scholarly journals The Effects of Alcohol and Drugs of Abuse on Maternal Nutritional Profile during Pregnancy

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1008 ◽  
Author(s):  
Giorgia Sebastiani ◽  
Cristina Borrás-Novell ◽  
Miguel Alsina Casanova ◽  
Mireia Pascual Tutusaus ◽  
Silvia Ferrero Martínez ◽  
...  

The consumption of alcohol and drugs of abuse among pregnant women has experienced a significant increase in the last decades. Suitable maternal nutritional status is crucial to maintain the optimal environment for fetal development but if consumption of alcohol or drugs of abuse disrupt the intake of nutrients, the potential teratogenic effects of these substances increase. Despite evidence of the importance of nutrition in addicted pregnant women, there is a lack of information on the effects of alcohol and drugs of abuse on maternal nutritional status; so, the focus of this review was to provide an overview on the nutritional status of addicted mothers and fetuses. Alcohol and drugs consumption can interfere with the absorption of nutrients, impairing the quality and quantity of proper nutrient and energy intake, resulting in malnutrition especially of micronutrients (vitamins, omega–3, folic acid, zinc, choline, iron, copper, selenium). When maternal nutritional status is compromised by alcohol and drugs of abuse the supply of essential nutrients are not available for the fetus; this can result in fetal abnormalities like Intrauterine Growth Restriction (IUGR) or Fetal Alcohol Spectrum Disorder (FASD). It is critical to find a strategy to reduce fetal physical and neurological impairment as a result of prenatal alcohol and drugs of abuse exposure combined with poor maternal nutrition. Prenatal nutrition interventions and target therapy are required that may reverse the development of such abnormalities.

Author(s):  
Giorgia Sebastiani ◽  
Cristina Borrás Novell ◽  
Miquel Alsina Canovas ◽  
Mireia Pascual Tutusaus ◽  
Silvia Ferrero Martinez ◽  
...  

The consumption of alcohol and drugs of abuse among pregnant women has experienced a significant increase in the last decades. Optimal maternal nutritional status is of great importance for proper fetal development, yet is often altered with alcohol or drugs consumption. There is a lack of information on the effects of alcohol and drugs on maternal nutritional status, so the focus of this review was to provide an overview on nutrional status of mother and fetus in abusers pregnant women. Alcohol and drugs consumption can adversely affect the quality and quantity of proper nutrient supply and energy intake, resulting in malnutrition especially of micronutrients (vitamins, omega-3, folic acid, zinc, choline, iron, copper, selenium). When maternal nutritional status is compromised by alcohol and drugs essential nutrients are not available for the fetus, this can result in suboptimal outcomes like Intrauterine Growth Restriction (IUGR) or Fetal Alcohol Spectrum Disorder (FASD). It is critical to determine a means to resolve and reduce the physical and neurological malformations that develop in the fetus as a result of prenatal alcohol and drugs exposure combined with poor maternal nutrition. Prenatal nutrition interventions are required that may prevent or alleviate the development of such abnormalities.


2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Hemi Fitriani ◽  
Achmad Setya R ◽  
Popy Nurdiana

Maternal nutrition status during pregnancy highly contributed to risk factors of stunting among children. Bone ossification approximately begins in the sixth weeks of embryonic development and continues to the end of pregnancy. However, inadequate nutrient supply in pregnant women harmed fetal growth. The study aimed to identify the association between pregnant women’s nutrition status and stunting. The case-control study using the retrospective design involved mothers with children aged 12-59 months. A proportional random sampling technique was applied to select participants. The sample was 80 toddlers, divided into 40 stunted, and 40 non-stunted toddlers. Data were taken from 27 April to 3 May 2019 through observations following the Mother and Child Health handbook and children's height. Weight gain calculation during pregnancy determined the maternal nutrition status, referred to as maternal pre-pregnancy body mass index. The univariate analysis used frequency distribution, while bivariate analysis used the chi-square test. This study obtained approval from The Health Research Ethics Committee of the Institute of Health Science of General Achmad Yani, Cimahi. The mothers' poor nutritional status caused as many as 85% of stunted toddlers' prevalence during pregnancy. Results showed that maternal nutritional status during pregnancy was significantly associated with stunting among children (p-value: 0.000). The OR value was 13,222, which means children born to mothers with inadequate nutrient supply during pregnancy were more likely to be stunted as much as 13,222 times, than children born to mothers who had good nutrient supply. It is recommended that health workers prevent stunting from pregnancy by providing supplementary food to pregnant women, and promoting the health of the maternal nutritional status during pregnancy. Suggestions for pregnant women is to increase nutrient intake and nutritional status during pregnancy to prevent stunting in children.


2018 ◽  
Vol 24 (8) ◽  
pp. 6203-6205
Author(s):  
Yoga Dwi Oktavianda ◽  
Syahru Ramadhan ◽  
Thalia Mufida ◽  
Ummul Mukminin ◽  
Rima Irwinda

Low birth weight is one of the determinants of infant mortality, morbidity, and disability, which can even have an impact on the future. Several studies have suggested that the condition of low birth weight (LBW) infants is influenced by the lack of maternal nutritional status in early pregnancy. Moreover, the prevalence of malnutrition in Indonesia is still high. Therefore, this study attempted to analyze the relationship of maternal nutritional status in early pregnancy as a predictor of LBW infants. Using a cross-sectional study design, this study involved 62 pregnant patients aged 20–35 years who had antenatal visits and a term delivery at Puskesmas Kecamatan Cakung. The measurements of body mass index (BMI) and mid-upper arm circumference (MUAC) in early pregnancy are used to determine the maternal nutritional status. Pregnant women with BMI <18.5 or MUAC <23.5 cm are considered to have less nutritional status. Meanwhile, LBW infants are defined as babies with birth weight <2500 grams. This study proves that the risk of birth of LBW infants is increased in pregnant women with BMI <18.5 (underweight) (OR 5.37) and less MUAC (OR 20.4).


2021 ◽  
Author(s):  
Devdatt Pitale

Abstract Introduction: Nutrition during pregnancy plays an important role for an optimum outcome of pregnancy. Women may be malnourished even before they become pregnant and this may further adversely affect the pregnancy. Maternal undernutrition can lead to poor intrauterine growth and low weight of the baby at birth. Moreover, the leading causes for maternal deaths like hemorrhage and infection are related directly or indirectly to nutrition. Aim of the Study: To study the impact of existing food habits on pregnancy outcome in a south Indian population. Materials and Methods: This prospective study was conducted at a tertiary health care and research institute in India. From the antenatal clinic, 350 women who satisfied the following inclusion and exclusion criteria were admitted to the study. Results: The majority of pregnant women belonged to the age group of 21-25 yrs (47%) followed by the 26-30 yrs age group (40%).The number of teenage pregnancies was 30 (8%) whereas 5% of pregnant women belong the age group of 31-35 yrs.83% of the study population belonged to the low socioeconomic class. Majority of the babies (66%) had the birth weight in the range of 2.5-2.9 kgs. 29 % of babies had birth weight in the range of 3-3.5 kgs. There was a significant association (p value < 0.05) between the socioeconomic status of the mother, parity and her calorie intake. The present study found a statistically significant association between the maternal nutritional status, the birth weight of the baby and the need for NICU admission (p value < 0.05). Conclusion: Maternal food habits have an impact on the pregnancy outcome. Maternal food habits are influenced by many factors like socioeconomic status, parity, social food taboos and pregnancy itself. The pregnancy outcomes like birth weight, need for NICU admission and postnatal complications are influenced by maternal nutritional status.


2020 ◽  
Author(s):  
Abel Yalew ◽  
Wondwosen T/Silasie ◽  
Anchamo Anato ◽  
Anteneh Fikrie

Abstract Background: Despite high prevalence, food aversions are closely linked to the dietary intake of pregnant women. Thus, understanding this behavior is important in addressing the issue of maternal nutrition. Therefore, the aim of this study is to provide information on the prevalence and associated factors of food aversion and its relationship with the nutritional status of pregnant women in Boricha Woreda, Sidama Zone, Southern Ethiopia, 2019.Methods: A community based mixed cross sectional study was conducted among 505 randomly selected pregnant mothers at Boricha Woreda, Southern Ethiopia from June 1-20, 2019. Pre-tested and structured face-to-face interview questionnaire and focus group discussion guide were used to collect quantitative and qualitative data respectively. The quantitative data were cleaned, coded and entered into Epi Info version 7.1.4.0 and then exported to SPSS IBM version 20 for further analysis. The qualitative data were analyzed manually using a content analysis.The bi-variable and multivariable logistic regression was used to identify the possible factors of food aversion. Pearson’s Chi-square test was used to assess the relationship between food aversion and nutritional status of pregnant women. AOR with the respective 95% CIs was used to declare statistical significance.Results: Nearly, seven-in-ten (69.2%) of the pregnant women were averted of at least one food. Cereal (45.9%) and enset (44.2%) were averted by majority of the participants. The mean (±SD) MUAC measurement was 22.7 (±2.4) cm. For age group 19 – 23 [AOR= 2.36, 95%CI (1.32 – 4.21)] and 24 – 28 of years [AOR= 2.84, 95% CI (1.61 – 5.01)], nausea [AOR= 1.70, 95%CI (1.10 – 2.65)] and having additional meal [AOR= 1.70, 95% CI (1.06 – 2.73)] were significantly associated with food aversion. Maternal nutritional status and food aversion was statistically significant (p-value=0.008).Conclusion: High prevalence of food aversions (69.2%) and under nutrition (34.6%) among pregnant women is found. Therefore, the Woreda Health Office needs to intensify the integration of maternal nutrition into ANC services and training of health providers as well as critical appraisal of health extension workers should also be considered.


2018 ◽  
Vol 5 (1) ◽  
pp. 07-12
Author(s):  
Tetes Wahyu Witradharma

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.


1981 ◽  
Vol 13 (3) ◽  
pp. 261-268 ◽  
Author(s):  
R. Jane Wenlock ◽  
R. W. Wenlock

SummaryData from 375 Ethiopian mothers show lactations of between 25 and 30 months in the majority, very prolonged even by African standards. Maternal nutritional status, as shown by body weights, was low due to very low food energy intakes. With frequent suckling already raising prolactin levels, these very low energy intakes may also result in yet more prolactin secretion. New pregnancies are delayed and birth intervals extended beyond normal African standards by all these factors.


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