Maternal knowledge, food restriction and prevention strategies related to anaemia in pregnancy: a cross-sectional study

Ekwere, Timothy Amos; Ekanem, Anyiekere Morgan

doi:10.18203/2394-6040.ijcmph20150492

Cited by 11 publications

(13 citation statements)

References 12 publications

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“…The present study indicates that a significant number of the pregnant women knew that treatment of worm infestation can help prevent anaemia. This is in contrast to the lower finding reported in the Nepal and Nigeria studies [ 19 , 20 ]. The reason for the differences in the treatment of worm infestation as one of the anaemia prevention strategies could be the sample size of the studies.…”

Section: Discussioncontrasting

confidence: 95%

“…The use of insecticide-treated nets (ITNs) has been recommended as an integral part of maternal and child health policies in Sub-Saharan Africa where malaria infection is endemic and a major cause of severe anaemia in pregnancy [ 21 , 22 ]. Therefore, it is not surprising that most of the pregnant women in the current study knew that sleeping under ITNs prevents malaria and is an anaemia prevent strategy, which agrees with the Nigerian study [ 20 ]. Though, a good proportion of the pregnant women were aware that the use of ITNs is a strategy to prevent anaemia in pregnancy; this awareness should be sustained, and efforts towards achieving 100% awareness should be enhanced.…”

Section: Discussionsupporting

confidence: 87%

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Knowledge of and Adherence to Anaemia Prevention Strategies among Pregnant Women Attending Antenatal Care Facilities in Juaboso District in Western-North Region, Ghana

Appiah

Nkuah

Bonchel

2020

Journal of Pregnancy

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Background. Anaemia in pregnancy is a major problem in both developed and developing countries. The commonest source of anaemia is nutritional deficiency of iron with evidence suggesting that up to 90% of maternal anaemia may be due to inadequate consumption of dietary iron; however, there are other causes which include worm infestation, HIV infection, and genetic disorders. There are some implemented approaches in Ghana including education and awareness creation, nutritional supplements, and control and prevention of parasitic infections among others to prevent and control anaemia in pregnancy. This study assessed pregnant women adherence to Ghana’s anaemia prevention strategies being implemented in the Juaboso District. Method. A descriptive cross-sectional data on knowledge of and adherence to anaemia prevention strategies among pregnant women was collected. Pearson’s chi-square and logistic regression models were used to assessed associations between predictor and outcome variables. A p value <0.05 was considered as statistically significant. Findings. About 13.5% of the pregnant women had high knowledge on anaemia, while 58.4% and 28.1% had moderate and low knowledge, respectively. Less than half (39.1%) of the women adhered to anaemia prevention strategies. There were significant associations between knowledge of anaemia and where pregnant woman resides in the district (AOR: 2.04, 95% CI: 2.16-9.83, p=0.003), woman’s educational (AOR: 10.43, 95% CI: 6.14-51.63, p=0.002), and occupational status (AOR: 15.14, 95% CI: 13.57-18.43, p<0.001). Again, there were significant associations between adherence to anaemia prevention strategies and the woman’s ethnicity (AOR: 0.61, 95% CI: 0.04-0.92, p=0.001) and her knowledge of anaemia (AOR: 3.88, 95% CI: 1.32-7.93, p=0.001). Conclusions. Pregnant women’s knowledge of anaemia and adherence to anaemia prevention strategies are not encouraging. However, anaemia in pregnancy and its consequences could be devastating to all stakeholders if actions are not taken to reduce the phenomenon. Therefore, we recommend that more education and sensitisation programs including good nutritional practices in the diet of pregnant women be promoted to increase awareness and adherence to anaemia prevention strategies among pregnant women in the Juaboso District.

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Section: Discussioncontrasting

confidence: 95%

Section: Discussionsupporting

confidence: 87%

Knowledge of and Adherence to Anaemia Prevention Strategies among Pregnant Women Attending Antenatal Care Facilities in Juaboso District in Western-North Region, Ghana

Appiah

Nkuah

Bonchel

2020

Journal of Pregnancy

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“…Avoiding these foods during pregnancy may decrease the likelihood of a pregnant adolescent meeting her nutritional needs. Restricting nutritious foods during pregnancy also has been studied in Nigeria where pregnant women restricted foods rich in carbohydrates, protein, and fats/oils that are necessary for a healthy pregnancy [29].…”

Section: Food Taboosmentioning

confidence: 99%

“…They also found women avoided eating fish and salt during pregnancy. Avoiding fish could be a protective mechanism against ingesting heavy metals but might limit animal source food intake [29]. Lower intakes of salt during pregnancy might reduce the risk of hypertension [30].…”

Section: Food Taboosmentioning

confidence: 99%

Assessment of dietary diversity, antenatal care, food taboos, meal frequency, and nutritional status of pregnant adolescents in rural Malawi: A cross-sectional study

Walters¹,

Bendulo²,

Stoecker³

2019

AJFAND

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High rates of pregnancy during adolescence in Malawi compromise the nutritional status of adolescent mothers and their infants. When a pregnant adolescent is malnourished, she is at risk for health complications. Research focusing on the nutritional status of pregnant adolescents in Malawi is minimal. The purpose of this study was to assess dietary diversity, antenatal care, food taboos, meal frequency, and nutritional status of pregnant adolescents in rural Malawi. The study included sixty-two pregnant adolescents between 15-19 years old. Data collection included the use of a pre-tested questionnaire, standardized dietary diversity survey and measurements of mid-upper arm circumference (MUAC), height, and hemoglobin. Statistical analysis included descriptive analysis, linear and logistic regression. Mean (SD) age was 17.7 (1.2) years. Mean MUAC was 25.9 (2.0) cm; 31% had MUAC <25 cm. The occurrence of stunting was 19% and 21% were ≤150 cm tall. The mean hemoglobin was 10.37 (1.93) g/dL and 66% were anemic. The mean dietary diversity score was 4.06 (1.18) and 69% did not achieve minimum dietary diversity (score ≥ five.) No participants consumed dairy and only 7% consumed eggs. Eating meat and poultry or dark green leafy vegetables predicted a 1.31g/dL (pvalue = 0.0306) or 1.08 g/dL (p-value =0.0331) increase in hemoglobin levels, respectively (R 2 =0.15). Food taboos during pregnancy were common (35%). Compared to the Malawi National Nutrition Guidelines, 87% were not eating daily from each of the six food groups and 74% were not meeting the recommended meal frequency during pregnancy (three meals and at least one snack/day). Less than 50% consumed foods from legumes/nuts and animal food groups. The majority (63%) did not take antenatal supplements and only 37% consumed ferrous sulfate. Only 52% received advice about nutrition during pregnancy and few (8%) received advice about infant and young child feeding. Girls who received nutrition advice were more likely to take an iron supplement [OR=4.19 (1.82-9.68), p=0.0008] compared to those who did not. As the number of antenatal visits increased, the participants were more likely to take a supplement [OR=11.88 (3.40-41.49) p=0.001]. Interventions for pregnant adolescents in rural Malawi should occur early in pregnancy and include education on dietary diversity, increasing hemoglobin levels, meal frequency, food taboos, antenatal supplements and infant and young child feeding.

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“…When the body is unable to meet these demands, due to either malnutrition or infection such as malaria, anemia will occur. [9] Despite increased iron requirements, pregnancy is also a period of increased risk for anemia. So far, reduction and control of anemia prevalence among women remain prioritized as public health interventions, especially in women of child-bearing age worldwide.…”

Section: Introductionmentioning

confidence: 99%

Awareness and prevention of anemia among pregnant women attending antenatal clinic at a University Teaching Hospital in Nigeria

Ademuyiwa

Ayamolowo

Oginni

et al. 2020

CJHS

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Objectives: During pregnancy, the fetus requires iron for blood formation so does the mother, this increases the iron requirement which is higher than that of non-pregnant women. This study assessed the level of awareness and prevention of anemia among pregnant women attending the antenatal clinic at Lagos University Teaching Hospital (LUTH), Lagos, Nigeria. Material and Methods: A descriptive cross-sectional study was conducted among 182 pregnant women attending the antenatal clinic at LUTH in Lagos, Nigeria. A balloting system was done to select the respondents in the clinic that runs 4 times a week, with an estimated number of 70 pregnant women per clinic. Data were collected using a structured self-administered questionnaire and analyzed with the Statistical Package of the Social Sciences version 22. Descriptive and inferential statistics were used for analysis, Chi-square test was done for the association between the variables at P < 0.05 level of significance. Ethical approval was obtained from the Human Research Ethical Committee of LUTH with approval number (ADM/DCST/HREC/APP/2589). Informed consent was taken and respondents were reassured of the privacy and confidentiality of the information obtained. Results: The highest percentage (33.3%) of the respondents was within the range of 26–30 years with a mean age of 28.18 ± 0.84 years. Majority of the women had a good level of awareness of anemia (68.89%) and good overall practices (73.89%) of prevention of anemia in pregnancy. There was no significant relationship between the respondents’ level of awareness of anemia and its prevention (χ2 = 1.533, P = 0.216). Conclusion: The study has shown that even though awareness and prevention practices were good, there is a need to create more awareness among pregnant women and also to give adequate health education on prevention of anemia to produce favorable outcome in pregnancy for both the child and mother.

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Maternal knowledge, food restriction and prevention strategies related to anaemia in pregnancy: a cross-sectional study

Abstract: Iron deficiency is the major cause of anaemia in pregnancy and indeed the major cause of anaemia worldwide. 3 A study conducted among pregnant women in Northern Nigeria reported a prevalence of 64%, 4 a much higher prevalence of 95% was reported in Ghana. 5

Cited by 11 publications

References 12 publications

Knowledge of and Adherence to Anaemia Prevention Strategies among Pregnant Women Attending Antenatal Care Facilities in Juaboso District in Western-North Region, Ghana

Knowledge of and Adherence to Anaemia Prevention Strategies among Pregnant Women Attending Antenatal Care Facilities in Juaboso District in Western-North Region, Ghana

Assessment of dietary diversity, antenatal care, food taboos, meal frequency, and nutritional status of pregnant adolescents in rural Malawi: A cross-sectional study

Awareness and prevention of anemia among pregnant women attending antenatal clinic at a University Teaching Hospital in Nigeria

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