scholarly journals Maternal pre-pregnancy nutritional status, pregnancy weight gain and Incidence of Low Birth Weight in Nepal

2012 ◽  
Vol 71 (OCE2) ◽  
Author(s):  
P. Amuna ◽  
O. Acharya ◽  
F. B. Zotor ◽  
P. Chaudhary ◽  
S. Sarkar
2017 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Rafia Bano

Objectives: The present cross sectional study was done to investigate the maternal anthropometry and weight gain in relation to pregnancy outcomes of mothers in Hail city of Saudi Arabia. Methods: The study was carried out in two maternity hospitals of Hail, Saudi Arabia. Sample size of 522 mothers who delivered single live baby without any congenital abnormality were selected to be included in the present study. Mother’s and infant’s anthropometric measurements were taken with standard  techniques. Hemoglobin, blood sugar and blood pressure were recorded using   electronic devices. Information regarding the demographic characteristics, health status of mothers, antenatal checkups and health related habits were accessed through structured questionnaire. Data was entered and analyzed through the Statistical Package for Social Sciences (SPSS) 17.0 Software. Odds Ratios, Means, Pearson’s correlation, Analysis of Variance were done to find out the risk factors associated with poor pregnancy outcome. Results: The mean birth weight of the infants was 3.16 kg ranging from 1.7 kg to 5.4 kg. Male babies tend to be heavier, whereas 100% of the very low birth weight deliveries were only females. Other factors like maternal Body mass Index before pregnancy, Weight gain in pregnancy, Maternal anemia, presence of chronic illnesses like diabetes, Hypertension and hypo/hyperthyroidism had    effected the birth weight of newborn infants. Conclusion: The present study provides some useful data to promote healthy pregnancy outcomes. Maternal factors like  nutritional status, poor pregnancy weight gain and unhealthy obstetric history are found to be the major risk factors.


2009 ◽  
Vol 12 (8) ◽  
pp. 1205-1212 ◽  
Author(s):  
Shamsun Nahar ◽  
CG Nicholas Mascie-Taylor ◽  
Housne Ara Begum

AbstractObjectivesTo assess whether the Bangladesh Integrated Nutrition Programme (BINP) correctly identified which pregnant women should be enrolled in the food supplementation programme, whether supplementation commenced on time and was taken on a regular basis. A second objective was to determine whether food supplementation led to enhanced pregnancy weight gain and reduction in the prevalence of low birth weight.DesignA one-year community-based longitudinal study.SettingA rural union of Bhaluka Upazila, Mymensingh, located 110 km north-west of Dhaka City, the capital of Bangladesh.ParticipantsA total of 1104 normotensive, non-smoking pregnant women who attended Community Nutrition Centres were studied from first presentation at the centre until child delivery.ResultsPregnant women who had a BMI of <18·5 kg/m2 on first presentation should have been selected for supplementary feeding (2512 kJ (600 kcal)/d for six days per week) starting at month 4 (16 weeks) of pregnancy. However, of the 526 women who had BMI < 18·5 kg/m2, only 335 received supplementation; so the failure rate was 36·3 %. In addition, of those receiving supplementation, only 193 women (36·7 % of 526 women) commenced supplementation at the correct time, of whom thirty-two (9·6 % of 335 women) received supplementation for the correct number of days (100 % days). There were no significant differences in mean weight gain between BMI < 18·5 kg/m2 supplemented or non-supplemented groups or between the equivalent groups with BMI ≥ 18·5 kg/m2. Weight gain was inversely related to initial weight, so lighter women gained relatively more weight during their pregnancy than heavier women. The mean birth weight in the supplemented and non-supplemented groups was 2·63 kg and 2·72 kg, respectively. Mothers with BMI < 18·5 kg/m2 who were or were not supplemented had almost equal percentages of low-birth-weight babies (21 % and 22 %, respectively).ConclusionThe study raises doubt about the efficiency of the BINP to correctly target food supplementation to pregnant women. It also shows that food supplementation does not lead to enhanced pregnancy weight gain nor does it provide any evidence of a reduction in prevalence of low birth weight.


Obesity ◽  
2017 ◽  
Vol 25 (9) ◽  
pp. 1569-1576 ◽  
Author(s):  
Nicholas T. Broskey ◽  
Peng Wang ◽  
Nan Li ◽  
Junhong Leng ◽  
Weiqin Li ◽  
...  

2020 ◽  
Vol 4 (3) ◽  
pp. 10-19
Author(s):  
I Made Samitha Wijaya ◽  
Made Sukmawati ◽  
Putu Junara Putra ◽  
I Made Kardana ◽  
I Wayan Dharma Artana

The purpose of this study was to determine the nutritional status of preterm neonates when discharged from the hospital. A descriptive study was reviewed from the register of preterm neonate after hospitalization in neonatal ward Sanglah Hospital Denpasar. The number of total samples in this study was 190 patients. Most of the preterm neonates in this study were low birth weight (59.47%). At the beginning of the hospitalization, there were 83.86% preterm neonates with good nutritional status, decreased to 54.73% at discharge from the hospital. The group of neonates that had the highest number of decreases in the good nutritional status at discharge was found in 28-32 weeks gestational age. Most of the samples used breast milk for enteral feeding (68,42%). In preterm neonates with sepsis, only 42.52% neonates discharge with good nutritional status. Low birth weight preterm neonates with kangaroo method care were found increased weight gain in 78.57% neonates. The nutritional status of preterm neonates following hospitalization at Sanglah hospital is still not good. The preterm neonates with good nutritional status were decreased at discharge from the hospital.


Gut ◽  
2021 ◽  
pp. gutjnl-2021-325001
Author(s):  
Caitlin C Murphy ◽  
Piera M Cirillo ◽  
Nickilou Y Krigbaum ◽  
Amit G Singal ◽  
MinJae Lee ◽  
...  

ObjectiveColorectal cancer (CRC) is a leading cause of cancer-related death worldwide. Obesity is a well-established risk factor for CRC, and fetal or developmental origins of obesity may underlie its effect on cancer in adulthood. We examined associations of maternal obesity, pregnancy weight gain, and birth weight and CRC in adult offspring.DesignThe Child Health and Development Studies is a prospective cohort of women receiving prenatal care between 1959 and 1966 in Oakland, California (N=18 751 live births among 14 507 mothers). Clinical information was abstracted from mothers’ medical records 6 months prior to pregnancy through delivery. Diagnoses of CRC in adult (age ≥18 years) offspring were ascertained through 2019 by linkage with the California Cancer Registry. We used Cox proportional hazards models to estimate adjusted HR (aHR); we examined effect measure modification using single-referent models to estimate the relative excess risk due to interaction (RERI).Results68 offspring were diagnosed with CRC over 738 048 person-years of follow-up, and half (48.5%) were diagnosed younger than age 50 years. Maternal obesity (≥30 kg/m2) increased the risk of CRC in offspring (aHR 2.51, 95% CI 1.05 to 6.02). Total weight gain modified the association of rate of early weight gain (RERI −4.37, 95% CI −9.49 to 0.76), suggesting discordant growth from early to late pregnancy increases risk. There was an elevated association with birth weight (≥4000 g: aHR 1.95, 95% CI 0.8 to 4.38).ConclusionOur results suggest that in utero events are important risk factors for CRC and may contribute to increasing incidence rates in younger adults.


Author(s):  
Dr. Pratibha Patil ◽  
Dr. Sanjay Patil

Poor nutritional status and inadequate food intake during and prior to pregnancy not only affect Women’s health but also have negative impact on growth and development of fetus.  The birth weight of an infant is a powerful predictor of growth and survival of infant and is dependent on maternal health and nutritional status, pre-pregnancy weight and general weight gain are all strongly associated with fetal growth and development. So, improving maternal nutrition prior to conception and during pregnancy are potential strategies to improve birth weight. The Present study has been carried out to discuss the circumstances under which the effect of maternal nutrition on birth weight can be observed, and to determine the specific contributors of calories and protein to birth weight. Materials and methods: The present study has been carried out at Teaching Medical College and hospital to find out correlation between various factors responsible for maternal weight gain and nutrition with birth weight of baby and to standardize diet chart for pregnant mothers in rural area. The study included 100 women who were followed up from 8 to 10 week of pregnancy till delivery. Anthropometric measurements including maternal weight, height and total weight gain in pregnancy and infant’s birth weight were recorded and all mothers were interviewed for their bio-social variables. Results: The mean birth weight is below 2.4 kg in age <19 years and in 30 years and above, it is >2.5 kg.  The mean birth weight in primipara is 2.4 kg and then it gradually increased maximum up to 2.6 kg in multipara. The mean birth weight in 2.4 kg in mothers below 145cm.Above that till 160 cm there is steady increase in birth weight up to 3.08 kg. The mean birth weight was lowest in cases where maternal weight is below 40 kg and it reached maximum 3 kg in weight group 60-69 kg. The mean birth weight is 2.4 kg in weight gain between 5-9 kg and maximum up to 3 kg in weight gain between 15-19 kg. The mean birth weight is 3.2 kg in high socioeconomic group and 2.2 kg in low socioeconomic group. Conclusion: There is definite relation between maternal age, parity, height, pre-pregnancy weight, weight gain during pregnancy, socioeconomic status and daily dietary intake per day and birth weight of baby. So health policies should be aimed at early detection and effective management of under nutrition to reduce the burden of low birth weight babies and there is a need to focus attention on better maternal nutrition and education on birth spacing, early pregnancy and family planning.


2005 ◽  
Vol 59 (10) ◽  
pp. 1208-1212 ◽  
Author(s):  
M Maddah ◽  
M Karandish ◽  
B Mohammadpour-Ahranjani ◽  
T R Neyestani ◽  
R Vafa ◽  
...  

2005 ◽  
Vol 3 (4) ◽  
pp. 144-156 ◽  
Author(s):  
Gigliola Baruffi ◽  
Charles Hardy ◽  
Carol Waslien ◽  
Sue Uyehara ◽  
Dmitry Krupitsky ◽  
...  

Purpose: To investigate weight gain during pregnancy and its association with birth weight and weight retention postpartum (PP) among women of different ethnic backgrounds. Methods: Cross-sectional study of 5,863 women participating in the Hawai`i Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in 1997 and 1998. Postpartum weight and height were measured by WIC staff, weight gain during pregnancy and infant birth weight were self-reported. Ethnicity was also selfreported. The Institute of Medicine guidelines for pregnancy weight gain in relation to levels of prepregnancy body mass index (BMI) were followed. The analysis included bivariate tests of association between prepregnancy BMI, pregnancy weight gain, PP weight retention, infant birth weight and ethnicity. Multivariable analysis was conducted to estimate the independent association of the study variables with PP weight retention, birth weight, and ethnicity. SAS was used to analyze the data. Results: The largest ethnic groups were Hawaiian (29.9%), Caucasian (27.2%), and Filipino (19.8%). Asians, Blacks, Samoans, and Other represented smaller percentages. Thirty percent of women were overweight or obese before pregnancy. There were significant ethnic differences in prepregnancy BMI. Samoans had the highest mean prepregnancy BMI (29.7). Filipinos had the lowest mean prepregnancy BMI (22.5). There were significant differences in pregnancy weight gain. Samoans had the highest mean weight gain (37.3 lbs). Asians had the lowest mean weight gain (29.1bs). Almost one half of women (48.1%) gained more than the IOM recommended pregnancy weight. The average weight retention was 9.4 lbs at five to six months postpartum, and 7.4 lbs after eight months postpartum. There were significant ethnic differences in weight retention with Samoans having the largest average weight retention (17.5 lbs) and Asians the lowest (9.6 lbs). Infant birth weight differed significantly by ethnicity. Birth weight was significantly associated with prepregnancy BMI and pregnancy weight gain. Conclusions: In spite of large racial/ethnic differences, on the average there was almost a two-thirds pound adjusted PP weight retention for each pound of weight gained during pregnancy. Our study suggests a need for integrated women’s health services to include nutritional support during the pre and post conceptual period. Findings of this study will provide guidance in the development of culturally sensitive interventions and counseling.


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