Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia

Asefa, Fekede; Nemomsa, Dereje

doi:10.1186/s12978-016-0225-x

Cited by 34 publications

(71 citation statements)

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“…Similar results were reported in Ghana, where the estimated prevalence of low GWG based on the GWG over the whole pregnancy according to IOM guidelines was 62.7%, and the percentage of women with GWG less than the third centile of GWG according to the INTERGROWTH‐21st standards was 27% (Adu‐Afarwuah et al, ). In Ethiopia, the prevalence of low GWG based on the total GWG according to the IOM criteria was also high (69.3%; Asefa & Nemomsa, ). Given the adverse maternal and child health outcomes associated with low GWG, our findings indicate that low GWG is a concern in the study area and highlights the need for effective maternal health and nutrition interventions to influence these outcomes (Hamad, Cohen, & Rehkopf, ).…”

Section: Discussionmentioning

confidence: 99%

“…Gestational weight gain (GWG) is a complex biological phenomenon that influences pregnancy outcomes (IOM and NRC, ). An appropriate GWG is essential for optimal pregnancy outcomes for both the mother and her infant (Asefa & Nemomsa, ). Low GWG is associated with adverse outcomes including low birth weight (LBW; Edwards, Hellerstedt, Alton, Story, & Himes, ; Hellerstedt, Himes, Story, Alton, & Edwards, ; Hickey, McNeal, Menefee, & Ivey, ; Schieve, Cogswell, & Scanlon, ), intrauterine growth restriction (Strauss & Dietz, ), small for gestational age (SGA; Hellerstedt et al, ; Hickey et al, ; Nielsen, Gittelsohn, Anliker, & O'Brien, ), and preterm delivery (Hickey, Cliver, Goldenberg, McNeal, & Hoffman, ; Stotland, Cheng, Hopkins, & Caughey, ).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and determinants of gestational weight gain among pregnant women in Niger

Ouédraogo

Wessells

Young

et al. 2019

Maternal & Child Nutrition

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Low gestational weight gain (GWG) and low mid-upper arm circumference (MUAC) are associated with adverse pregnancy outcomes. We aimed to assess the prevalence and determinants of low GWG and low MUAC among pregnant women in rural Zinder, Niger. A community-based survey was conducted among 1,384 pregnant women in the catchment areas of 18 integrated health centers in the region of Zinder, Niger. Weight and MUAC were measured during an in-home visit and again 1 month later, when haemoglobin concentration and micronutrient status were also assessed. The prevalence of low GWG was defined based on the 2009 United States Institute of Medicine (U.S. IOM) guidelines (<0.35 kg/week) and less than the third centile of the International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH-21st) standards. Factors associated with GWG and MUAC were identified using logistic regression models adjusting for season, village, and gestational age. The median (interquartile range) age was 25.0 (20.7, 30.0) years, and 16.4% were ≤19 years. The prevalence of low GWG were 62.9% and 27.5% according to 2009 IOM and less than the third INTERGROWTH-21st centile, respectively; 24.9% had low MUAC. Higher α-1-acid glycoprotein (OR = 1.7, 95% CI [1.1, 2.8]) and C-reactive protein (OR = 1.2, 95% CI [1.02, 1.50]) increased the odds of low GWG. Adolescents (OR = 2.7, 95% CI [1.8, 4.0]), housewives (OR = 1.97, 95% CI [1.36, 2.86]), and those who reported recent food assistance (OR = 1.80, 95% CI [1.04, 3.11]) had higher odds of low MUAC. Prevalence of low GWG and low MUAC was high among pregnant women. Determinants of GWG and MUAC included socioeconomic, demographic, and biological factors, although only markers of inflammation were consistent predictors across different definitions of low GWG. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. 1 of 15 2 of 15 OUÉDRAOGO ET AL. bs_bs_banner The prevalence of low GWG was high among pregnant women in the Zinder region of Niger, and the odds of low GWG were consistently associated with higher concentrations of markers of inflammation (AGP and CRP). A considerable proportion of pregnant women also had low MUAC. Considering the importance of adequate GWG and MUAC for maternal health and pregnancy outcomes, effective and cost-effective interventions (e.g., daily iron folic acid supplementation; Baltussen, Knai, & Sharan, 2004, behaviour change communication about nutrition; Lamstein et al., 2014, and balanced protein energy dietary supplementation; Imdad & Bhutta, 2012) to ensure adequate GWG and nutritional status should be considered. ACKNOWLEDGMENTSWe would like to thank the NiMaNu study team, the participants, the local communities, staff of the Zinder and Mirriah health districts, and the national steering committee. Our sincere appreciation goes to Pro-The authors declare that they have no conflicts of interest. CONTRIBUTIONSThe ...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of gestational weight gain among pregnant women in Niger

Ouédraogo

Wessells

Young

et al. 2019

Maternal & Child Nutrition

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“…Desirable gestational weight gain (GWG) supports the increased metabolic demands required for positive pregnancy outcomes [1]. Guidelines regarding appropriate levels of GWG have been promoted worldwide [2]. A variety of guidelines about the GWG exist; their approach in GWG management also varies [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…The amount of weight gained during pregnancy is determined by factors including the mother's age [2,6,7], parity [2,6,7], income status [2,8], educational status [7], social class [6], and pre-pregnancy maternal weight [2,9]. Other factors include antenatal care (ANC) [2,6], physical activity during pregnancy [10] and perinatal depression [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Gestational weight gain and its effect on birth outcomes in sub-Saharan Africa: Systematic review and meta-analysis

et al. 2020

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Introduction An increased metabolic demand during pregnancy is fulfilled by gaining sufficient gestational weight. Women who gain inadequate-weight are at a high-risk of premature birth or having a baby with low-birth weight. However, women who gain excessive-weight are at a high-risk of having a baby with macrosomia. The aim of this review was to determine the distribution of gestational weight gain and its association with birth-outcomes in Sub-Saharan Africa. Methods For this systematic review and meta-analysis, we performed a literature search using PubMed, Medline, Embase, Scopus, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. We searched grey-literature from Google and Google Scholar, and region-specific journals from the African Journals Online (AJOL) database. We critically appraised the included studies using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. Two independent reviewers evaluated the quality of the studies and extracted the data. We calculated pooled relative-risks (RR) with 95% confidence intervals. Results Of 1450 retrieved studies, 26 met the inclusion criteria. Sixteen studies classified gestational weight gain according to the United States Institute of Medicine recommendations. The percentage adequate amount of gestational weight ranged from 3% to 62%. The percentage of inadequate weight was >50% among nine studies. Among underweight women, the percentage of women who gained inadequate gestational weight ranged from 67% to 98%. Only two studies were included in the meta-analyses to evaluate the association of

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“…Previous regional studies have investigated the level of physical activity, ANC service utilization in pregnancy, the timing of ANEx, antenatal depression, and gestational weight gain [22,23]. Most of them reported that many Ethiopian pregnant women are keen on exercise participation but don't practice regular physical exercise, which makes the question about the in uence and belief of antenatal exercise on mother and fetal health more important [8,24,25].…”

Section: Introductionmentioning

confidence: 99%

Antenatal exercises during pregnancy: knowledge, attitude, and practice of pregnant women in Ethiopia: a cross-sectional study

Janakiraman¹,

Gashaw²,

Yinunie³

2020

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Background “Is pregnancy opportunity or a barrier for engaging in exercise”. Maternal health still is a top priority in sub-Saharan Africa including Ethiopia. Participation in exercises during pregnancy in low-middle income countries is constrained. The objective of this study was to evaluate the knowledge, attitude, and practice of antenatal exercises among Ethiopian women during pregnancy, and also to find out why some women do not exercise during pregnancy. Method: A descriptive hospital-based cross-sectional study was conducted and 349 pregnant women receiving prenatal care at the ANC clinic, University of Gondar comprehensive specialized hospital were recruited. Data were obtained on maternal characteristics, knowledge, attitude, practice, and barriers towards antenatal exercise (ANEx) by interview method. Results Among 349 pregnant women, 138 (39.5%) and 193 (55.3%) had adequate knowledge, a positive attitude, and good practice respectively. Overall, 108 (30.9) of the respondents practiced antenatal exercise, while only 41 (37.9%) among them had a good practice. Brisk walking (90.7%), relaxation (38.9%), and breathing exercise (36.1%) were most practice ANEx, while pelvic floor 6 (5.6%) and 3 (2.8%) yoga were the least practiced. Enhancing post-natal recovery (71%) and vaginal bleeding (64.5) were perceived as benefits and contraindication of ANEx. More than half of them (53.6) think that ANEx doesn’t suit Ethiopian culture. Knowledge, attitude, and practice of ANEx among pregnant women are significantly associated with higher education, government employees, pre-pregnancy exercise, and being advised on ANEx before. Women with adequate knowledge are more likely to have a good practice (AOR 4.53, 95%CI: 1.64, 15.3). Conclusion The findings of this study suggest that knowledge concerning antenatal exercise is low and their attitude is reasonably favorable. However, very few Ethiopian pregnant practices ANEx according to recommended guidelines during pregnancy.

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Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia

Cited by 34 publications

References 17 publications

Prevalence and determinants of gestational weight gain among pregnant women in Niger

Prevalence and determinants of gestational weight gain among pregnant women in Niger

Gestational weight gain and its effect on birth outcomes in sub-Saharan Africa: Systematic review and meta-analysis

Antenatal exercises during pregnancy: knowledge, attitude, and practice of pregnant women in Ethiopia: a cross-sectional study

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