Gestational nutrition improves outcomes of vaginal deliveries in Jordan: an epidemiologic screening

Bawadi, Hiba; Al-Kuran, Oqba; Al-Bastoni, Lily-Ann A.; Tayyem, Reema; Jaradat, AbdalNasser; Tuuri, Georgianna; Albeitawi, Soha; Al-Mehaisen, Lama

doi:10.1016/j.nutres.2010.01.005

Cited by 22 publications

(21 citation statements)

References 35 publications

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“…Potatoes were the main tuber or root consumed (45,46) . Consumption of dairy products differed considerably by study: more than 500 g of milk and dairy products were [91] India (2003) [88] Thailand (2004) [31] Indonesia (2003) [75] Iran (2008) [84] China (2009) [48] India (2009) [73] China (2002) [34] Thailand (2010) [32] China (2010) [36] China (2000) [89] Palau (2000) [87] Thailand (2009) [105] Jordan (2010) [85] LAC Asia Africa [54] Peru (2003) Fig . 4 Contributions of macronutrients to total energy intakes of pregnant women by region: >, protein as a percentage of total energy intake; 4, fat as a percentage of total energy intake; E, carbohydrate as a percentage of total energy intake; LAC refers to Mexico, the Caribbean and Central/South America; numbers in square brackets represent reference numbers.…”

Section: Asiamentioning

confidence: 99%

“…China (2009) [48] Jordan (2010) [85] Iran (2008) [84] Indonesia (2003) [75] India (2002) [37] India (2003) [88] China (2002) (24) in the study from Guatemala (49,50) . Tortillas were the main staple in the studies from Mexico and Guatemala and a primary source of energy, protein, Zn and Ca, but contributed to phytate intakes as well (49,52) .…”

Section: Latin America and The Caribbeanmentioning

confidence: 99%

“…Malawi (2002) [41] South [44] South [43] [39] [27] Colombia (1999) [54] Mexico (2002) [97] Ecuador (1991) [51] Peru (2003) [50] [99] China (2009) [48] India (2003) [88] China (2002) [34] India (2009) [73] Indonesia (2003) [75] Jordan (2010) [85] Palau (2000) [87] Thailand (2004) [31] Thailand (2009) [105] Thailand (2010) [32] China (2010) [30] Burkina [33] Malawi (2002) [41] [27] Jordan (2010) [85] Palau (2000) [87] China (2010) [36] Thailand (2009) [105] India (1998) [47] China (2009) [48] India (2009) [73] China (2002) [34] Indonesia (2003) [75] India (2003) [88] Thailand (2010) [32] India (2001) [91] India (2008) [79] Thailand (2004) contributed to the analysis, interpretation and manuscript preparation. S.E.L.…”

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Dietary intakes of women during pregnancy in low- and middle-income countries

Lee

Talegawkar

Merialdi

et al. 2012

Public Health Nutr.

225

203

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Objective: To provide a better understanding of dietary intakes of pregnant women in low-and middle-income countries. Design: Systematic review was performed to identify relevant studies which reported nutrient intakes or food consumption of pregnant women in developing countries. Macronutrient and micronutrient intakes were compared by region and the FAO/WHO Estimated Average Requirements. Food consumption was summarized by region. Setting: Developing countries in Africa, Asia, and the Caribbean and Central/ South America. Subjects: Pregnant women in the second or third trimester of their pregnancies. Results: From a total of 1499 retrieved articles, sixty-two relevant studies were analysed. The ranges of mean/median intakes of energy, fat, protein and carbohydrate were relatively higher in women residing in the Caribbean and Central/South America than in Africa and Asia. Percentages of energy from carbohydrate and fat varied inversely across studies in all regions, whereas percentage of energy from protein was relatively stable. Among selected micronutrients, folate and Fe intakes were most frequently below the Estimated Average Requirements, followed by Ca and Zn. Usual dietary patterns were heavily cereal based across regions. Conclusions: Imbalanced macronutrients, inadequate micronutrient intakes and predominantly plant-based diets were common features of the diet of pregnant women in developing countries. Cohesive public health efforts involving improving access to nutrient-rich local foods, micronutrient supplementation and fortification are needed to improve the nutrition of pregnant women in developing countries. Keywords Pregnant women Nutrient intakes Food consumption Developing countriesAdequate nutrition during pregnancy is essential for maternal and child health. Pregnant women are vulnerable to inadequate nutritional status because of the high nutrient demands of pregnancy. Women living in developing countries are particularly at risk for malnutrition during pregnancy due to socio-economic constraints, poor diet quality, high intensity of agricultural labour, and frequent reproductive cycles. There is much evidence supporting the link between inadequate maternal nutritional status and adverse pregnancy outcomes (1)(2)(3) , poor infant survival (4,5) , and risk of chronic diseases and impaired mental development in later life (6)(7)(8) .Poor dietary intake during pregnancy is a significant contributor to global maternal malnutrition in less developed countries (5) . A previous review indicated that pregnant women in developing countries suffer from energy deficiencies due to relatively insufficient energy intake (9) . In addition, 42 % of pregnant women worldwide (5) and more than 50 % of pregnant women in developing countries are anaemic, mainly due to Fe deficiency (10) . Dietary deficiencies in other important vitamins and minerals, including vitamin A, folate, Ca and Zn, are also estimated to be high (5,(11)(12)(13)(14)(15)(16) . The FAO/WHO have established diet-based guidelines for n...

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Section: Asiamentioning

confidence: 99%

Section: Latin America and The Caribbeanmentioning

confidence: 99%

mentioning

confidence: 99%

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Dietary intakes of women during pregnancy in low- and middle-income countries

Lee

Talegawkar

Merialdi

et al. 2012

Public Health Nutr.

225

203

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“…Studies have also shown existence of practices and beliefs like denying pregnant and lactating women of known nutritious food items owing to their traditional food habits. [1][2][3] In India most food practices and traditions have stemmed from deeply rooted traditions and customs. These food practices can be attributed to malnutrition, which in turn is linked to poverty, food insecurity, unhygienic practices and traditional beliefs.…”

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confidence: 99%

Beliefs and practices regarding nutrition during pregnancy and lactation in a rural area in Karnataka, India: a qualitative study

Nisha

Roger

et al. 2015

Int J Community Med Public Health

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INTRODUCTIONNutrition plays a quintessential role with regard to maternal and child health. However, this aspect is inevitably interlinked to perceived notions and beliefs with regard to food to be consumed by pregnant and lactating women. Studies have also shown existence of practices and beliefs like denying pregnant and lactating women of known nutritious food items owing to their traditional food habits. [1][2][3] In India most food practices and traditions have stemmed from deeply rooted traditions and customs. These food practices can be attributed to malnutrition, which in turn is linked to poverty, food insecurity, unhygienic practices and traditional beliefs. 4 Beliefs are crucial in the acceptance, rejection and promotion of certain food items. These beliefs are the products of social interactions and faith which are entrenched in the minds of the community. Many of these food practices arise from the ignorance about the nutritive value of food. Most often certain cultural beliefs and practices concerning food items are due to ignorance. ABSTRACTBackground: Poor maternal nutrition adversely affects pregnancy and birth outcomes, particularly vulnerable are the rural women in a rural setting. A lactating mother"s nutritional requirement should meet needs of self and that of an infant. In most rural communities this situation is further complicated by food taboos, consequently either adding to or leading to additional negative balance of nutrients. Aims: To assess the food practices and beliefs during pregnancy and lactation among women residing in a rural area of Bangalore urban district. Methods: Study was conducted during the period of January to March 2014 among the women residing under the Sarjapur PHC, Bangalore. Data was collected using Focus Group Discussions (FGDs) and in Depth Interviews (IDIs). Thematic frame work approach was used for data analysis. Results: A total of four FGDs and twelve IDIs were conducted. Good practices included consuming green leafy vegetables, rice, bread, jowar, meat, egg and fruits like apple and mosambi. The practices which may potentially harm the health included avoidance of food items like ragi, papaya, mango and guava during pregnancy and reduced water consumption during the post natal period. Beliefs like "casting an evil eye" or "colour of the baby" had an influence on the food given to antenatal mother. Conclusions: The study found numerous food items which are nutritious and safe and available locally either restricted or denied thus making women (pregnant and lactating) and infants vulnerable. There is need for health education programs in rural areas regarding nutrition which will in turn improve the maternal and child health.

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“…However, those studies have not taken into account the levels of iron intake from food. Even though previous studies in the U.S., [25,26] and England [27,28] have reported no relation between iron intake from both food and supplements and pregnancy outcomes, fetal growth during pregnancy has not been considered. Therefore, the present study was performed to investigate the association between maternal iron intake from both food and supplements at mid-pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Maternal iron intake at mid-pregnancy is associated with reduced fetal growth: results from Mothers and Children’s Environmental Health (MOCEH) study

Hwang

Lee

Kim

et al. 2013

Nutr J

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BackgroundIron supplementation is a common recommendation for pregnant women to prevent iron deficiency during pregnancy. There is an increasing concern about excessive iron consumption as a general iron prophylaxis by pregnant women without any due consideration about their dietary iron intake or iron status. Our present study investigated the association between total iron intake from diet and supplements and fetal growth in 337 pregnant women at mid-pregnancy in South Korea.MethodsIron intake from diet and supplements was examined by a 24-hour recall method. Subjects were divided into three groups based on tertiles of total iron intake levels. Fetal biometry was assessed by ultrasonography at mid-pregnancy.ResultsAbout 99% of the non-supplement users had iron intake below the recommended nutrient intake (RNI) for pregnant women (24 mg), whereas 64.9% of supplement users had iron intake above the upper level (UL) (45 mg). In the babies of mothers in the third tertile of iron intake (>17.04 mg), biparietal diameter, abdominal circumference, and femur length were lower by 0.41 cm (P =0.019), 0.41 cm (P = 0.027), and 0.07 cm (P = 0.051), respectively, than the babies of mothers in the second tertile of iron intake (11.49 ~ 17.04 mg).ConclusionThese results suggest that excessive maternal iron intake at mid-pregnancy is associated with reduced fetal growth. Iron supplementation for pregnant women should be individualized according to their iron status. Appropriate diet education is needed for pregnant women so that they can consume adequate amounts of iron from food and supplements.

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Gestational nutrition improves outcomes of vaginal deliveries in Jordan: an epidemiologic screening

Cited by 22 publications

References 35 publications

Dietary intakes of women during pregnancy in low- and middle-income countries

Dietary intakes of women during pregnancy in low- and middle-income countries

Beliefs and practices regarding nutrition during pregnancy and lactation in a rural area in Karnataka, India: a qualitative study

Maternal iron intake at mid-pregnancy is associated with reduced fetal growth: results from Mothers and Children’s Environmental Health (MOCEH) study

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