NUTRITIONAL STATUS AND SOME RELATED FACTORS OF PREGNANT WOMEN IN THE OUTPATIENT CLINIC AT HOSPITAL E IN 2024
Main Article Content
Abstract
Aims: To determine the nutritional status and some related factors of pregnant women in the outpatient clinic at the Hospital E in 2024.
Methods: A cross-sectional study was conducted from August 2024 to October 2024, interviewing 111 pregnant women according to a designed questionnaire and measuring anthropometrics.
Results: Before pregnancy, the prevalence of chronic energy deficiency was 15.3%, and the prevalence of overweight was 12.6%. The nutrition screening results showed that 35.1% of the pregnant women were at risk of moderate malnutrition and 7,2% at risk of severe malnutrition. The rate of weight gain below the recommended level was 66.7% and 12.9% above the recommended level. The factors associated with malnutrition in the pregnant women included maternal age ≥ 35 years (OR=2.9; 95%CI: 1.1-7.3; p < 0.05), having a current illness (OR=6.0; 95%CI: 1.9-18.0; p < 0.05), eating less or maintaining usual eating habits during pregnancy (OR=4.1; 95%CI: 1.8-9.1; p < 0.05). The factors associated with inadequate weight gain included women with a BMI < 18.5 before pregnancy (OR=2.1; 95%CI: 0.4-10.0; p < 0.05), and experiencing morning sickness (OR=1.7; 95%CI: 0.6-4.5; p < 0.05).
Conclusion: The prevalence of malnutrition and inappropriate weight gain during pregnancy was still relatively high. The factors associated with inappropriate weight gain included women with a BMI < 18.5 kg/m² before pregnancy and those experiencing morning sickness. The malnutrition was significantly associated with advanced maternal age, pre-existing medical conditions, and inadequate diet during pregnancy.
Article Details
Keywords
Nutrition, pregnant women, chronic energy deficiency, overweight, Hospital E.
References
2. World Health Assembly 65. Nutrition: nutrition of women in the preconception period, during pregnancy and the breastfeeding period. Published online 2012. Accessed August 30, 2024. https://iris.who.int/handle/10665/78900.
3. Han Z, Mulla S, Beyene J, Liao G, McDonald SD, Knowledge Synthesis Group. Maternal underweight and the risk of preterm birth and low birth weight: a systematic review and meta-analyses. Int J Epidemiol. 2011;40(1):65-101. doi:10.1093/ije/dyq195.
4. Yu Z, Han S, Zhu J, Sun X, Ji C, Guo X. Pre-pregnancy body mass index in relation to infant birth weight and offspring overweight/obesity: a systematic review and meta-analysis. PloS One. 2013;8(4):e61627. doi:10.1371/journal.pone.0061627.
5. Nguyễn Thị Hải Yến, Hoàng Đức Phúc, Nguyễn Thị Kiều Anh, cs. Tăng cân thai kỳ và một số yếu tố liên quan của phụ nữ mang thai tại thành phố Hà Nội năm 2020. Tạp Chí Học Dự Phòng. 2021;31(3):103-110. doi:10.51403/0868-2836/2021/319.
6. Nguyễn Thị Vân. Tình Trạng Dinh Dưỡng và Một Số Yếu Tố Liên Quan Của Phụ Nữ Có Thai Tại Bệnh Viện Phụ Sản Hà Nội Năm 2017. Đại học Y Hà Nội; 2017.
7. Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight Gain During Pregnancy: Reexamining the Guidelines. (Rasmussen KM, Yaktine AL, eds.). National Academies Press (US); 2009. Accessed July 3, 2024. http://www.ncbi.nlm.nih.gov/books/NBK32813/
8. Nguyễn Quỳnh Nhung. Tình Trạng Dinh Dưỡng Của Phụ Nữ Mang Thai Đến Khám Tại Bệnh Viện Phụ Sản Trung Ương và Một Số Yếu Tố Liên Quan Năm 2023. Đại học Y Hà Nội; 2023.
9. Ancira-Moreno M, Vadillo-Ortega F, Rivera-Dommarco JÁ, et al. Gestational weight gain trajectories over pregnancy and their association with maternal diet quality: Results from the PRINCESA cohort. Nutr Burbank Los Angel Cty Calif. 2019;65:158-166. doi:10.1016/j.nut.2019.02.002
10. Bùi Thị Thảo Yến, Trịnh Bảo Ngọc, Phạm Văn Dũng, et al. Một số yếu tố liên quan đến tình trạng dinh dưỡng trong thai kỳ của phụ nữ có con từ 0-6 tháng tuổi tại Hà Nội. Tạp Chí Học Việt Nam. 2023;533(2). doi:10.51298/vmj.v533i2.7964
11. Birara Aychiluhm S, Gualu A, Wuneh AG. Undernutrition and its associated factors among pregnant women attending antenatal care at public health facilities in pastoral communities of Afar Regional State, northeast Ethiopia. Pastoralism. 2022;12:35. doi:10.1186/s13570-022-00251-7.
12. Alkalash S, Elnady R, Khalil N, Nashat N. Dietary Practice and Nutritional Status Among Pregnant Women Attending Antenatal Care of Egyptian, Rural Family Health Unit. Egypt J Hosp Med. 2021;83:1030-1037.