DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20184776

Determinants of nutritional status of pregnant women attending antenatal care in Western Regional Hospital, Nepal

Nishant Lama, Rajendra Lamichhane, Shreejana K. C., Gia Pun Bhandari, Rajendra Raj Wagle

Abstract


Background: Good nutritional status during pregnancy is the precondition for healthy pregnancy outcome. Maternal undernutrition leads to life threatening health consequences to expectant mother and her child. Nepal has considered nutrition as right but still there is discrepancy in nutritional status of pregnant women. Reasons for this are little explored. Thus, the study was carried out to generate evidence on nutritional status of pregnant women and factors influencing it.

Methods: A cross sectional descriptive study was carried out using systematic random sampling technique with 282 pregnant women of ≥3rd trimester attending antenatal care in Western Regional Hospital, Pokhara, Kaski, Nepal. Semi-structured questionnaire, 24 hour recall tool, HFIAS measurement tool, MUAC tape and ANC card were used to collect information from participants. Descriptive and statistical analyses were done to summarize the result. Research was adhered to principles of research ethics.

Results: Pregnant women having acute malnutrition (MUAC <23 cm) were 24%, low gestational weight gain were 67% and anemic were 12%. Food security, ethnicity and dietary diversity were found to have significant association with the nutritional status of pregnant women.

Conclusions: The study generated the evidence on determinants of nutritional status of pregnant women. It has recommended that ensuring household food security, increasing dietary diversity and focusing ethnicity can promote nutritional status of pregnant women.


Keywords


Dietary diversity, Food security, Nutritional status, Pregnant women, Nepal

Full Text:

PDF

References


Bioline International. S. African journal of biomedical research. Vol. 13, African Journal of Biomedical Research. Ibadan Biomedical Communications Group; 2003: 161-167.

Jerath S. Public health foundation of India. Post graduate diploma in public health nutrition by distance learning. 2013.

Devkota MD, Uprety A, Subedi NRP. Identification of Gaps and Priority Interventions for Maternal Nutrition in Nepal: A Review. 2012.

Ali F, Thaver I, Khan SA. Assessment of dietary diversity and nutritional status of pregnant women in Islamabad, Pakistan. J Ayub Med Coll Abbottabad. 2014;26(4):506–9.

Ministry of Health and Population of Nepal. Strategy for infant and young child feeding: Nepal 2014. 2014.

Ministry of Health and Population (MOHP) [Nepal], New ERA and III. Nepal Demographic and Health Survey 2011. Kathmandu; 2012.

Manohar S, Klemm RDW, Rajbhandary R, Adhikari R, Gauchan D, Shrestha K, Webb P, Ghosh S, West KPW Jr. PoSHAN Community Studies Baseline Report. Nutrition Innovation Lab, Johns Hopkins University, Baltimore, MD. 2014.

Government of Bangladesh. Nutrition Background Paper to Inform the Preparation of the 7th Five Year Plan. 2015.

Government of Nepal MoHP, Department of Health Services. Annual Report. 2013/14.

Panta PP. A Text Book of Biostatistics. 2016.

Coates J. Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide-Version 3. 2007.

Kennedy G, Ballard T, Dop MC Guidelines for measuring household and individual dietary diversity: Nutrition and Consumer Protection Division, Food and Agriculture Organization of the United Nations 2010.

Winther II. Maternal anthropometry as a predictor of birth weight. A study performed at Okhaldhunga Community Hospital in rural Nepal. 2014.

Singh S, Shrestha S, Marahatta S. Incidence and risk factors of low birth weight babies born in Dhulikhel Hospital. J Inst Med. 2010;32(3):39–42.

Makhoul Z, Taren D, Duncan B, Pandey P, Thomson C, Winzerling J, et al. Risk factor associated with anemia, iron deficiency and iron deficiency anemia 60 in rural Nepali pregnant women. Southeast Asian J Trop Med Public Health. 2012;43(3):735-46.