scholarly journals Pre-conception Nutrition Care, Nutritional Knowledge, Nutritional Practices, and cultural Belief among pregnant women: A Qualitative Study in Aceh

2020 ◽  
Vol 1 (2) ◽  
pp. 13
Author(s):  
Aripin Ahmad ◽  
Silvia Wagustina ◽  
Wiwit Estuti ◽  
Syuja’ Rafiqi Arifin

Health care during pre-conception and pregnancy is one of the important factors that can improve pregnancy outcomes. This study aims to explore how pre-conception care, nutrition knowledge and practices, and the factors that influence it in pregnant women. This study used a cross-sectional design with a qualitative study approach. The subject was 11 pregnant women who were selected as well as 5 health workers. The data pre-conception of care and nutrition practices before pregnant, nutrition knowledge and nutrition practices, food taboo and suggestion, cultural belief influence, and data sources of information and nutritional information needs was carried out using the Focus Group Discussion. The results showed that most of the pregnant women did not get and done pre-conception nutrition care, had insufficient nutritional knowledge and the practice of balanced nutrition was still low. There is still an influence of cultural belief in the form of food taboos and food suggestions, and the lack of sources of information and nutritional information towards nutrition practice. It is necessary to develop media and nutrition educational methods to improve nutrition and health care  during pre-conception and pregnancy, and further studies are needed specifically on the role of family factors, especially grandmothers, mothers in-laws, and family members on nutrition practices in pregnant women.

2021 ◽  
Vol 12 ◽  
pp. 215013272199689
Author(s):  
Shewangizaw Hailemariam ◽  
Wubetu Agegnehu ◽  
Misganaw Derese

Introduction: Evidences suggest a significant decline in maternal health service uptake following the coronavirus disease 2019 (COVID-19) pandemic in Ethiopia. However, COVID-19 related factors impacting the service uptake are not sufficiently addressed. Hence, the current study was intended to explore COVID-19 related factors influencing antenatal care service uptake in rural Ethiopia. Methods: A community-based qualitative study was conducted from September 25/2020 to November 25/2020 among selected pregnant women residing in rural districts of Bench-Sheko Zone, and healthcare providers working in the local health care facilities. Six focus group discussions and 9 in-depth interviews were made between pregnant women, and health care providers, respectively. Data was collected by health education and behavioral science professionals who also have experience in qualitative data collection procedure. Data were transcribed, translated, and analyzed thematically using Open Code 4.0 software. Result: The study revealed several COVID-19 related factors influencing the uptake of antenatal care service during the pandemic. Health facility related barriers, perceived poor quality of care during the pandemic, government measures against COVID-19, anxiety related to the pandemic, and risk minimization were the identified factors possibly influencing the current antenatal care service uptake among women in rural Bench-Sheko Zone. Conclusion: COVID-19 preventive measures, and health facility related factors and individual factors were responsible for the current decline in antenatal care service uptake. Preserving essential health care service is critical to prevent avoidable losses of maternal and child lives during the pandemic period. Hence, programs and strategies designed to maintain maternal health services particularly, antenatal care service have better take the above determinants into consideration.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fahimeh Mehrabi ◽  
Najva Ahmaripour ◽  
Sara Jalali-Farahani ◽  
Parisa Amiri

Abstract Background Maternal obesity is a public health issue that could affect both women’s and children’s health. This qualitative study aimed to identify barriers to weight management of pregnant women with obesity and low socioeconomic backgrounds. Methods The current qualitative study has been conducted using a grounded theory approach by analyzing data collected from in-depth interviews with clients of Tehran’s public health care centers for prenatal care. The criteria for selecting participants were excessive weight gain during the first two trimesters of pregnancy, low socioeconomic status, and willingness to share their experiences. A semi-structured guide consisting of open-ended questions was asked in a private room. Open, axial, and selective coding were applied to the data. Findings Four main themes emerged from data, each of which has some subcategories: 1) personal factors (unpleasant emotions and feelings, personal tastes/hobbies, workload and responsibilities, and history of diseases), 2) pregnancy status (unintended and high-risk pregnancy), 3) interpersonal relationships and support (lack of a spouse’s support and unhealthy role modeling of relatives), 4) socio-cultural factors/influences (social norms and values, lack of access to health services, and unreliable information channels). Conclusions This study provides an overview of the barriers to the weight management of pregnant women from low socioeconomic backgrounds. The results could help develop appropriate health strategies for low socioeconomic women with obesity. Also, health care providers for this group of women could use these findings as a guide to consider their conditions and background.


Author(s):  
Antony Vincent ◽  
K. Keerthana ◽  
Damotharan K. ◽  
Ariarathinam Newtonraj ◽  
Joy Bazroy ◽  
...  

Background: Antenatal care is an important indicator in any health system. Through our study we intended to assess the perception of pregnant women regarding health seeking behaviour and awareness about complications during pregnancy. Methods: A qualitative study was carried out in August 2016, among the 41 pregnant women over 27 weeks of gestation in a rural area of south India. Women were selected randomly from the routine surveillance system maintained by Pondicherry Institute of Medical Sciences – Rural Health Training Centre, Chunampet, Kancheepuram District. Interviews audio recorded. After verbatim, manual coding and analysis was done based on pre decided eight themes. Results: In general all the antenatal women aware of the importance of regular antenatal check up. Knowledge regarding complications and danger sign was not adequate. Most of the women in rural area seek care in government facility due to its availability, accessibility and affordability. Decision making in health care is mostly taken by their husbands. Transportation has been identified as a barrier in seeking health care. Conclusions: Although few of the antenatal mothers in the study population were aware about some complications of pregnancy, but in general knowledge among most of the women was inadequate. There is a need for creating awareness among the antenatal mothers about common complications in pregnancy. On the other hand, the notion of routine care seeking during the antenatal period seems to be well rooted among the study population which is a very good sign. It is a good opportunity and is foundational to all other interventions relating to betterment of antenatal care in the community. 


2021 ◽  
pp. 026010602110388
Author(s):  
Kelly Daigle Millan ◽  
Samantha Poccia ◽  
Teresa T. Fung

Background: Maternal behavior during pregnancy is crucial to her own and her infant's health, and as such, it is important to understand the nutrition and supplement habits of women during pregnancy and what informs those behaviors. Aim: We aimed to assess the information seeking habits, attitudes, and beliefs about pregnancy-related nutrition and supplementation among pregnant women in the United States. Methods: Qualitative study using key informant interviews with pregnant and recently pregnant ( n = 21) US women. Themes related to concerns, attitudes, behaviors, and information seeking habits were extracted. Results: The mean age was 31.9 years and all had at least a university degree. Two major themes that emerged: (1) nutrition information-related attitudes and beliefs and (2) food and supplement-related attitudes and beliefs. Pregnant women in the US were underwhelmed with their health care provider experience when receiving information about pregnancy-related nutrition and supplementation. Nutrition was most often addressed in a reactive manner while women desired a more proactive approach. As a result, they conducted their own research using the internet as their primary tool, and ultimately made nutrition and supplement decisions based largely on their own instincts. Conclusion: Women interviewed for this study encountered barriers to pregnancy related nutrition information from a lack of clear communication from their health care provider and ambiguity and inconsistencies in information within and between sources. Women relied on themselves for information seeking and nutrition related decision making throughout their pregnancy.


2021 ◽  
Vol 8 (1) ◽  
pp. 86-97
Author(s):  
Angela Rocholl ◽  
Ute Lange

Abstract Einleitung Zur sprachlichen Verständigung und Partizipation an den Versorgungsstrukturen des Sozial- und Gesundheitswesens bei Menschen mit Sprachbarrieren und einem Migrations- oder Fluchthintergrund entwickelte sich der Tätigkeitsbereich der Sprach- und Integrationsmittler/-in in Abgrenzung zum/zur Dolmetscher/-in. Im Rahmen des Forschungsprojektes RundUm begleiteten Sprach- und Integrationsmittlerinnen des Sprachmittlerdienstes SprInt in Essen Schwangere und junge Mütter zu Terminen der Regelversorgung im Gesundheitswesen. Die Chancen und Herausforderungen innerhalb der geburtshilflichen Versorgung aus Sicht der Sprach- und Integrationsmittlerinnen sind Gegenstand der vorliegenden Studie. Methode Im Rahmen von qualitativen Experteninterviews wurden 14 Sprach- und Integrationsmittelnde des Sprachmittlerdienstes SprInt in Essen befragt. Die Transkripte wurden inhaltsanalytisch ausgewertet. Ergebnisse Herausforderungen zeigen sich in der Kontaktaufnahme zu den Klientinnen und in Aspekten der Zusammenarbeit mit professionellen Fachkräften und dem Verhältnis zwischen professionellen Akteuren/-innen der Regelversorgung und ihren Patientinnen/Frauen. Fehlende sprachliche Kompetenzen der Sprachmittlerin im Themengebiet der geburtshilflichen Versorgung, die Konfrontation mit interkulturellen Unterschieden und eine Unsicherheit der professionellen Akteure/-innen im Umgang mit Sprach- und Integrationsmittlung beeinflussen die Tätigkeit. Daneben bieten unterschiedlich praktizierte Rollenverständnisse der SprInterinnen Chancen und Konfliktpunkte in der Zusammenarbeit im Versorgungsnetzwerk Schwangerer und junger Mütter. Diskussion Die Bedeutung der Arbeit der Sprach- und Integrationsmittlerinnen für eine bedarfsgerechte geburtshilfliche Versorgung von Frauen mit Sprachbarrieren bietet Chancen für eine öffentliche Diskussion um die Anerkennung des Tätigkeitsprofils. Anpassung und Ausbau von themenspezifischen Qualifikationsmaßnahmen können dabei helfen, Kompetenzen zur Übernahme einer Brücken- und Lotsenfunktion im Sprachund Integrationsmittlungsprozess zu entwickeln und nachfolgend zu praktizieren. Dies impliziert abgesicherte Finanzierungsmöglichkeiten für die Hinzuziehung von Sprach- und Integrationsmittlerinnen in die Regelversorgung von Schwangeren und jungen Müttern und eine Implementierung in interprofessionelle Netzwerkstrukturen.


Author(s):  
Palak Patel ◽  
Cynthia Mannion

This qualitative study explored the impressions of pregnant Canadian women toward Canada’s Food Guide (CFG) snapshot released in January 2019. Semi-structured interviews were conducted with 8 physically active pregnant women. Interviews were digitally recorded, transcribed verbatim, and analyzed using thematic analysis. Three themes emerged: (i) pregnancy changes what I eat; (ii) what is healthy to me? and (iii) a connection with people and food. Pregnancy was the primary factor influencing dietary changes, and messages in the snapshot reinforced some dietary behaviours that participants had already incorporated. Participants wanted information specific to pregnancy but were not aware of available resources pertaining to nutrition on existing websites. Dietitians and other health care professionals should take steps to raise awareness of and ensure wider dissemination of reliable resources on healthy eating during pregnancy including Canada’s Food Guide website.


2017 ◽  
Vol 23 (7) ◽  
pp. 6820-6822
Author(s):  
Nurul Istianah ◽  
Arvin Pramudita ◽  
Dyah Astri Paramaramya ◽  
Fahmi Adnan Musthofa ◽  
Rusfanisa ◽  
...  

Author(s):  
Nazia Zahoor ◽  
Khalid Bashir ◽  
Zeenat Kausar ◽  
Syed Najmul Ain

Background: Maternal health is of paramount concern all over the world and has been a priority in India as well with the maternal health programs evolving over the time, addressing new arenas and overcoming challenges to reach the Maternal mortality ratio (MMR) target with quality. (1) In tribal areas various barriers in health seeking behavior are impediments towards maternal health.Methods: An explorative qualitative study was undertaken in a tribal area of Srinagar, Kashmir, which is a rural field practice area of the Department of Community Medicine Government Medical College, Srinagar. Focus group discussion (FGD) and in-depth interviews were conducted. Thematic analysis was used to analyze the FGD and in-depth interview data.Results: The data analysis generated following five themes: Theme 1: Perceptions and practices among tribal pregnant women in Faqir Gujree area. Theme 2: Socio-cultural influences, attitude and beliefs. Theme 3: Health system related barriers. Theme 4: Community related barriers. Theme 5: Cultural barriers among the pregnant women.Conclusions: There is a need of continuous behaviour change communication (BCC) with pregnant women and community members. In addition to addressing these issues, the health system related issues need to be addressed and improved in order to improve access to health care facilities by these pregnant women. Thus, a comprehensive tribal-sensitive health care system incorporating the above cultural issues is required to improve the health care access among these vulnerable ANC patients.


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