop-out antenatal care at second visit: Therapeutic and interactive communication in the Lombok Tengah District, Indonesia

2019 ◽  
Author(s):  
Ernawaty Ernawaty ◽  
Chotimatul Husna ◽  
Stefanus Supriyanto ◽  
Zahrotul Kamilah
Keyword(s):  
Pregnant Women ◽  
First Trimester ◽  
Drop Out ◽  
Observational Research ◽  
Second Trimester ◽  
Third Trimester ◽  
Therapeutic Communication ◽  
Cross Sectional ◽  
Interactive Communication ◽  
Cross Sectional Design

Visiting health center for getting ANC service, at least four times during pregnancy consisting of the first visit (K1) during the first trimester, the second visit (K2) during the second trimester, and K3 and K4 visit during the third trimester must be done by pregnant women in Indonesia. The objective of this research is to analyze therapeutic and interactive communication by midwives during ANC service. This observational research used cross sectional design. The sample size is 30 women with babies under six months old from 3 PHCs working areas in Lombok Tengah District. Among all therapeutic and interactive communication indicators performed by the midwives, only responsive indicator in therapeutic communication showed insignificant influence on K4 of pregnant women. The other indicators showed significant impact. More than 50% of respondents said that midwives providing ANC had poor attending skill, respect, responsiveness, empathy, informing, persuading, and reminding. The conclusion is that the worse the pregnant women perception of midwives communication behavior is, the higher the chance for the pregnant women to drop-out during K4 is.

Lipid-soluble antioxidants status and some of its socio-economic determinants among pregnant Ethiopians at the third trimester

2005 ◽  
Vol 8 (6) ◽  
pp. 582-587 ◽  
Author(s):  
Yared Wondmikun
Keyword(s):  
Vitamin A ◽  
Pregnant Women ◽  
High Performance ◽  
Vitamin A Deficiency ◽  
Serum Levels ◽  
University Teaching ◽  
Northern Ethiopia ◽  
Third Trimester ◽  
Cross Sectional ◽  
Β Carotene

AbstractObjectiveTo determine the serum levels of three lipid-soluble antioxidants (retinol, β-carotene and α-tocopherol) in pregnant women attending an antenatal clinic (ANC) in Gondar, Ethiopia.DesignA cross-sectional study involving laboratory determination of serum levels of retinol, α-tocopherol and β-carotene using high-performance liquid chromatography and questionnaire-based assessment of socio-economic status.SettingANC of a university teaching hospital.SubjectsThree hundred and twenty-two healthy pregnant women in their third trimester, who attended the ANC.ResultsMean serum levels of retinol, α-tocopherol and β-carotene were found to be 1.23±0.5, 25.5±0.9 and 0.21±0.09 μmol l−1, respectively. The prevalence of vitamin A deficiency (<1.05 μmol l−1) among pregnant women was 38.5%. Women having low retinol (vitamin A) levels were highly likely to live in earth-floored and mud-walled houses, and less likely to own a house and to have a latrine.ConclusionThe study shows that serum levels of lipid-soluble antioxidants were low among ANC attendees in northern Ethiopia. It also indicates that some socio-economic factors (such as poor housing standard) are associated with vitamin A deficiency.

scholarly journals Determinan Kesehatan Ibu Hamil Tentang Tanda Bahaya Kehamilan dengan Pencapaian Kontak Minimal 4 Kali Selama Masa Kehamilan (K4)

2020 ◽  
Vol 5 (1) ◽  
pp. 29-35
Author(s):  
Katmini Katmini
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
First Trimester ◽  
P Value ◽  
Third Trimester ◽  
Cross Sectional ◽  
Exact Test ◽  
Danger Signs ◽  
Analytical Research ◽  
Design Type

Background: Danger sign of pregnancy was a sign that someone who pregnant have a serious  problem with the mother or fetus. Contact at least 4 times during pregnancy (K4) was the fourth contact of pregnant women with the medical employee  (or more), to obtain antenatal care according to established standards, provided that at least one contact in the first trimester, one contact on the second trimester and two contact times in the third trimester. The purpose of this study was to determine the correlation between knowledge pregnant women about the danger signs of pregnancy with the achievement of K4.Methods: The research method was using analytical research design type of cross sectional correlation. The subjects in this study was the entire third trimester pregnant women in the Selopanggung Village Semen District Regency of  Kediri  as many as 12 people, sampling technique using saturation sampling and research in March until April 2019. Measuring instrument used was questionnaire and book KIA. Data analysis was using Fisher Probability Exact Test. Results: The results showed all third trimester pregnant women have a good knowledge (100%) and as much as 33% of pregnant women can achieve K4. The analysis showed that the calculated p value was 1 greater than 0.01 so there wasn’t correlation between knowledge pregnant women about the danger signs of  pregnancy with the achievement of K4. Conclusion: This research was expected to increase further-enhance-the-achievement-of-K4 by medical employee with_home_visit.

scholarly journals Gambaran Kebiasaan Ibu Hamil Dalam Mengatasi Ketidaknyamanan Selama Kehamilan Di RSUD R. Syamsudin, SH

2018 ◽  
Vol 12 (1) ◽  
pp. 28-35
Author(s):  
Vega Ramadhina Putri ◽  
Lina Rahmiati ◽  
Khalidatunnur Andrianie
Keyword(s):  
Pregnant Women ◽  
Growth Period ◽  
First Trimester ◽  
Reproductive Period ◽  
Physical Change ◽  
Second Trimester ◽  
Third Trimester ◽  
Cross Sectional ◽  
Difficult Defecation ◽  
Descriptive Method

Pregnancy is a natural and normal process in reproductive period of women life. Discomfort of pregnancy period is common thing. During 9 months or at the 3 trimesters of  pregnancy, pregnant women suffered physical change and also with her psychological to prepare herself for the growth period of the fetus, during labor, and breastfeeding. The such changes can cause interference and obstacles in pregnancy. The purpose of research is to describe the habits of pregnant women how to resolve discomfort condition at R. Syamsudin, SH Hospital in May 2014. This research used descriptive method with cross sectional approach by using 30 respondents as samples. For statistical analysis used is univariate. Results of research are for first trimester are nausea and vomiting (100%); second trimester are difficult defecation, bloating, and heartburn (50%), third trimester is frequent urination (100%). Base on the discomfort condition that happened, commonly practice by pregnant women is waiting for the discomfort goes away by itself. The conclusions of research are the habit that did by pregnant women to resolve discomfort conditions is waiting for the discomfort goes away by itself.

scholarly journals Preventive and Curative treatment of malaria during pregnancy in Mali: Evaluation of the Healthcare Professionals based on the Malian National Malaria Control Program (NMCP) Guidelines

2021 ◽  
Vol 11 (5-S) ◽  
pp. 71-76
Author(s):  
Mahamadou BALLO ◽  
Karim Traoré ◽  
Samou Sidibé ◽  
Seidina Diakité ◽  
Abdoulaye Guindo ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Malaria Transmission ◽  
Control Program ◽  
Preventive Treatment ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Antimalarial Drugs ◽  
Third Trimester ◽  
Cross Sectional ◽  
In Pregnancy

Malaria infections in pregnancy should be treated promptly with safe and efficacious antimalarial drugs to prevent harmful effects on the mother and fetus. To succeed, the Malian has developed NMCP guidelines for the management of malaria cases in pregnant women. The study aimed at the analysis of the prescription of antimalarial drugs based on the Mali's NMCP guidelines. We conducted a cross-sectional study during malaria transmission season from June to August 2020. The sampling concerned all prescriptions for pregnant women containing at least one antimalarial drug. The frequency of prescription of antimalarial drugs was 85%. 132 (74.16%) were preventive treatments and 46 (25.84%) curative treatments. 30 (90.91%) of pregnant women in the first trimester received one dose of Sulfadoxine-Pyrimethamine. 6 (12.5%) received three doses in the third trimester. Of the 46 antimalarial drugs prescribed for the treatment of uncomplicated malaria, 30 (65.22%) were Artemether-lumefantrine (tablet), 10 (21.74%) were Quinine (tablet). 29 (63.04%) were compliant with NMCP guidelines and 17 (36.96%) were not. The non-compliances concerned 3 prescriptions of Artemether-lumefantrine in the first trimester, 3 and 5 prescriptions of Quinine (tablet) in the second and third trimester respectively and at the end 2 and 4 non-compliances respectively for the prescription of injectable dosage forms of Quinine and Artesunate. This study showed a great noncompliance with the Mali's NMCP guidelines in the prescription of antimalarial in pregnant women. Chemoprophylaxis should be prohibited in the first trimester.   Keywords: Curative and Preventive Treatment, Malaria in Pregnancy, Malaria Transmission, Mali

scholarly journals Health Anxiety of Pregnant Women and Its Related Factors During the Pandemic of Corona Virus

2020 ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Health Anxiety ◽  
First Trimester ◽  
Care Providers ◽  
Third Trimester ◽  
Related Factors ◽  
Cross Sectional ◽  
The Third ◽  
Corona Virus

Abstract Background The pandemic of COVID-19 affected many countries as well as Iran. The aim of this study was to evaluate the health anxiety of the Iranian pregnant women in time of the pandemic of the corona virus. Methods In this cross-sectional study 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety questionnaire were used to collect data. Because of quarantine data were collected through social media groups. The chi-square, ANOVA and multiple linear regression were used to analyze data. Results The total score of anxiety was 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimester of pregnancy. Totally 9%, 13% and 21% of the women had severe anxiety or scores ≥ 35 in the first, second and third trimester of pregnancy respectively. Pregnant women in the third trimester significantly had more health anxiety score than the first trimester ones. Pregnant women in the third trimester had significantly higher scores of “total health anxiety”, in comparison with that of first trimester (p = 0.045). Conclusion At the time of the pandemic of COVID-19, women in the second and third trimester of pregnancy were more worry about consequences of disease, but the total score of health anxiety was significantly more in the women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as Corona pandemic.

scholarly journals Assessing the Knowledge of Analgesic Drugs Utilization during Pregnancy among Women in Saudi Arabia: A Cross-Sectional Study

2021 ◽  
Vol 18 (14) ◽  
pp. 7440
Author(s):  
Maryam Jamal AlSaeed ◽  
Dalia Ahmed Elmaghraby
Keyword(s):  
Pregnant Women ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Analgesic Drug ◽  
Third Trimester ◽  
Cross Sectional ◽  
Analgesic Drugs ◽  
Saudi Women ◽  
Background Pain ◽  
Inflammatory Drugs

Background: Pain is a common compensation mechanism in pregnant women that they may face during gestation due to physiological changes. Paracetamol and non-steroidal anti-inflammatory drugs are the most administered analgesic drugs worldwide. Therefore, safety and efficacy are important measures for the use of analgesics during pregnancy. Objective: Assess the knowledge of analgesic drug utilization among Saudi pregnant women. Method: We conducted a self-administered survey with an electronic questionnaire via Google Drive among a sample of 406 Saudi women. Results: About half of the respondents took analgesics during the first trimester, and 52.5% of women have used analgesics at least once without any medical advice during their gestation. Most participants agreed that paracetamol is the safest and effective analgesic drug during pregnancy, yet 61.8% of women are not aware that analgesics could be detrimental to the fetus if inappropriately administered in the third trimester. Conclusion: Participants have a good perception of the safest and most effective analgesic drug during pregnancy, but they have poor knowledge about analgesics’ side effects.

scholarly journals Nutritional Counseling On Energy, Protein, Vitamin C And Iron Intake.

2019 ◽  
Vol 25 (2) ◽  
pp. 26
Author(s):  
Halil Munawir ◽  
Mustamin Mustamin ◽  
Ramlan Asbar
Keyword(s):  
Vitamin C ◽  
Pregnant Women ◽  
Energy Intake ◽  
Protein Intake ◽  
Nutrient Intake ◽  
Iron Intake ◽  
Nutritional Counseling ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency

Chronic energy deficiency is one of the nutritional problems of pregnant women where the body's condition experiences a severe lack of energy or is often showed by upper arm circumference <23.5. chronic energy deficiency of pregnant woman caused by many factors. one of the factors is low intake of nutrients such as energy, protein, vitamin c and iron. This study aims to determine the effect of nutritional counseling on energy, protein, vitamin c and iron intake. This type of research is a quasi experiment analytic research using cross sectional research design. sample was 30 pregnant women. extension data based on extension program unit then narrated nutrient intake obtained through 4X24 hour recall. the results of the study showed that before the extension of the sample energy intake was 96.7% less and 3.3% more. Sample protein intake as much as 100% less. Intake of vitamin C sample as much as 100% less. Sample iron intake is as much as 100% less. after counseling of sample energy intake as much as 3,3% good and 96,7% less. Sample protein intake as much as 100% less. Vitamin C intake was 3.3% good and 9.3% less and 6.7% more. Sample iron intake is as much as 100% less. Average intake before and after counseling of nutrients classified as less. It is recommended to increase nutrient intake. should be done further research on other factors that affect.

scholarly journals The Frequency of Anemia and Underlying Factors among Iranian Pregnant Women from Provinces with Different Maternal Mortality Rate

2019 ◽  
Author(s):  
Mohammad Esmaeil MOTLAGH ◽  
Seiyed Davoud NASROLLAHPOUR SHIRVANI ◽  
Farahnaz TORKESTANI ◽  
Zahra HASSANZADEH-ROSTAMI ◽  
Seyed-Mozaffar RABIEE ◽  
...  
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
First Trimester ◽  
Third Trimester ◽  
Cross Sectional Survey ◽  
Nutritional Disorder ◽  
Cross Sectional ◽  
Maternal Mortality Rate

Background: Anemia is a common nutritional disorder that is more prevalent in pregnant women than other population groups. This study aimed to assess the frequency of anemia and its association with health care determinants among Iranian pregnant women from provinces with different Maternal Mortality Rate (MMR). Methods: This cross-sectional survey was carried out on 2737 pregnant women referred to public health centers in Iran, 2015. The participants were randomly selected by multistage sampling from six provinces with low, moderate or high MMR. The level of hemoglobin lower than 11 g/dl were defined as anemia in first and third trimester of pregnancy. Results: The rate of anemia in first and third trimester were respectively 8.2 and 26.7%. The most determinants of anemia among women in both first and third trimester of pregnancy were geographical classes with high MMR, no care before pregnancy, and type of house. Moreover, lower number of previous pregnancies (OR, 0.48; 95% CI, 0.27 to 0.85) and adequate care during pregnancy (OR, 0.66; 95% CI, 0.47 to 0.92) were protected women from anemia and high number of children (OR, 2.07; 95% CI, 1.13 to 3.80) enhanced risk of anemia in first trimester of pregnancy. Moreover, higher body mass index had lower odds of anemia in third trimester. Conclusion: The rate of anemia is differed in various parts of Iran, and this disorder gets worse in third trimester of pregnancy than first. Strengthening health care programs may be a useful strategies to prevent and control anemia.

scholarly journals Haemoglobin Status Of Pregnant Women An Analysis Of 1804 Cases

2012 ◽  
Vol 7 (2) ◽  
pp. 18-20 ◽  
Author(s):  
M Quadrat-E-Elahi ◽  
MM Rahman ◽  
S Momtaz ◽  
MA Ferdousi ◽  
FA Bhuyan
Keyword(s):  
Haemoglobin Level ◽  
Pregnant Women ◽  
First Trimester ◽  
Common Finding ◽  
Third Trimester ◽  
Cross Sectional ◽  
Multi Centre Study ◽  
Military Hospitals ◽  
Haemoglobin Disorders ◽  
Blood Haemoglobin

Introduction: Anaemia is a very common finding in Bangladeshi women. This is more common in pregnant women. Timely meet up of nutritional need successfully prevents the development of anaemia during pregnancy. Method: A cross-sectional and multi-centre study was carried out among 1804 pregnant cases at Child Welfare Centre (CWC) of Combined Military Hospitals (CMH) of Comilla, Savar and Bogra cantonments over a period of 19 months. Irrespective of ages all pregnant women who attended CWCs for routine ante-natal check up and whose blood haemoglobin level was known at the time of first visit were included in this study. Pregnant women with diabetes mellitus, hypertension and any congenital haemoglobin disorders were excluded from this study. Objectives: The aim of the study was to find out the haemoglobin levels in pregnant women in defence community from different parts of Bangladesh. Result: Total 1804 women were included as per inclusion criteria. Their mean (±SD) age was 28.1±13 years and the range was 19-41 years. Haemoglobin level during pregnancy was estimated and 229 (12.7%) of the pregnant women were observed anaemic. Most of the women had reported in the third trimester (40.8%) followed by second trimester (33.4%) and then first trimester (25.8%). Iron supplement was given to both normal and anaemic pregnant women. Conclusion: The study showed that prevalence and severity of anaemia in pregnant subjects attended CWCs for antenatal check up were exceptionally low. This indicates that consciousness regarding taking care of pregnant women of the community studied was satisfactory. DOI: http://dx.doi.org/10.3329/jafmc.v7i2.10390 JAFMC 2011; 7(2): 18-20

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