title: Evaluating the Impact of a Pragmatic Nutrition Awareness Program for Expectant Mothers upon Birth Weight of the Newborn.
abstract: Poor maternal nutritional status and substandard antenatal care, which result in increased women's risk, low birth weight and stillbirth, afflict many countries with weak or emerging economies even today. Studies that address the effect of extending nutrition awareness among pregnant women to the net outcome of pregnancy remain scarce. We aimed to compare and contrast the effect of a pragmatic nutrition awareness program for expectant mothers (NAPEM) on birth weight of the newborn with a control group who received no such nutrition awareness activity. The effect of variables of mode of newborn delivery, associated complications at birth, and APGAR score of the newborn were also assessed. A pragmatic intervention trial of an antenatal care (ANC) program that consisted in nutrition awareness was conducted involving 53 pregnant women. Awareness was given through one-to-one interview and through informational literature provided to the participants in the local language. A hospital registry for deliveries undertaken during the study period was screened for identification of variables. A control group of matched pregnant women (n = 53) was obtained from the same hospital registry from preceding years, when the nutrition awareness program was not executed. A statistically significant improvement in birth weight of the newborn was observed in the intervention group, where expectant mothers were made aware about desired nutrition during pregnancy. A reduced incidence of complications associated with pregnancy was also observed in the intervention group. Providing awareness about nutritional requirements during pregnancy and suggesting the pragmatic ways to meet them was shown to be one possible effective measure to deal with pregnancy-related undernutrition. We show the efficacy of the intervention for underprivileged regions of India marked by inadequate health care delivery and lower socio-economical standards. We discuss our findings in the context of available evidence-based guidelines.
authors: Department of Kaya Chikitsa, State Ayurvedic College and Hospital, Tulsi Das Marg, Lucknow 226004, India.
authors: Sanjeev
authors: S
authors: Rastogi
authors: Ranjana
authors: R
authors: Rastogi
authors: Devesh
authors: D
authors: Rastogi
authors: Rajiv
authors: R
authors: Rastogi
authors: Girish
authors: G
authors: Singh
authors: Francesco
authors: F
authors: Chiappelli
references: Lancet. 2008 Jan 19;371(9608):243-60
references: 18207566
references: Evid Based Complement Alternat Med. 2010 Dec;7(4):477-86
references: 18955336
references: Malays J Nutr. 2004 Sep;10(2):159-71
references: 22691737
references: J Am Diet Assoc. 2008 Mar;108(3):553-61
references: 18401922
references: Cochrane Database Syst Rev. 2009 Oct 07;(4):CD004736
references: 19821332
references: JAMA. 1998 Nov 11;280(18):1569-75
references: 9820257
references: Evid Based Complement Alternat Med. 2007 Dec;4(4):409-17
references: 18227907
references: Am J Clin Nutr. 2004 Jan;79(1):17-21
references: 14684392
references: BMC Pregnancy Childbirth. 2006 Jun 19;6:21
references: 16780602
references: Cochrane Database Syst Rev. 2003;(4):CD000032
references: 14583907
references: Am J Prev Med. 2009 Feb;36(2):154-60
references: 19135906
references: Evid Based Complement Alternat Med. 2011;2011:151435
references: 18980947
references: Matern Child Health J. 2010 Mar;14(2):290-8
references: 19199015
references: Indian Pediatr. 2001 Mar;38(3):271-5
references: 11255304
references: Evid Based Complement Alternat Med. 2004 Dec;1(3):241-250
references: 15841257
references: Evid Based Complement Alternat Med. 2011;2011:249487
references: 19570992
references: BMC Pregnancy Childbirth. 2009 May 07;9 Suppl 1:S3
references: 19426466
references: CMAJ. 2009 Jun 9;180(12):E99-108
references: 19506270