Dietary Habit And Prevalence Of Anemia Among Pregnant Women Attending Antenatal Clinic During Their Third Trimester And Concentration Of Micronutrient In Cord Blood Effect On Neonatal Birth Weight

Background: Micronutrients are life sustaining nutrients that are needed in small quantities forrneffective functioning of human metabolic activities and development. Deficiency of mostrnmicronutrients can result in adverse pregnancy and birth outcomes.rnObjective: To determine the influence of third trimester pregnant women's dietary habit onrnanemia status, cord blood micronutrient concentration and neonatal birth weight.rnMethod: A prospective case series study design and convenient sampling technique were used.rn123 third trimester pregnant women were interviewed to assess their socio-demographicrncharacteristics, dietary pattern, and clinical conditions. The hemoglobin values of the womenrnwere determined using HemoCue. Among these subjects, neonatal birth weight and cord bloodrnwas collected from 57 subjects out of whom 49 delivered at term. The cord blood micronutrientrnconcentrations were determined using atomic absorption spectroscopy. Descriptive analysis,rnBivariate, and multivariable regression analysis were the statistical tools used in this study.rnResults: About 35.8 % of the pregnant women were anemic. The mean age (years) of thernpregnant women was 25.8 ± 5.4 (SD) and 55.3 % were multiparous. The most commonlyrnconsumed food by the subjects was cereals (98.4%) and coffee was found to be the mostrncommonly consumed drink (93.5%). Majority of the pregnant women (57.8 %) had three meals arnday. Maternal factors such as, dietary diversity score (β = 0.413, P = 0.003), level of education (βrn= 0.541, P < 0.001), body mass index (β = 0.162, P = 0.013), consumption of cereals (r = 0.407,rnP = 0.001) and carbonated drinks (β = 0.954, P = 0.002) had positive linear relationship withrnhemoglobin. Whereas, factors such as the amount of cups of tea taken per day (β = -0.374, P =rn0.021), consumption of legumes (β = -0.579, P = 0.014), roots and tubers (β = -0.700, P = 0.004),rnand level of fasting (r = -0.374, P = 0.038) were negatively associated with hemoglobin.rnPreeclampsia (r = 0.258, P=0.038), and vitamin A-rich foods (β = -0.228, P = 0.048) were foundrnto be predictors of anemia. The maternal age (β = -1.867, P = 0.038), body mass index (r = -rn0.330, P = 0.010) and preeclampsia (β = -0.653, P = 0.001) showed negative correlation withrncord blood iron, calcium and zinc concentration respectively. The amount of coffee taken per dayrnwas also negatively associated with cord blood calcium concentration (β = -24.997, P = 0.018).rnParity, consumption of roots and tubers and umbilical cord blood iron concentration werernimportant predictors of neonatal birth weight (β = -0.336, P = 0.007, β = -0.196, P = 0.037and βrn= -0.158, P = 0.005) respectively.rnConclusion: The dietary pattern, nutritional status, and pre-eclempsia of third trimester pregnantrnwomen were associated with maternal anemia and cord blood micronutrient concentration. Rootrnand tuber consumption, cord blood iron concentration, and parity were negatively associatedrnwith neonatal birth weight. Health education that includes reproductive health and optimalrnnutrition during pregnancy is needed.

Get Full Work

Report copyright infringement or plagiarism