Nutrition during pregnancy: the effects of an educational intervention program in Greece

Kafatos, Anthony; Vlachonikolis, I G; Codrington, C.

doi:10.1093/ajcn/50.5.970

Cited by 65 publications

(82 citation statements)

References 18 publications

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“…56 There are surprisingly few intervention studies on the specific impact of maternal health education on perinatal and newborn outcomes. Kramer 57 evaluated the evidence, including that from an intervention trial in Greece, 58 of the potential benefit of maternal nutritional advice during pregnancy on several outcomes. Although an increase in energy and protein intake during pregnancy was notable, the overall impact on maternal, perinatal, and neonatal outcomes was unclear.…”

Section: Antenatal Interventionsmentioning

confidence: 99%

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

et al. 2005

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ABSTRACT. Background. Infant and under-5 childhood mortality rates in developing countries have declined significantly in the past 2 to 3 decades. However, 2 critical indicators, maternal and newborn mortality, have hardly changed. World leaders at the United Nations Millennium Summit in September 2000 agreed on a critical goal to reduce deaths of children <5 years by two thirds, but this may be unattainable without halving newborn deaths, which now comprise 40% of all under-5 deaths. Greater emphasis on wide-scale implementation of proven, cost-effective measures is required to save women's and newborns' lives. Approximately 99% of neonatal deaths take place in developing countries, mostly in homes and communities. A comprehensive review of the evidence base for impact of interventions on neonatal health and survival in developingcountry communities has not been reported.Objective. This review of community-based antenatal, intrapartum, and postnatal intervention trials in developing countries aimed to identify (1) key behaviors and interventions for which the weight of evidence is sufficient to recommend their inclusion in communitybased neonatal care programs and (2) key gaps in knowledge and priority areas for future research and program learning.Methods. Available published and unpublished data on the impact of community-based strategies and interventions on perinatal and neonatal health status outcomes were reviewed. Evidence was summarized systematically and categorized into 4 levels of evidence based on study size, location, design, and reported impact, particularly on perinatal or neonatal mortality. The evidence was placed in the context of biological plausibility of the intervention; evidence from relevant developed-country studies; health care program experience in implementation; and recommendations from the World Health Organization and other leading agencies.Results. A paucity of community-based data was found from developing-country studies on health status impact for many interventions currently being considered for inclusion in neonatal health programs. However, review of the evidence and consideration of the broader context of knowledge, experience, and recommendations regarding these interventions enabled us to categorize them according to the strength of the evidence base and confidence regarding their inclusion now in programs. This article identifies a package of priority interventions to include in programs and formulates research priorities for advancing the state of the art in neonatal health care.Conclusions. This review emphasizes some new findings while recommending an integrated approach to safe motherhood and newborn health. The results of this study provide a foundation for policies and programs related to maternal and newborn health and emphasizes the importance of health systems research and evaluation of interventions. The review offers compelling support for using research to identify the most effective measures to save newborn lives. It also may facilitate dialogue with policy...

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Section: Antenatal Interventionsmentioning

confidence: 99%

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

et al. 2005

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“…Fallah et al and Kafatos et al found that education on nutrition and food consumption could cause a positive change to improve levels of the nutritional knowledge of pregnant females (44,45).…”

Section: Discussionmentioning

confidence: 99%

The Effect of an Educational Intervention with Spouse’s Participation on Food Intake of Pregnant Females: A Randomized Controlled Trial

Asiabar

Shokravi

Hajifaraji

et al. 2018

Iran Red Crescent Med J

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Background: Spouses can influence their wife's health during pregnancy. However, dietary intake comprised of high value nutrition in addition to spouses' participation during pregnancy is an important aspect of female's health, which has been widely neglected.Objectives: This study aimed at evaluating the effectiveness of educational programs with spouse's participation on dietary during pregnancy. Methods: In the randomized controlled trial study, 128 nulliparous females attending Najmieh hospital based in Tehran, Iran, were randomly allocated to 2 intervention and 1 control group. In Group A, females received nutritional education with their spouses' participation, in Group B, females received nutritional education alone, and in Group C, females received routine prenatal care, yet no guidance on dietary intake. Data was collected by completing 2 questionnaires, including demographic characteristics and the semi-quantitative food frequency questionnaire (FFQs). Results: In this trial study, the mean differences of serving/day of vegetables and yogurt from the dairy range was significantly higher in group A compared to B and the control group (1.27 serving/day vegetables -group A compared to 0.81 and 0.41 serving/day vegetables in groups B and C, respectively; P < 0.001, and 0.56 serving/day of yogurt in group A versus 0.33 and 0.32 serving/day of yogurt in groups B and C, respectively, P < 0.024). The mean differences of serving/day of dairy in groups A and B were significantly higher than the control group (1.97 and 1.66 serving/day in groups A and B, respectively versus 0.81 serving/day in the group C, P = 0.003). In addition, the mean differences of serving/day for fat sources in the intervention groups were significantly lower than the control group (2.58 and 1.18 serving/day in groups A and B, respectively versus 0.38 serving/day in the group C, P = 0.035). Conclusions:The findings found improvement in intervention group A with intake of vegetables and yoghurt as dairy sources compared to Group B. In addition, their mean differences of dairy source was higher than Group C, while serving of fat sources was lower in both groups compared to the control group.

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“…Nevertheless, the limited evidence available highlights potential benefits associated with nutrition education as an intervention for improving Fe status in Indian (23,24) and other populations (25,26) . In fact, our approach of nutrition education was around a social action of live demonstration of Fe-rich recipes.…”

Section: Discussionmentioning

confidence: 99%

Dietary diversification for prevention of anaemia among women of childbearing age from rural India

Rao

Joshi

Bhide

et al. 2013

Public Health Nutr.

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Objective: To assess the impact of an intervention modifying dietary habits for the prevention of anaemia in rural India. Design: Intervention study with data on anthropometric (weight, height) measurements, Hb and diet pattern. As per the cut-off for Hb in the government programme, women with Hb ,11 g/dl had to be given Fe tablets and formed the supplemented group while those with Hb . 11 g/dl formed the non-supplemented group. Settings: Three villages near Pune city, Maharashtra, India. Subjects: Rural non-pregnant women (n 317) of childbearing age (15-35 years). Results: After 1 year of intervention, mean Hb increased (from 10?94 (SD 1?22) g/dl to 11?59 (SD 1?11) g/dl) significantly (P , 0?01) with a consequent reduction in the prevalence of anaemia (from 82?0 % to 55?4 %) as well as Fe-deficiency anaemia (from 30?3 % to 10?8 %). Gain in Hb was inversely associated with the initial level of Hb. Significant gain in Hb (0?57 g/dl) was observed among women attending .50 % of the meetings or repeating .50 % of the recipes at home (0?45 g/dl) in the non-supplemented group and was smaller than that observed in the supplemented group. Consumption of green leafy vegetables more than twice weekly increased substantially from 44?7 % to 60?6 %, as did consumption of seasonal fruits. Logistic regression showed that women with lower participation in the intervention had three times higher risk (OR 5 3?08; 95 % CI 1?04, 9?13; P 5 0?04) for no gain in Hb compared with those having high participation. Conclusions: Developing action programmes for improving nutritional awareness to enhance the consumption of Fe-rich foods has great potential for preventing anaemia in rural India.

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Nutrition during pregnancy: the effects of an educational intervention program in Greece

Cited by 65 publications

References 18 publications

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence

The Effect of an Educational Intervention with Spouse’s Participation on Food Intake of Pregnant Females: A Randomized Controlled Trial

Dietary diversification for prevention of anaemia among women of childbearing age from rural India

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