Short-Term Nutrition Education Reduces Low Birthweight and Improves Pregnancy Outcomes among Urban Poor Women in Bangladesh

Jahan, Khurshid; Sk, Roy; Mihrshahi, Seema; Sultana, Nigar; Khatoon, Soofia; Roy, Hema; Datta, Laboni Rani; Roy, A R; Jahan, S; Khatun, Wajiha; Nahar, Naimun; Steele, James

doi:10.1177/156482651403500403

Cited by 37 publications

(49 citation statements)

References 17 publications

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“…On the other hand, positive effects on EIBF were reported by community‐level education and counselling interventions in Bangladesh (Fottrell et al, ) and India (Agrawal et al, ; Balakrishnan et al, ), and when combined with community mobilization in India (Bhandari et al, ). All studies that examined interventions to deliver education and counselling at health facility level showed positive effect on EIBF in Bangladesh (Akter et al, ; Jahan et al, ; Thakur et al, ) and India (Prasad & Costello, ), as well. A programme in Bangladesh that combined education and counselling on EIBF at home/family level with mass media interventions also had a positive impact on EIBF (Menon et al, ).…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Benedict

Craig

Torlesse³

et al. 2018

Maternal & Child Nutrition

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Most children in South Asia are breastfed at some point in their lives; however, many are not breastfed optimally, including the early initiation of breastfeeding (EIBF) within 1 hr of birth, avoidance of prelacteal feeds (APF), exclusive breastfeeding (EBF) for 6 months, and continued breastfeeding (CBF) up to 2 years of age or beyond. This review identifies and collates evidence on the effectiveness of interventions to support optimal breastfeeding in five countries in South Asia: Afghanistan, Bangladesh, India, Nepal, and Pakistan. A scoping review was conducted of peer‐reviewed and grey literature. The 31 eligible studies included randomized trials and quasi‐experimental designs that were conducted between 1990 and 2015. Data were collated regarding intervention design, characteristics, and effectiveness to support EIBF, APF, EBF, and CBF. Most studies reported a positive impact on breastfeeding outcomes, including 21/25 studies that examined EIBF, 15/19 studies that examined EBF, and 10/10 studies that examined APF. The only study that examined CBF reported no effect. Education, counselling, and maternal, newborn, and child health initiatives were common intervention types with positive effects on breastfeeding outcomes. Interventions were delivered in health facility, community, and home/family environments. Programmes and interventions that reached women and their families with repeated exposure and beginning during pregnancy were more likely to improve EIBF and EBF outcomes. Interventions with no impact on breastfeeding were characterized by short duration, irregular frequency, inappropriate timing, poor coverage, and targeting.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Benedict

Craig

Torlesse³

et al. 2018

Maternal & Child Nutrition

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“…This study had similar findings to a previous study conducted in Burkina Faso among low-income women. 9 Akter et al and Jahan et al 8,23 reported in separate studies that women who received third trimester nutrition counselling on pregnancy weight gain added 1.73 kg and 3.22 kg, respectively, more than women in the control group. In addition, babies born to these women weighed 0.44 kg and 20% more, respectively.…”

Section: Discussionmentioning

confidence: 99%

Determinants of low birth weight in the context of maternal nutrition education in urban informal settlements, Kenya

Nyamasege

Kimani-Murage

Wanjohi

et al. 2018

J Dev Orig Health Dis

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Inadequate knowledge in maternal nutrition is one of the determinants of low birth weight. However, little evidence is available on whether maternal nutrition counselling alone can influence birth weight among women from low socioeconomic households. This study assessed the effect of prenatal maternal nutritional counselling on birth weight and examined the related risk factors. A cluster randomized controlled trial was conducted to assess the effectiveness of home-based maternal nutritional counselling on nutritional outcomes, morbidity, breastfeeding, and infant feeding practices by the African Population and Health Research Center in two urban informal settlements of Nairobi. The intervention group received monthly antenatal and nutritional counselling from trained community health volunteers; meanwhile, the control group received routine antenatal care. A total of 1001 participants were included for analysis. Logistic regression was applied to determine associations between low birth weight and maternal characteristics. A higher prevalence of low birth weight was observed in the control group (6.7%) than in the intervention group (2.5%; p<0.001). Logistic regression identified significant associations between birth weight and intervention group (adjusted odds ratio (AOR)=0.26; 95% confidence interval (CI), 0.10-0.64); maternal height <154.5cm (AOR=3.33; 95% CI, 1.01-10.96); last antenatal care visits at 1st or 2nd trimesters (AOR=9.48; 95% CI, 3.72-24.15); pre-term delivery (AOR=3.93; 95% CI, 1.93-7.98); maternal mid-upper arm circumference <23cm (AOR=2.57; 95% CI, 1.15-5.78); and cesarean delivery (AOR=2.27; 95% CI, 1.04-4.94). Nutrition counselling during pregnancy reduced low birth weight and preterm births, which was determined by women of short stature, early stoppage of antenatal visit, and cesarean delivery. Trial registration: ISRCTN registry, ISRCTN83692672, https://doi.org/10.1186/ISRCTN83692672.

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“…Balanced protein/energy supplementation can be considered for the women with low pre-third-trimester BMI. Complementing this, the randomized controlled trial undertaken by Jahan et al in Bangladesh showed that health education focusing on consuming a nutrient-rich local food (khichuri) during the third trimester of pregnancy considerably increased maternal weight gain and reduced the incidence of low birthweight [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Magnitude and determinants of inadequate third-trimester weight gain in rural Bangladesh

et al. 2018

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ObjectivesThe objective of this study was to estimate the magnitude and determinants of inadequate weight gain in the third-trimester among rural women in Matlab, Bangladesh.MethodsThe study analyzed data on weight gain in the third trimester in 1,883 pregnant women in Matlab, Bangladesh. All these women were admitted to Matlab hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) for childbirth during 2012–2014, and they had singleton live births at term. Data were retrieved from the electronic databases of Matlab Health and Demographic Surveillance System and Matlab hospital. A multivariable logistic regression for inadequate weight gain in the third trimester (≤4 kg) was built with sociodemographic, environmental and maternal factors as predictors.ResultsOne thousand and twenty-six (54%) pregnant women had inadequate weight gain in the third trimester. In the multivariable model, short stature turned out to be the most robust risk factor for inadequate weight gain in the third trimester (OR = 2.5; 95% CI 1.8, 3.5 for short compared to tall women). Pre-third-trimester BMI was inversely associated with insufficient weight gain (OR = 0.96; 95% CI 0.93, 0.99 for 1 unit increase in BMI). Other risk factors for inadequate weight gain in the third trimester were advanced age (OR = 1.9; 95% CI 1.2, 3.1 for ≥35 years compared to ≤19 years), parity (OR = 1.5; 95% CI 1.2, 1.9 for multipara compared to nulliparous women), low socioeconomic status (OR = 1.7; 95% CI 1.2, 2.3 for women in the lowest compared to women in the highest wealth quintile), low level of education (OR = 1.6; 95% CI 1.2, 2.1 for ≤5 years compared to ≥10 years of education), belonging to the Hindu religious community (OR = 1.8; 95% CI 1.3, 2.5), consuming arsenic-contaminated water (OR = 1.4; 95% CI 1.1, 1.9), and conceiving during monsoon or dry season compared to summer (OR = 1.4; 95% CI 1.1, 1.8).ConclusionsAmong rural Bangladeshi women in Matlab, third-trimester weight gain was in general poor. Maternal characteristics such as short stature, low BMI, advanced age, parity, low level of education and socioeconomic status, being Hindu, intake of arsenic contaminated water, and conceiving during monsoon or dry season were the risk factors for inadequate weight gain in the third trimester. Special attention should be given during prenatal care to women with the risk factors identified in this study.

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Short-Term Nutrition Education Reduces Low Birthweight and Improves Pregnancy Outcomes among Urban Poor Women in Bangladesh

Cited by 37 publications

References 17 publications

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Determinants of low birth weight in the context of maternal nutrition education in urban informal settlements, Kenya

Magnitude and determinants of inadequate third-trimester weight gain in rural Bangladesh

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