Fish, Meat, Vegetable Food Expenditures are Contribute to Haemoglobin Concentration among Pregnant Women in Sub-Urban Areas of Indonesia

2017 ◽  
Author(s):  
Triska Susila Nindya ◽  
Djazuly Chalidyanto ◽  
Diah Indriani ◽  
Hario Megatsari ◽  
Aida Nailil Muna
Keyword(s):  
Pregnant Women ◽  
Urban Areas ◽  
Haemoglobin Concentration ◽  
Vegetable Food ◽  
Fish Meat ◽  
Food Expenditures

scholarly journals Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mingming Cui ◽  
Xiao-Lin Lu ◽  
Yan-Yu Lyu ◽  
Fang Wang ◽  
Xiao-Lu Xie ◽  
...  
Keyword(s):  
Folic Acid ◽  
Pregnant Women ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Unplanned Pregnancy ◽  
Urban China ◽  
Cross Sectional

Abstract Background The prevalence of neural tube defects (NTDs) in China declined during 2000–2017 with periconceptional folic acid (FA) supplementation, which is effective in reducing the risk of birth defects. We aimed to assess the knowledge and actual use of FA among Chinese pregnant women and to explore factors associated with FA use before pregnancy. Methods All data were collected in face-to-face interviews during health visits among pregnant women. We collected information about knowledge and use of FA supplements and demographic, socioeconomic, and health status. One maternity and childcare hospital was chosen in each of four cities: Beijing, Huaibei, Kunming, and Haikou. In total, 435 pregnant women were randomly recruited for interviews conducted from June to December 2016. Results A total of 428 pregnant women were included in this survey. Of these, 82.0% (351/428) knew that FA can prevent NTDs, and 75.9% (325/428) knew the correct time to take FA. Overall, 65.9% (282/428) of women knew both that FA can prevent NTDs and the recommended time to take FA before pregnancy. Approximately 95.1% (407/428) of women reported having ever taken FA, only 46.3% (198/428) had begun to take FA supplementation before conception, and 64.5% (109/169) of women from rural areas failed to take FA before pregnancy. Women living in northern China (odds ratio [OR] = 1.81, 95% confidence interval [CI], 1.18–2.77), those with unplanned pregnancy (OR = 1.99, 95% CI 1.30–3.04), and highly educated women (OR = 2.37, 95% CI 1.45–3.88) were more likely to know about FA. Women who were homemakers (OR = 1.94, 95% CI 1.21–3.11) and had unplanned pregnancy (OR = 6.18, 95% CI 4.01–9.53) were less likely to begin taking FA before pregnancy. Conclusions Our survey showed that most pregnant women knew about FA. Although preconception intake of FA can help to reduce NTDs, improving the rate of FA intake before pregnancy is needed in urban areas of China, especially among homemakers and women from rural areas or with unplanned pregnancy. Campaigns are needed to increase awareness about FA and FA use before pregnancy among rural women, homemakers, and those with unplanned pregnancy and lower education levels.

scholarly journals Country compliance with WHO-recommended antenatal care guidelines: equity analysis of the 2015–2016 Demography and Health Survey in Myanmar

2020 ◽  
Vol 5 (12) ◽  
pp. e002169
Author(s):  
Ngatho Samuel Mugo ◽  
Kyaw Swa Mya ◽  
Camille Raynes-Greenow
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Adolescent Mothers ◽  
Health Survey ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Wealth Quintile ◽  
Adjusted Risk ◽  
Factors Associated

IntroductionEarly access to adequate antenatal care (ANC) from skilled providers is crucial for detecting and preventing obstetric complications of pregnancy. We aimed to assess factors associated with the utilisation of the new WHO ANC guidelines including the recommended number, on time initiation and adequate components of ANC contacts in Myanmar.MethodsWe examined data from 2943 mothers aged 15–49 years whose most recent birth occurred in the last 5 years prior to the 2015–2016 Myanmar Demographic and Health Survey. Factors associated with utilisation of the new WHO recommended ANC were explored using multinomial logistic regression and multivariate models. We used marginal standardisation methods to estimate the predicted probabilities of the factors significantly associated with the three measures of ANC.ResultsApproximately 18% of mothers met the new WHO recommended number of eight ANC contacts. About 58% of the mothers received adequate ANC components, and 47% initiated ANC within the first trimester of pregnancy. The predicted model shows that Myanmar could achieve 70% coverage of adequate components of ANC if all women were living in urban areas. Similarly, if ANC was through private health facilities, 63% would achieve adequate components of ANC. Pregnant women from urban areas (adjusted risk ratio (aRR): 4.86, 95% CI 2.44 to 9.68) were more than four times more likely to have adequate ANC components compared with women from rural areas. Pregnant women in the highest wealth quintile were three times more likely to receive eight or more ANC contacts (aRR: 3.20, 95% CI 1.61 to 6.36) relative to mothers from the lowest wealth quintile. On time initiation of the first ANC contact was fourfold for mothers aged 30–39 years relative to adolescent mothers (aRR: 4.07, 95% CI 1.53 to 10.84).ConclusionThe 2016 WHO ANC target is not yet being met by the majority of women in Myanmar. Our results highlight the need to address health access inequity for women who are from lower socioeconomic groups, or are younger, and those living in rural areas.

Dietary Calcium Intake and Associated Factors Among Pregnant Women in Loma District, South West Ethiopia, 2020 

2021 ◽  
Author(s):  
Adisu Hailu Tofu ◽  
Yibeltal Kassa ◽  
Damene Darota Amamo
Keyword(s):  
Pregnant Women ◽  
Calcium Intake ◽  
Urban Areas ◽  
Associated Factors ◽  
Statistical Significance ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Nutritional Counseling ◽  
South West ◽  
South West Ethiopia

Abstract Background: Low dietary calcium intakes could cause harmful effects to the pregnant woman by influencing pregnancy outcome. Adequate intake of dietary calcium during pregnancy reduces the risk of complications and aids in improved birth outcome. Many researchers focus on urban areas to address the issue and our study was focused on rural community. Hence the study is aimed at assessing dietary calcium intake in rural communities.Objective: To assess the dietary calcium intakes and associated factors among pregnant women in Loma, south west Ethiopia from May to July, 2019Methods: -A community based cross-sectional study was conducted in Loma district, Dawuro zone, southwest Ethiopia. Data were collected from 398 pregnant women after random selection from nine kebeles. Simple random sampling technique was employed to select study subjects. Socio-economic and demographic, and health related data was collected using structured, interviewer administered, and pre tested questionnaire. The 24 hr dietary recall was used for three different days with seven days interval as per the recommendation. When dietary data is collected, often it was converted into nutrients, especially the calcium intake by using Ethiopian food composition table. Collected data was checked for completeness, and entered in to Epi Data version 3.02 for data clearance and exported to SPSS version 20 for analysis. AOR with 95% C.I results of multivariate logistic regression was used to assess the statistical significance of associations between independent and dependent variables. The level of statistical significance was declared at p <0.05.Result: The median calcium intake was 543mg per day. From 398 participants, 265(66.6%) were at risk of inadequate intake of calcium. Greater than half 249 (62.6%) respondents had practiced avoiding calcium rich food during their pregnancy. The finding of this study identified that nutritional counseling have strong statistical association with dietary calcium intake of mothers during pregnancy. The chance of dietary calcium intakes during pregnancy who were received nutritional counseling 2.4 times higher than those who were not received nutritional counseling (AOR=2.432 95% CI: 1.072-5.517).Conclusion and recommendation: From the present study, it can be concluded that, majority of pregnant mothers 265(66.6%) had a poor dietary calcium intakes during their pregnancy. It is recommended that consumption of enough calcium and dairy products should be included and emphasized in the nutrition education component of maternal health programs.

Factors Associated with Distribution of Pre-Eclampsia and Eclampsia Among Rural and Urban Women in Child Bearing Age – A Case of Mbala General Hospital, Northern Province, Zambia

2021 ◽  
Vol 9 (3) ◽  
pp. 81-91
Author(s):  
Daniel Sinkala
Keyword(s):  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Urban Areas ◽  
Quantitative Methods ◽  
Economic Status ◽  
Demographic Factors ◽  
Socio Economic Status ◽  
Resource Limited ◽  
Rural And Urban ◽  
Socio Demographic Factors

Preeclampsia and eclampsia cases continue to rise in northern Zambia as people search for babies and continuity of clans’ survival. Due to the competitive nature of cultural demands/ myths on pregnancy and maternal socio-demographic factors (low-age, low socio-economic status, and poor health-seeking behaviour), women in rural prefer unprofessional primary health care services that are presumably affordable to them thereby, delaying in seeking for professional healthcare services. High levels of poverty in resource-limited areas have put many female adolescents at risk of falling pregnant. Thus, this study probed on the interaction between these maternal socio-demographic factors and disease distribution in both rural and urban areas with respect to various pregnancy outcomes. The study used retrospective quantitative methods in eliciting information from data sources (women, registers) in Mbala, Mpulungu, Senga, and Mungwi districts covering 3-year period (2017-2019). In all, 202 female respondents from Northern Zambia were interviewed through self-administered questionnaires. Thereafter, data were analysed using a statistical package for the social sciences (SPSS v16). Findings indicate severe; socio-economic status and low maternal age affect pre-eclampsia disease distribution coupled with adverse pregnancy outcomes more in rural than urban areas. The better the socio-demographic conditions, the lower the disease distribution with good pregnancy outcomes. However, worsening maternal socio-demographic conditions may increase the incidence of pre-eclampsia among pregnant women of northern Zambia. The study recommended interventions tarred towards public health programmes such as social behaviour change and communication (SBCC) towards adolescent women and socio-economic empowerment of pregnant women in resource-limited areas. Keywords: Average ANC timing, Preeclampsia, Residency, Socio-economic, Teenage pregnancy.

scholarly journals Iodine and iron status of pregnant women in Lubumbashi, Democratic Republic of Congo

2013 ◽  
Vol 16 (8) ◽  
pp. 1362-1370 ◽  
Author(s):  
Laurence Habimana ◽  
Kabange E Twite ◽  
Pierre Wallemacq ◽  
Philippe De Nayer ◽  
Chantal Daumerie ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Urban Area ◽  
Urban Areas ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Iodine Intake ◽  
Postpartum Women ◽  
Urinary Iodine Concentration ◽  
Third Trimester ◽  
Republic Of Congo

AbstractObjectiveAdequate iodine and Fe intakes are imperative during pregnancy to prevent fetal defects, but such data are not available in the Democratic Republic of Congo. We aimed to assess iodine and Fe status in pregnant women from Lubumbashi.DesignCross-sectional study. We measured urinary iodine concentration (UIC) in random urine samples using a modified Sandell–Kolthoff digestion method; the WHO reference medians were used to classify iodine intake as deficient, adequate, more than adequate or excessive. Serum ferritin concentrations were measured by immunoenzymatic assay and considered insufficient when <12 ng/ml.SettingMaternity units from rural, semi-urban and urban areas of Lubumbashi, Democratic Republic of Congo.SubjectsTwo hundred and twenty-five randomly selected pregnant women attending prenatal consultation, seventy-five postpartum women and seventy-five non-pregnant women as controls.ResultsOverall median UIC in pregnant women was 138 (interquartile range: 105–172) μg/l, indicating iodine deficiency, whereas postpartum and non-pregnant women had adequate iodine intake: median UIC = 144 μg/l and 204 μg/l, respectively. Median UIC values were lower in late pregnancy than in early pregnancy: in the first, second and third trimester respectively 255 μg/l, 70 μg/l and 88 μg/l in the rural area; 306 μg/l, 166 μg/l and 68 μg/l in the semi-urban area; and 203 μg/l, 174 μg/l and 99 μg/l in the urban area. Fe was insufficient in 39 % of pregnant women compared with 21 % of non-pregnant and postpartum women. In the third trimester, deficiencies in both iodine and Fe were high: 40 %, 12 % and 18 % in the rural, semi-urban and urban areas, respectively.ConclusionsOur data suggest that pregnant women are at risk of iodine and Fe deficiencies in Lubumbashi. Country policies fighting against iodine and Fe deficiencies during pregnancy should be reinforced.

scholarly journals Increase in Percentage of Seronegative Toxoplasma gondii and Cytomegalovirus in Pregnant Women: An Improvement in Hygienic Conditions in Certain Areas?

2020 ◽  
Vol 2020 (1) ◽  
pp. 1 ◽  
Author(s):  
Dan-Bogdan Navolan ◽  
Florin Gorun ◽  
Cristian Oancea ◽  
Ioana-Mihaela Ciohat ◽  
Daniel Malița ◽  
...  
Keyword(s):  
Toxoplasma Gondii ◽  
Pregnant Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Primary Infection ◽  
Food Quality Control ◽  
Fetal Infection ◽  
Increasing Trend ◽  
Urban And Rural Areas ◽  
Pathogenic Agents

(1) Background: Toxoplasma gondii and cytomegalovirus belong to a group of pathogens entities called TORCH agents. TORCH represents an acronym which derives from the name of a series of certain pathogenic agents (Toxoplasma gondii, Other agents, Rubella virus, Cytomegalovirus, Herpes virus). They could cross the placenta barrier and cause serious damage to the fetus if a primary infection occurs in a pregnant woman. Immunized women are relatively protected against a reinfection and the risk of a materno-fetal infection in these categories of pregnant women is considered low. (2) Aim of the study: To analyze changes in the percentage of pregnant women seronegative to Toxoplasma gondii and cytomegalovirus along a period of ten years, from 2008 to 2018. (3) Material and Methods: We studied the changes in percentage of seronegative Toxoplasma gondii and Cytomegalovirus pregnant women along two periods: 2008–2010 and 2015–2018. Only pregnant women with declared medium of provenience and unequivocal results were enrolled in the study. (4) Results: In urban areas, we found an increase in the percentage of pregnant women seronegative to Toxoplasma gondii (RR = 1.488, p < 0.0001), respectively to cytomegalovirus (RR = 1.985, p < 0.0001), from 2008–2010 to 2015–2018. A similar increasing trend was found also in rural areas: Toxoplasma gondii (RR = 1.136, p < 0.0322), respectively cytomegalovirus (RR = 1.088, p < 0.8265) but it did not reach a significant threshold for cytomegalovirus. (5) Conclusion: Our study showed that the percentage of women seronegative to Toxoplasma gondii and cytomegalovirus antibodies increases along a period of ten years, from 2008–2010 to 2015–2018, in both urban and rural areas. Probably, the main cause of this trend is represented by the improvement in hygienic condition and food quality control. These results present an argument for continuing the TORCH screening of pregnant women.

Effects of Novel Coronavirus 2019 Infection on Antenatal Hematological Parameters in Pregnant Women

2021 ◽  
Vol 15 (11) ◽  
pp. 3279-3284
Author(s):  
Monika . ◽  
Israt Saba Mari ◽  
Monika Maheshwari ◽  
Shahida Shaikh ◽  
Qararo Shah Syed ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Urban Areas ◽  
Research Evaluation ◽  
Hematological Parameters ◽  
Haematological Parameters ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Group I ◽  
In Pregnancy

Background: Disturbance of haematological parameters is prevalent in pregnancy globally leading to a range of feto-maternal complications. Covid-19 infection has potential to enhance the severity of and complications impending due to anaemia in pregnancy. Objective: To determine the effects of Covid-19 infection on haematological parameters during antenatal care among pregnant women in rural Sindh. Study Design: Cross sectional study. Setting: Shaikh Zaid Institute, Chandka Medical College, Larkana. Duration: From March 1, 2021, and May 31, 2021. Materials and Method: A sample of 110 pregnant women, of 18-50 years of age, presenting in first through third trimester with single alive pregnancy, were included in the study after taking a valid written consent. The Research Evaluation Committee of SMBBMU- Larkana granted approval. Women having any haemoglobinopathy were excluded. Covid-19 test conducted through rt-PCR method. A standard questionnaire was used to collect data of two groups. Analysis was performed through SPSS Version-23. Descriptive and inferential statistics were calculated. Results: Mean ± SD age was 30.3 ± 6.99 (Range: 19 to 45) years. Both groups were identical in age. Mean ± SD gestational age was 28.12 ± 4.66 weeks (Range: 20-38). Covid-19 positive women had lower mean Hb (9.7 ± 2.11) than the covid-19 negative (10.54 ± 2.51; P = 0.158). Other haematological parameters like MCV, serum ferritin, TIBC, TLC & platelets were statistically different between groups. Women of eldest group i-e; in 41-50 years, from urban areas, second trimester (gest. age 13-24 weeks), and nulliparous had been affected more from covid-19 (P = 0.271, 0.748, 0.290 & 0.053). Frequency and severity of anaemia was more among Covid-19 positive women. Conclusion: Covid‐19 demands maternal healthcare to be extra vigilant to the haematological parameters of pregnant women during antenatal care till delivery. Keywords: Antenatal care, pregnancy, anaemia, haemoglobin, Covid‐19.

Insulin Resistance Among Pregnant Women in Urban Areas of Arusha Region, Tanzania

2019 ◽  
Vol 17 (10) ◽  
pp. 512-517
Author(s):  
Safiness Simon Msollo ◽  
Haikael David Martin ◽  
Akwilina Wendelin Mwanri ◽  
Pammla Petrucka
Keyword(s):  
Insulin Resistance ◽  
Pregnant Women ◽  
Urban Areas ◽  
Arusha Region

Variability in haemoglobin concentration by measurement tool and blood source: an analysis from seven countries

2020 ◽  
pp. jclinpath-2020-206717
Author(s):  
Aviva I Rappaport ◽  
Crystal D Karakochuk ◽  
Sonja Y Hess ◽  
Ralph D Whitehead, Jr. ◽  
Sorrel M L Namaste ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Venous Blood ◽  
Sampling Site ◽  
Haemoglobin Concentration ◽  
Measurement Tool ◽  
Blood Collection ◽  
Large Variability ◽  
Factors Affecting ◽  
Haematology Analyser ◽  
Ghanaian Women

ObjectiveWe explore factors such as the blood sampling site (capillary vs venous), the equipment (HemoCue vs automated haematology analyser) and the model of the HemoCue device (201+ vs 301) that may impact haemoglobin measurements in capillary and venous blood.MethodsEleven studies were identified, and bias, concordance and measures of diagnostic performance were assessed within each study.FindingsOur analysis included 11 studies from seven countries (Cambodia, India, The Gambia, Ghana, Laos, Rwanda and USA). Samples came from children, men, non-pregnant women and pregnant women. Mean bias ranged from −8.7 to 2.5 g/L in Cambodian women, 6.2 g/L in Laotian children, 2.4 g/L in Ghanaian women, 0.8 g/L in Gambian children 6–23 months and 1.4 g/L in Rwandan children 6–59 months when comparing capillary blood on a HemoCue to venous blood on a haematology analyser. Bias was 8.3 g/L in Indian non-pregnant women and 2.6 g/L in Laotian children and women and 1.5 g/L in the US population when comparing capillary to venous blood using a HemoCue. For venous blood measured on the HemoCue compared with the automated haematology analyser, bias was 5.3 g/L in Gambian pregnant women 18–45 years and 11.3 g/L in Laotian children 6–59 months.ConclusionOur analysis found large variability in haemoglobin concentration measured on capillary or venous blood and using HemoCue Hb 201+ or Hb 301 or automated haematology analyser. We cannot ascertain whether the variation is due to differences in the equipment, differences in capillary and venous blood, or factors affecting blood collection techniques.

scholarly journals Dietary intakes and dietary patterns among pregnant women in Northwest China

2016 ◽  
Vol 20 (2) ◽  
pp. 282-293 ◽  
Author(s):  
Jiaomei Yang ◽  
Shaonong Dang ◽  
Yue Cheng ◽  
Huizhen Qiu ◽  
Baibing Mi ◽  
...  
Keyword(s):  
Vitamin A ◽  
Pregnant Women ◽  
Dietary Patterns ◽  
Urban Areas ◽  
Northwest China ◽  
Shaanxi Province ◽  
Sociodemographic Characteristics ◽  
Dietary Intakes ◽  
Nutrient Intakes ◽  
Cross Sectional Survey

AbstractObjectiveTo describe nutrient intakes, characterize dietary patterns and analyse their associations with sociodemographic characteristics among pregnant women in Shaanxi, China.DesignPopulation-based cross-sectional survey.SettingTwenty counties and ten districts in Shaanxi Province of Northwest China, 2013.SubjectsWomen (n 7462) were recruited using a stratified multistage random sampling method to report diets during pregnancy, at 0–12 months (median 3 months; 10th–90th percentile, 0–7 months) after delivery.ResultsPregnant women had higher intakes of fat, niacin and vitamin E than the nutrient reference values, while most micronutrients such as vitamin A, folate, Ca and Zn were reportedly low. Women in the highest education, occupation and household income groups had higher nutrient intakes than those in the lowest groups. Nutrient intake differences also existed by geographic area, residence and maternal age at delivery. Three dietary patterns were identified: balanced pattern, vegetarian pattern and snacks pattern. Participants with high balanced pattern scores tended to be better educated, wealthier, 25–29 years old at delivery, working outside and living in urban areas and central Shaanxi. Women with high scores on the vegetarian pattern and snacks pattern tended to be in low balanced pattern score groups, and had lower nutrient intakes than those in the high balanced pattern score groups.ConclusionsThe study suggested that pregnant women in Shaanxi, China had low intakes of most nutrients such as vitamin A, folate and Ca. Dietary patterns and most nutrient intakes varied by sociodemographic characteristics. Targeted programmes are needed to improve dietary intakes and dietary patterns among sociodemographically disadvantaged groups.

Sign in / Sign up

Export Citation Format

Share Document