Identifying pregnant women who would adhere to food taboos in a rural community: a community-based study
Abstract
Poor maternal nutrition, especially in rural settings, adversely affects pregnancy and birth outcomes. In many local communities, pregnant women have food taboos with consequent depletion of vital nutrients. To facilitate early identification and prompt counseling, this study aimed at describing pregnant women who are likely to keep food taboos. Data was collected from 405 pregnant women that attended antenatal care at health facilities in Saki East Local Government of Oyo state, Nigeria. Sociodemographic characteristics of the women were described using means and proportions. Using logistic regression analysis, maternal characteristics significantly associated with adherence to food taboos were identified. The data was analysed using SAS 9.2. Factors associated with food taboos were teen age, primigravidity, low body mass index, lack of formal education, and low monthly family income. Health workers should have a high index of suspicion for food taboos among pregnant women with the identified risk factors. (Afr J Reprod Health 2012; 16[3]: 67-75).
Résumé
Une mauvaise nutrition maternelle, surtout en milieu rural, affecte négativement les résultats de la grossesse et la naissance. Dans de nombreuses communautés locales, les femmes enceintes ont des tabous alimentaires à l'appauvrissement conséquent de nutriments vitaux. Pour faciliter l'identification précoce et le conseil rapide, cette étude visait à décrire les femmes enceintes qui sont susceptibles de garder les tabous alimentaires. Les données ont été recueillies auprès de 405 femmes enceintes qui ont assisté à des soins prénatals dans les établissements de santé dans l’Administration Locale de Saki de l’Est dans l'État d'Oyo, au Nigeria. Les caractéristiques sociodémographiques des femmes ont été décrites en utilisant des moyens et des proportions. En utilisant l'analyse de régression logistique, les caractéristiques maternelles significativement associés à l'adhésion à des tabous alimentaires ont été identifiées. Les données ont été analysées à l'aide de SAS 9.2. Les facteurs associés à des tabous alimentaires étaient l'âge, l’adolescence, la primigravidité, l‘indice du poids maigre, le manque d'éducation formelle, et le faible revenu familial mensuel. Le personnel de santé doit avoir un indice élevé de suspicion de tabous alimentaires chez les femmes enceintes avec des facteurs de risque identifiés (Afr J Reprod Health 2012; 16[3]: 67-75).
Keywords: Maternal nutrition, food taboos, pregnancy, rural community, prevention
Full Text:
PDFReferences
Donahue SM, Rifas-Shiman SL, Olsen SF, Gold DR, Gillman MW, Oken E. Associations of maternal prenatal dietary intake of n-3 and n-6 fatty acids with maternal and umbilical cord blood levels.
Prostaglandins Leukot Essent Fatty Acids 2009;80(5-6):289-96.
Abu-Saad K, Fraser D. Maternal nutrition and birth outcomes. Epidemiol Rev 2010;32(1):5-25.
Bawadi HA, Al-Kuran O, Al-Bastoni LA, Tayyem RF, Jaradat A, Tuuri G, et al. Gestational nutrition improves outcomes of vaginal deliveries in Jordan: an epidemiologic screening. Nutr Res
;30(2):110-7.
Bang SW, Lee SS. The factors affecting pregnancy outcomes in the second trimester pregnant women. Nutr Res Pract 2009;3(2):134-40.
Rahman M. Micronutrient profile of children and women in rural Bangladesh: study on available data for iron and vitamin A supplementation. East Afr J Public Health 2009;6(1):102-7.
Fall CH, Fisher DJ, Osmond C, Margetts BM. Multiple micronutrient supplementation during pregnancy in low-income countries: a meta-analysis of effects on birth size and length of gestation. Food Nutr Bull 2009;30(4 Suppl):S533-46.
Melse-Boonstra A, Jaiswal N. Iodine deficiency in pregnancy, infancy and childhood and its consequences for brain development. Best Pract Res Clin Endocrinol Metab 2010;24(1):29-38.
Ganpule A, Yajnik CS, Fall CH, Rao S, Fisher DJ, Kanade A, et al. Bone mass in Indian children-relationships to maternal nutritional status and diet during pregnancy: the Pune Maternal Nutrition Study. J Clin Endocrinol Metab 2006;91(8):29943001.
Martin-Gronert MS, Ozanne SE. Maternal nutrition during pregnancy and health of the offspring. Biochem Soc Trans 2006;34(Pt 5):779-82.
Bresnahan M, Schaefer CA, Brown AS, Susser ES. Prenatal determinants of schizophrenia: what we have learned thus far? Epidemiol Psichiatr Soc 2005;14(4):194-7.
Cetin I, Alvino G, Radaelli T, Pardi G. Fetal nutrition: a review. Acta Paediatr Suppl 2005;94(449):7-13.
Vanhees K, Coort S, Ruijters EJ, Godschalk RW, van Schooten FJ, van Doorn-Khosrovani SB.
Epigenetics: prenatal exposure to genistein leaves a permanent signature on the hematopoietic lineage. FASEB J 2011.
Mathers JC. Early nutrition: impact on epigenetics. Forum Nutr 2007;60:42-8.
Bhate V, Deshpande S, Bhat D, Joshi N, Ladkat R,
Watve S, et al. Vitamin B12 status of pregnant Indian women and cognitive function in their 9year-old children. Food Nutr Bull 2008;29(4):249-
Yajnik CS, Deshpande SS, Jackson AA, Refsum H, Rao S, Fisher DJ, et al. Vitamin B12 and folate concentrations during pregnancy and insulin resistance in the offspring: the Pune Maternal Nutrition Study. Diabetologia 2008;51(1):29-38.
Leary S, Fall C, Osmond C, Lovel H, Campbell D, Eriksson J, et al. Geographical variation in relationships between parental body size and offspring phenotype at birth. Acta Obstet Gynecol Scand 2006;85(9):1066-79.
Gitau R, Makasa M, Kasonka L, Sinkala M, Chintu C, Tomkins A, et al. Maternal micronutrient status and decreased growth of Zambian infants born during and after the maize price increases resulting from the southern African drought of 2001-2002. Public Health Nutr 2005;8(7):837-43.
Roberfroid D, Huybregts L, Lanou H, Henry MC, Meda N, Menten J, et al. Effects of maternal multiple micronutrient supplementation on fetal growth: a double-blind randomized controlled trial in rural Burkina Faso. Am J Clin Nutr 2008;88(5):1330-40.
Schlotz W, Phillips DI. Fetal origins of mental health:
evidence and mechanisms. Brain Behav Immun 2009;23(7):905-16.
Zhang X, Chen K, Wei XP, Qu P, Liu YX, Chen J, et al. Perinatal vitamin A status in relation to neurodevelopmental outcome at two years of age. Int J Vitam Nutr Res 2009;79(4):238-49.
Mishra V, Thapa S, Retherford RD, Dai X. Effect of iron supplementation during pregnancy on birthweight: evidence from Zimbabwe. Food Nutr Bull
;26(4):338-47.
Ilmonen J, Isolauri E, Poussa T, Laitinen K. Impact of dietary counselling and probiotic intervention on maternal anthropometric measurements during and after pregnancy: A randomized placebo-controlled trial. Clin Nutr 2011.
Barger MK. Maternal nutrition and perinatal outcomes. J Midwifery Womens Health 2010;55(6):502-11.
Garg A, Kashyap S. Effect of counseling on nutritional status during pregnancy. Indian J Pediatr 2006;73(8):687-92.
Sule S, Madugu HN. Pica in pregnant women in Zaria, Nigeria. Niger J Med 2001;10(1):25-7.
Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW. Dietary quality during pregnancy varies by maternal characteristics in Project Viva: a US cohort. J Am Diet Assoc 2009;109(6):1004-11.
Aubel J, Toure I, Diagne M. Senegalese grandmothers promote improved maternal and child nutrition practices: the guardians of tradition are not averse to change. Soc Sci Med 2004;59(5):945-59.
Egwuatu V. Childbearing among the Igbos of Nigeria. Int J Gynaecol Obstet. 1986 1986;Apr;24(2):103-9.
Marchant T, Armstrong Schellenberg JR, Edgar T, Ronsmans C, Nathan R, Abdulla S, et al. Anaemia during pregnancy in southern Tanzania. Ann Trop Med Parasitol 2002;96(5):477-87.
Hartini TN, Padmawati RS, Lindholm L, Surjono A, Winkvist A. The importance of eating rice: changing food habits among pregnant Indonesian women during the economic crisis. Soc Sci Med 2005;61(1):199-210.
Choudhry UK. Traditional practices of women from India: pregnancy, childbirth, and newborn care. J Obstet Gynecol Neonatal Nurs 1997;26(5):533-9.
Bouchier VA. Maternity care in the Sudd, southern Sudan. Trop Doct 1984;14(1):32-3.
UNICEF. The State of the World's Children 2001, 2001.
Oboro VO, Olagbuji BN, Ezeanochie MC, Aderoba A, Irhibogbe I, Ande AB. Influence of maternal height on mode of delivery in nigerian women. Niger Postgrad Med J 2010;17(4):223-6.
Nigeria-Labor-Congress. Nigeria Labor Congress
Demand for the Review of the National Minimum Wage and General Wage Review. (n.d.) Retrieved from:http://www.nlcng.org/minimum%20wage.pdf 2009.
Shannon K, Mahmud Z, Asfia A, Ali M. The social and environmental factors underlying maternal malnutrition in rural Bangladesh: implications for reproductive health and nutrition programs. Health Care Women Int 2008;29(8):826-40.
Seljeskog L, Sundby J, Chimango J. Factors influencing women's choice of place of delivery in rural Malawi--an explorative study. Afr J Reprod Health 2006;10(3):66-75.
Ezumah NN. Gender issues in the prevention and control of STIs and HIV/AIDS: lessons from Awka and Agulu, Anambra State, Nigeria. Afr J Reprod Health 2003;7(2):89-99.
Bogale B, Wondafrash M, Tilahun T, Girma E. Married women's decision making power on modern contraceptive use in urban and rural southern Ethiopia. BMC Public Health;11:342.
Bose S. The effect of women's status and community on the gender differential in children's nutrition in India. J Biosoc Sci;43(5):513-33.
Ene-Obong HN, Enugu GI, Uwaegbute AC.
Determinants of health and nutritional status of rural
Nigerian women. J Health Popul Nutr
;19(4):320-30.
Kalanda BF, Verhoeff FH, Brabin BJ. Chronic malnutrition in pregnant adolescents in rural Malawi: an anthropometric study. Acta Obstet Gynecol Scand 2006;85(1):33-9. 43. Yassin SA, Sobhy SI, Ebrahim W. Factors affecting dietary practices among adolescent pregnant women in Alexandria. J Egypt Public Health Assoc 2004;79(3-4):179-96.
Refbacks
- There are currently no refbacks.






