Maternal nutrition in Nigeria

Adinma, J. I. B.; Umeononihu, OS; Umeh, MN

doi:10.4103/tjog.tjog_25_17

Cited by 25 publications

(17 citation statements)

References 1 publication

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“…Mothers with hemoglobin < 11 g/dl were 4.9 times more likely [AOR = 4.9, 95% CI: 3.09, 7.8] to have undernutrition than their counterparts. This finding was similar to that of the study performed in Wonde Genetin, southern Ethiopia, Nigeria and study done in Reft valley [ 4 , 25 , 26 , 32 , 33 ]. Women who were anemic were also more likely to have a low MUAC.…”

Section: Discussionsupporting

confidence: 92%

“…Pregnancy mothers with no malaria during pregnancy were 70.09% less likely [AOR = 0.291, 95%: (0.152, 0.555)] to become undernutritioned than those having malaria during pregnancy. This finding was similar to that of the study performed in Nigeria, in which it was found that malaria can cause anemia, another study performed in Alamata Tigray, a study performed in Amazonian Region [ 14 , 16 , 25 – 27 ], and others. This is because malaria is one of the proximal factors that cause undernutrition in pregnancy.…”

Section: Discussionsupporting

confidence: 90%

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Prevalence of Undernutrition and Associated Factors among Pregnant Women in a Public General Hospital, Tigray, Northern Ethiopia: A Cross-Sectional Study Design

Ayele

Gebreayezgi

Mariye

et al. 2020

Journal of Nutrition and Metabolism

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Background. Undernutrition is a global health problem, particularly in pregnant women. Despite the limited studies performed in different parts of Ethiopia, the information about the prevalence of undernutrition of pregnant women in the current study area is not documented. Therefore, this study aimed to assess the prevalence of undernutrition and associated factors in pregnant women. Methods. An institution-based cross-sectional study design was conducted in the Tigray region from August 01 to December 30, 2018. Study subjects were selected by systematic sampling technique from the respective hospitals. An interviewer-administered questionnaire was used to collect the data. Data were cleaned and entered using Epi-Data version 3.1 and then exported to statistical package for social science (SPSS) version 23.0 for analysis. Multivariate analyses were carried out, and adjusted odds ratios (AORs) with 95% CI and significance level ( p value) <0.05 were considered. Results. Out of the total 844 selected pregnant women, 840 participated in the study, yielding a response rate of 99.5%; of this, respondent’s undernutrition prevalence was found to be 40.6% with 95% confidence interval (38.93% and 42.27%). Agriculture as occupation (AOR = 2.6, 95% CI: 1.5, 4.5), women who wanted the pregnancy (AOR = 0.25, 95% CI: 0.14, 0.448), no history malaria during pregnancy (AOR = 0.291, 95%: (0.152, 0.555)), coffee intake during pregnancy (AOR = 1.6, 95% CI: 1.04, 2.69), and hemoglobin < 11 g/dl (AOR = 4.9, 95% CI: 3.09, 7.8) were the factors that were significantly associated with undernutrition, p value (<0.05). Conclusion. In this study, occupation, history of having malaria during pregnancy, wanted type pregnancy, coffee intake during pregnancy, and hemoglobin < 11 g/dl were factors significantly associated with undernutrition in pregnant mothers. So, healthcare providers, policymakers, and other stakeholders should give special focus on these factors.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Prevalence of Undernutrition and Associated Factors among Pregnant Women in a Public General Hospital, Tigray, Northern Ethiopia: A Cross-Sectional Study Design

Ayele

Gebreayezgi

Mariye

et al. 2020

Journal of Nutrition and Metabolism

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“…The other possible source of discrepancy might be the term of pregnancy, we have included women in their second and third trimester while they have included all terms as pregnancy term could advance nutritional depletion. Likewise, three studies reported from Sudan [23], Nigeria [24] and Lebanon [25] have reported a relatively lower prevalence than ours and the possible reason might be the use of different measurement in addition to different socio-demographic nature of the study area; they have used BMI while we used MUAC.…”

Section: Discussionmentioning

confidence: 56%

Undernutrition and its associated factors among pregnant mothers in Gondar town, Northwest Ethiopia

Dadi

Desyibelew

2019

PLoS ONE

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Background Regardless of significant gains and signs of progress in the last decades, maternal undernutrition remains a major public health concern in Ethiopia. Supporting the progress of interventions being taken in the country with evidence might be important to keep the sustainability of the government effort. We aimed at determining the extent of undernutrition and its associated factors among pregnant mothers in Gondar town, Northwest Ethiopia. Method A community-based cross-sectional study was conducted by including 940 selected pregnant mothers through a cluster sampling. A face-to-face interview was administered to pregnant mothers at a household level. We collected data using an Online Data collection kit (ODK) and the collected data was directly downloaded from the Google Cloud platform and finally imported to Stata 14 for further analysis. A multivariable logistic regression model was fitted to identify factors associated with undernutrition. A crude and adjusted odds ratio with their 95% confidence interval was calculated to declare the association and its significance. Model fitness was assured through the Hosmer and Lemeshow goodness of fit test and model classification accuracy. Result 14.4% (95%CI: 12.3–16.7) of pregnant mothers were undernourished. After adjusting for the main covariates; as the age of the pregnant mothers increases the odds of being undernourished decreases by 10% (AOR: 0.90; 95%CI: 0.87–0.95) and having a poor marital condition (AOR: 2.18; 95%CI: 1.03–4.59) increased the odds of undernutrition. The risk of undernutrition was also decreased by 43% among those pregnant mothers who consumed coffee sometimes (AOR: 0.57; 95%CI: 0.36–0.89) as compared to daily consumers. Conclusion A significant proportion of pregnant mother were undernourished. Integration of nutritional interventions with maternity health services would be highly important to improve the nutritional status of the mothers. It is also important to counsel pregnant mothers about a consequence of frequent coffee drinking during their pregnancy.

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“…A total of 127 records were identified through database searching and 104 retrieved studies were omitted through step-by-step process for the following reasons: 15 studies were duplication [14–28], 14 were review studies [29–42], 1 was conducted in refugee camp [43], 2 recruited only adolescent pregnant mothers[44, 45], 4 had no full text [46–49], and the rest 66 articles had different study population [50–68], area [69–87], and outcome [14–22, 88–106]. (Fig 1).…”

Section: Resultsmentioning

confidence: 99%

Burden and determinants of malnutrition among pregnant women in Africa: A systematic review and meta-analysis

Desyibelew¹,

Dadi²

2019

PLoS ONE

118

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Background Malnutrition in pregnancy remains unacceptably high across all regions of Africa though promising progresses have been made globally. Primary studies might not be sufficient to portrait a comprehensive picture of malnutrition during pregnancy and its main risk factors. Therefore, we intended to review the burden of malnutrition, for this specific review implies to protein energy malnutrition, during pregnancy in Africa to present its magnitude and determinant factors. Methods We did a systematic review of observational studies published from January 1/2008 to January 31/2018. The CINAHL (EBSCO), MEDLINE (via Ovid) , Emcare, PubMed databases and Google scholar were searched. Articles quality was assessed using the Newcastle-Ottawa Scale and studies with fair to good quality were included. We pooled malnutrition prevalence and an odds ratio estimates for risk factors after checking for heterogeneity and publication bias. This review has been registered in Prospero with a protocol number CRD42018114949. Result 23 studies involving 20,672 pregnant women were included. Using a random effect model, the overall pooled prevalence of malnutrition among pregnant women in Africa was 23.5% (95%CI: 17.72–29.32; I 2 = 98.5%). Based on the current review pooled odds ratio finding; rural residency (POR = 2.6%; 95%CI: 1.48–4.65; I2 = 0%), low educational status of partners (POR = 1.7%; 95%CI: 1.19–2.53; I2 = 54.8%), multiple pregnancy (POR = 2.15%; 95%CI: 1.27–3.64; I2 = 0%) and poor nutritional indicators (POR = 2.03%; 95%CI: 1.72–2.4, I2 = 0%) were positively determine maternal malnutrition. On contrary, better household economic status (POR = 0.47%; 95%CI: 0.36–0.62; I2 = 24.2%) negatively determine maternal malnutrition. Conclusion A significant number of the pregnant population in Africa are suffering of malnutrition, above 10% of the standard acceptable malnutrition rate. Thus, efforts should be renewed to ensure a proper and widespread implementation of programs that would address issues identified in the current review to reduce the burden of malnutrition.

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Maternal nutrition in Nigeria

Cited by 25 publications

References 1 publication

Prevalence of Undernutrition and Associated Factors among Pregnant Women in a Public General Hospital, Tigray, Northern Ethiopia: A Cross-Sectional Study Design

Prevalence of Undernutrition and Associated Factors among Pregnant Women in a Public General Hospital, Tigray, Northern Ethiopia: A Cross-Sectional Study Design

Undernutrition and its associated factors among pregnant mothers in Gondar town, Northwest Ethiopia

Burden and determinants of malnutrition among pregnant women in Africa: A systematic review and meta-analysis

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