Volume 10, Issue 1 (2022)
Health Educ Health Promot 2022, 10(1): 9-14 |
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Mazloomy Mahmoodabad S, Pournarani R, Sadeghi S, Yoshany N. Knowledge, Attitude, and Practice of Iranian Pregnant Women towards Proper Nutrition during Pregnancy. Health Educ Health Promot 2022; 10 (1) :9-14
URL: http://hehp.modares.ac.ir/article-5-50449-en.html
URL: http://hehp.modares.ac.ir/article-5-50449-en.html
1- “Social Determinants of Health Research Center” and “Health Education And Health Promotion Department, School of Public Health”, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract: (2119 Views)
Aims: Pregnancy is associated with changes in the woman's nutritional needs. The mother's nutritional status affects her own health, that of the fetus, and the outcome of the pregnancy. This study aimed to determine the knowledge, attitude, and practice of pregnant women towards proper nutrition.
Instrument & Methods: This cross-sectional study was carried out on 445 pregnant women who were referred to urban health centers in Jiroft, Kiar, Fasa, Borkhar, and Ilam cities in 2020. Participants were selected by multi-stage random sampling. The instrument to collect data was multi-section research made questionnaire including demographic information, knowledge, attitude, and practice towards proper nutrition. Data was analyzed using SPSS 18 by Chi-square, t-test, ANOVA, and correlation coefficient.
Findings: The mean age of participants was 29.58±9.81 years and the mean month of pregnancy was 5.58±2.30 in all cities. Of them 59.10% had a good level of knowledge. In general, 81.10% had a positive attitude, but in Kiar city, 86.70% of pregnant women had a moderately desirable level of attitude and 63.8% were in a good level of behavior. There was a significant relationship between the history of receiving education and knowledge level in Jiroft and Kiar cities (p<0.05).
Conclusion: Due to the low levels of knowledge, attitude and practice of pregnant women towards proper nutrition, it is recommended to provide nutrition counseling for pregnant women in health centers. As a result of women's awareness of the principles of proper nutrition during pregnancy, the consequences of pregnancy will improve.
Instrument & Methods: This cross-sectional study was carried out on 445 pregnant women who were referred to urban health centers in Jiroft, Kiar, Fasa, Borkhar, and Ilam cities in 2020. Participants were selected by multi-stage random sampling. The instrument to collect data was multi-section research made questionnaire including demographic information, knowledge, attitude, and practice towards proper nutrition. Data was analyzed using SPSS 18 by Chi-square, t-test, ANOVA, and correlation coefficient.
Findings: The mean age of participants was 29.58±9.81 years and the mean month of pregnancy was 5.58±2.30 in all cities. Of them 59.10% had a good level of knowledge. In general, 81.10% had a positive attitude, but in Kiar city, 86.70% of pregnant women had a moderately desirable level of attitude and 63.8% were in a good level of behavior. There was a significant relationship between the history of receiving education and knowledge level in Jiroft and Kiar cities (p<0.05).
Conclusion: Due to the low levels of knowledge, attitude and practice of pregnant women towards proper nutrition, it is recommended to provide nutrition counseling for pregnant women in health centers. As a result of women's awareness of the principles of proper nutrition during pregnancy, the consequences of pregnancy will improve.
Keywords: Knowledge [MeSH], Attitude [MeSH], Nutritional Status [MeSH], Behavior [MeSH], Pregnant Woman [MeSH]
Article Type: Descriptive & Survey |
Subject:
Family Health Education/Promotion
Received: 2021/02/24 | Accepted: 2021/07/11 | Published: 2022/01/24
Received: 2021/02/24 | Accepted: 2021/07/11 | Published: 2022/01/24
References
1. Shayanmanesh M, Goli S, Soleymani B. Factors associated with the performance of midwives in trainingexercise during pregnancy health centers in Isfahan in 2011. Iran J Obstet Gynecol Infertil. 2013;15(38):17-23. [Persian] [Link]
2. Kazma JM, Van Den Anker J, Allegaert K, Dallmann A, Ahmadzia HK. Anatomical and physiological alterations of pregnancy. J Pharmacokinet Pharmacodyn. 2020;47(4):271-85. [Link] [DOI:10.1007/s10928-020-09677-1] [PMID] [PMCID]
3. Szwajcer EM, Hiddink GJ, Koelen MA, Van Woerkum CJM. Nutrition-related information-seeking behaviours before and throughout the course of pregnancy: Consequences for nutrition communication. Eur J Clin Nutr. 2005;59 Suppl 1:57-65. [Link] [DOI:10.1038/sj.ejcn.1602175] [PMID]
4. Shakeri M, Mazlomzade S, Mohamaian F, Bateni J. Effectiveness of antenatal preparation for childbirth classes on pregnant women nutritional behavior. J Adv Med Biomed Res. 2013;21(84):102-10. [Persian] [Link]
5. De Seymour JV, Beck KL, Conlon CA. Nutrition in pregnancy. Obstet Gynaecol Reprod Med. 2019;29(8):219-24. [Link] [DOI:10.1016/j.ogrm.2019.04.009]
6. Young MF, Ramakrishnan U. Maternal undernutrition before and during pregnancy and offspring health and development. Ann Nutr Metab. 2021;76 Suppl 3:41-53. [Link] [DOI:10.1159/000510595] [PMID]
7. Desyibelew HD, Dadi AF. Burden and determinants of malnutrition among pregnant women in Africa: A systematic review and meta-analysis. Plos One. 2019;14(9):0221712. [Link] [DOI:10.1371/journal.pone.0221712] [PMID] [PMCID]
8. Maimuna S, Supriyanto AF. The association of pre-pregnancy body mass index (BMI) and increased maternal weight in the third trimester of pregnancy with foetal weight estimation. Indian J Public Health Res Dev. 2018;9(11):1846-50. [Link] [DOI:10.5958/0976-5506.2018.01715.1]
9. Worthington-Roberts B, Williams S. Nutrition throughout the life cycle. New York: Mcgraw-hill Sience; 1999. [Link]
10. Zenebe K, Awoke Ayele T, Birhan N. Low birth weight & associated factors among newborns in Gondar town, north west Ethiopia: Institutional based cross-sectional study. Indo Glob J Pharm Sci. 2014;4(2):74-80. [Link] [DOI:10.35652/IGJPS.2014.110]
11. Rammohan A, Goli S, Singh D, Ganguly D, Singh U. Maternal dietary diversity and odds of low birth weight: Empirical findings from India. Women Health. 2019;59(4):375-90. [Link] [DOI:10.1080/03630242.2018.1487903] [PMID]
12. Da Silva Lopes K, Ota E, Shakya P, Dagvadorj A, Balogun OO, Pena-Rosas JP, et al. Effects of nutrition interventions during pregnancy on low birth weight: An overview of systematic reviews. Br Med J Glob Health. 2017;2(3):000389. [Link] [DOI:10.1136/bmjgh-2017-000389] [PMID] [PMCID]
13. Branum AM, Bailey R, Singer BJ. Dietary supplement use and folate status during pregnancy in the United States. J Nutr. 2013;143(4):486-92. [Link] [DOI:10.3945/jn.112.169987] [PMID] [PMCID]
14. Picciano MF. Pregnancy and lactation: Physiological adjustments, nutritional requirements and the role of dietary supplements. J Nutr. 2003;133(6):1997-2002. [Link] [DOI:10.1093/jn/133.6.1997S] [PMID]
15. Earner-Byrne L. Mother and child: Maternity and child welfare in Dublin 1922-60. Manchester: Manchester University Press; 2007. [Link]
16. Kominiarek MA, Rajan P. Nutrition recommendations in pregnancy and lactation. Med Clin North Am. 2016;100(6):1199-215. [Link] [DOI:10.1016/j.mcna.2016.06.004] [PMID] [PMCID]
17. Kabir A, Miah S, Islam A. Factors influencing eating behavior and dietary intake among resident students in a public university in Bangladesh: A qualitative study. Plos One. 2018;13(6):0198801. [Link] [DOI:10.1371/journal.pone.0198801] [PMID] [PMCID]
18. Ahmadpoor H, Maheri A, Shojaizadeh D. Effectiveness of nutrition education based on health belief model during pregnancy on knowledge and attitude of women referred to health centers of Gonbad Kavoos city. J Neyshabur Univ Med Sci. 2015;3(2):52-60. [Persian] [Link]
19. Moore LV, Thompson FE. Adults meeting fruit and vegetable intake recommendations-United States, 2013. Morb Mortal Wkly Rep. 2015;64(26):709-13. [Link]
20. Karimy M, Taher M, Fayazi N, Baiati S, Rezai E, Rahnama F. Beliefs effective on nutritional practices of pregnant women in health centers of Saveh, Iran. J Educ Community Health. 2015;2(3):28-35. [Persian] [Link] [DOI:10.20286/jech-02034]
21. Moynihan PJ, Mulvaney CE, Adamson AJ, Seal C, Steen N, Mathers JC, et al. The nutrition knowledge of older adults living in sheltered housing accommodation. J Hum Nutr Diet. 2007;20(5):446-58. [Link] [DOI:10.1111/j.1365-277X.2007.00808.x] [PMID]
22. Karimi M, Mirglobayat V. Nutritional knowledge, attitude, and practice of pregnant women based on food guide pyramid. J Health Care. 2017;19(3):125-35. [Persian] [Link]
23. Folta SC, Goldberg JP, Lichtenstein AH, Seguin R, Reed PN, Nelson ME. Factors related to cardiovascular disease risk reduction in midlife and older women: A qualitative study. Prev Chronic Dis. 2008;5(1):6. [Link]
24. Nucci LB, Schmidt MI, Duncan BB, Fuchs SC, Fleck ET, Britto MMS. Nutritional status of pregnant women: Prevalence and associated pregnancy outcomes. Rev Saude Public. 2001;35(6):502-7. [Link] [DOI:10.1590/S0034-89102001000600002] [PMID]
25. Rees G, Brooke Z, Doyle W, Costeloe K. The nutritional status of women in the first trimester of pregnancy attending an inner-city antenatal department in the UK. J R Soc Promot Health. 2005;125(5):232-8. [Link] [DOI:10.1177/146642400512500516] [PMID]
26. Mazloomy Mahmoodabad SS, Taftiyan M, Mozaffari-Khosravi H, Yoshany N, Goodarzi-Khoigani M. Investigation of knowledge, attitude and practice of pregnant women regarding nutrition during pregnancy in Yazd city. J Community Health Res. 2018;7(3):134-9. [Persian] [Link]
27. Khajavishojaii K, Parsay S, Fallah N. Assessment of nutritional knowledge, attitude and practices in pregnant women in university hospitals of Tehran. J Gorgan Univ Med Sci. 2001;3(2):70-5. [Persian] [Link]
28. Fallah F, Pourabbas A, Delpisheh A, Veisani Y, Shadnoush M. Effects of nutrition education on levels of nutritional awareness of pregnant women in western Iran. Int J Endocrinol Metab. 2013;11(3):175-8. [Persian] [Link] [DOI:10.5812/ijem.9122] [PMID] [PMCID]
29. Johnson K. A study of nutritional knowledge and supplement use in pregnant women. J Hum Nutr Diet. 2000;13(5):363-71. [Link] [DOI:10.1046/j.1365-277x.2000.00001-17.x]
30. Farivar F, Heshmat R, Azemati B, Abbaszadeh Ahranjani SH, Keshtkar AA, Sheykholeslam R, et al. Understanding knowledge about, general attitudes toward and practice of nutrition behavior in the Iranian population. Iran J Epidemiol. 2009;5(2):11-8. [Persian] [Link]
31. Avazeh A, Jafari N, Rabie Siahkali S, Mazloomzadeh S. Knowledge level attitude and performance of women on diet and exercise and their relation with cardiovascular diseases risk factors. J Adv Med Biomed Res. 2010;18(71):51-60. [Persian] [Link]
32. Widga AC, Lewis NM. Defined, in-home, prenatal nutrition intervention for low-income women. J Am Diet Assoc. 1999;99(9):1058-62. [Link] [DOI:10.1016/S0002-8223(99)00251-5]
33. Kooshki A, Yaghoubi MA, Rahnama Rahsepar F. Comparison of energy and nutrient intakes in pregnant women in Sabzevar with dietary reference intakes. Iran J Obstet Gynecol Infertil. 2009;12(1):49-53. [Persian] [Link]
34. Karimy M, Heidarnia A, Ghofrani F. Factors influencing self-medication among elderly urban centers in Zarandieh based on health belief model. J Arak Univ Med Sci. 2011;14(5):70-8. [Persian] [Link]
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