title: Factors associated with successful pregnancy outcomes in upper Egypt: a positive deviance inquiry.
abstract: A positive deviance inquiry was conducted in Al-Minia, Upper Egypt, to identify factors associated with achievement of good pregnancy outcomes despite limited resources. As compared with women with poor weight gain (n = 30), low-income women with weight gain greater than 1.5 kg per month in the second trimester of pregnancy (n = 11) were more likely to report multiple antenatal care contacts (80% versus 43%), increased rest during pregnancy (67% versus 7%), and more consumption of meat (33% versus 13%) and vegetables (82% versus 37%), and were less likely to report symptoms consistent with urinary tract infection (50% versus 90% with dysuria and 0% versus 57% with cloudy or reddish urine). Similar characteristics distinguished low-income women in a more economically advantaged community whose newborns weighed more than 3 kg (n = 18) as compared with mothers of smaller newborns (n = 18). These characteristics were similar to those identified in the National Research Center's Al-Minia birthweight study. The positive deviance inquiry is an affordable, participatory step to identify accessible individuals, behaviors, and conditions for improved perinatal health.
authors.affiliation: Department of International Health, School of Hygiene and Public Health, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
authors.forename: Mahshid
authors.initials: M
authors.lastname: Ahrari
authors.forename: Attallah
authors.initials: A
authors.lastname: Kuttab
authors.forename: Samir
authors.initials: S
authors.lastname: Khamis
authors.forename: Amal Ali
authors.initials: AA
authors.lastname: Farahat
authors.forename: Gray L
authors.initials: GL
authors.lastname: Darmstadt
authors.forename: David R
authors.initials: DR
authors.lastname: Marsh
authors.forename: F James
authors.initials: FJ
authors.lastname: Levinson
mesh_terms: D000328:Adult; D001724:Birth Weight / Q000502:physiology; D004534:Egypt; D005260:Female; D017144:Focus Groups; D006801:Humans; D007231:Infant, Newborn; D011203:Poverty; D011247:Pregnancy; D011256:Pregnancy Outcome; D015430:Weight Gain / Q000502:physiology