To Explore the Perceived Food Taboos during Pregnancy and their Relation to Maternal Nutrition and Health

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DOI: 10.21522/TIJAR.2014.SE.23.01.Art006

Authors : Rabecca Kayumba, Richard Mutemwa, Matthews Phiri, Margret Mulenga Pansho, Rhodrick Chewe

Abstract:

The purpose of this study was to explore perceived food taboos during pregnancy and their relation to maternal nutritional status and health outcomes. The study was guided by the following objectives: To investigate food taboos identified for pregnant women in Namwala District, to identify dietary taboos that were embraced by the Women and to highlight nutritional challenges related to dietary taboos during pregnancy. Descriptive research design was used as the framework for carrying out the study with an estimated population comprising pregnant women who attended and received antenatal services at various clinics. From this estimated population, a sample comprising 74 pregnant women was selected using Purposive sampling method. SPSS V25 was used to analyze the raw data descriptively. The results clearly showed widespread practice of food taboos during pregnancy and the main reason for adherence was culture. The following interventions were recommended: Developing a team of community care givers, with the inclusion of traditional leadership to help break the barrier of food taboos in maternal nutrition. The Ministry of Education can spearhead a curriculum with maternal nutritional education in the school curriculum as early as primary school level in order to discourage people from observing detrimental food taboos. Ante-natal Clinics should include awareness strategies and a Health Feeding Programme in order to provide nutritious meals to pregnant women whist attending antenatal, like School Health Nutrition (SHN) in schools. This strategy would increase ante-natal attendance with definite positive health outcomes among them, reduction in the number of Pre-term births in Zambia.

Keywords: Antenatal, Community, Culture, Feeding, Health, Maternal, Nutrition, Taboos.

References:

[1] Kominiarek MA, and Rajan P. (2016). Nutrition recommendations in pregnancy and lactation. Med Clin North Am. 2016;100(6):1199–215.

[2] American Heart Association. (2017). Diet and Lifestyle recommendations. In: The American Heart Association [online]. Dallas. [Cited 20 February 2023]. www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/aha-diet-and-lifestyle-recommendations.

[3] Patil R, Mittal A, Vendapriya DR, Khan MI, and Raghavia M. (2010). Taboos and misconceptions about food during pregnancy among rural population of Pondicherry. Calicut Med J.;8(2):e4.

[4] FAO. (2010), Food-based approaches for improving diets and raising levels of nutrition. International symposium on food and security, Rome: FAO. Geneva, United Nations Administrative Committee on Coordination (ACC)/Subcommittee on Nutrition (SCN). (Available at www.unscn.org/layout/modules/resources/files/Policy_paper_No_13.pdf). 11.

[5] Phelan S. Pregnancy: a “teachable moment” for weight control and obesity prevention. Am J Obstet Gynecol. 2010 Feb;202(2):135.e1-8.doi: 10.1016/j.ajog.2009.06.008. Epub 2009 Aug 15. PMID: 19683692; PMCID: PMC2815033.

[6] Kim-Godwin Y.S., (2003), ‘Postpartum beliefs and practices among non-western cultures’ American Journal of Maternal Child Nursing 28(2), 74–80.

[7] Han X, Ding S, Lu J, Li Y. Global, regional, and national burdens of common micronutrient deficiencies from 1990 to 2019: A secondary trend analysis based on the Global Burden of Disease 2019 study. E-ClinicalMedicine. 2022 Feb12;44:101299.doi:10.1016/j.eclinm.2022.101299. PMID: 35198923; PMCID: PMC8850322.Ed.). Boston, MA: Allyn and Bacon.

[8] Kominiarek MA, and Rajan P. (2016). Nutrition recommendations in pregnancy and lactation. Med Clin North Am. 2016;100(6):1199–215.

[9] Boeing, H., Bechthold, A., Bub, A., Ellinger, S., Haller, D., Kroke, A., Leschik-Bonnet, E., et al. (2012). Critical review: vegetables and fruit in the prevention of chronic diseases. European Journal of Nutrition, 51(6): 637–663.

[10] World Health Organization. (‎2000)‎. International guide for monitoring alcohol consumption and related harm. World Health Organization. https://apps.who.int/iris/handle/10665/66529.

[11] World Health Organization (2016). Recommendations on antenatal care for a positive pregnancy experience. Geneva; Apps.who.int/iris/bitstream/handle/10665/250796/9789241549912eng.pdf.;jsessionid=1f1D3C626C011EB5F23C43745EE73DF?sequence=1 (Accessed 23/02/2023).

[12] UNICEF Zambia, country Programme (2016-2021).

[13] Wang, Mu PhDa,b; Xia, Wei PhDb; Li, Han PhDb; Liu, Fang PhDa; Li, Yuanyuan PhDb; Sun, Xiaojie PhDb; Lu, Songfeng PhDa,; Xu, Shunqing PhDb,. Normal pregnancy induced glucose metabolic stress in a longitudinal cohort of healthy women: Novel insights generated from a urine metabolomics study. Medicine 97(40):p e12417, October 2018. | DOI: 10.1097/MD.0000000000012417.

[14] Takele BA, Gezie LD, Alamneh TS (2022) Pooled prevalence of stunting and associated factors among children aged 6–59 months in Sub-Saharan Africa countries: A Bayesian multilevel approach. PLoS ONE 17(10): e0275889. https://doi.org/10.1371/journal.pone.0275889.

[15] (Zambia Demographic and Health Survey) (ZDHS, 2018).

[16] Alaofè, H., Kohler, L., Taren, D., Mofu, M.J., Chileshe, J. and Kalungwana, N. (2014). Zambia food consumption and micronutrient status survey report. Lusaka, National Food and Nutrition Commission. (Available at www.nfnc.org.zm/download/zambia-food-consumption-and-micronutrient-status-survey-2014).

[17] Otoo P, Habib H, Ankomah A. (2015). Food prohibitions and other traditional practices in pregnancy: a qualitative study in western region of Ghana. Adv Reprod Sci.;3(03):41–9.

[18] Tsegaye, D., Tamiru, D. & Belachew, T. Food-related taboos, and misconceptions during pregnancy among rural communities of Illu Aba Bor zone, Southwest Ethiopia. A community based qualitative cross-sectional study. BMC Pregnancy Childbirth 21, 309 (2021). https://doi.org/10.1186/s12884-021-03778-6.

[19] Arzoaquoi, S.K., Essuman, E.E., Gbagbo, F.Y. et al. Motivations for food prohibitions during pregnancy and their enforcement mechanisms in a rural Ghanaian district. J Ethnobiology Ethnomedicine 11, 59 (2015). https://doi.org/10.1186/s13002-015-0044-0.

[20] Rhee J, Kim R, Kim Y, et al. Maternal caffeine consumption during pregnancy and risk of low birth weight: a dose-response meta-analysis of observational studies.  PLoS One. 2015;10(7):e0132334. doi:10.1371/journal.pone.0132334PubMedGoogle ScholarCrossref.

[21] Alexandra S. Wormley, Adam B. Cohen, Pathogen prevalence and food taboos: A cross-cultural analysis, Current Research in Ecological and Social Psychology, Volume 3, 2022, 100056, ISSN 2666-6227, https://doi.org/10.1016/j.cresp.2022.100056.

[22] K. Kouser Banu*1, A. Prathipa2, B. Anandarajan1, A. Mohamed Ismail Sheriff3, S. Muthukumar1 and J. Selvakumar1 Riang’a, R.M., Broerse, J. & Nangulu, A.K. Food beliefs and practices among the Kalenjin pregnant women in rural Uasin Gishu County, Kenya. J Ethnobiology Ethnomedicine 13, 29 (2017). https://doi.org/10.1186/s13002-017-0157-8.

[23] Liamputtong P, Yimyam S, Parisunyakul S, Baosoung C. Sanisiriphun. Traditional beliefs about pregnancy and childbirth among women from Chiang Mai, northern Thailand. Midwifery. 2005;21(2):139–53. https://doi.org/10.1016/j.midw.2004.05.002.

[24] F W Ningtyias and T Kurrohman 2020 IOP Conf. Ser.: Earth Environ. Sci. 485 012149 DOI 10.1088/1755-1315/485/1/012149.

[25] Devillis, R. E. (2006). Scale Development: Theory and Application. Applied Social Science Research Method Series. Vol. 26 Newbury Park: SAGE Publishers Inc.

[26] Creswell, R. (2014). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. USA: SAGE Publications.

[27] Khaire A, Wadhwani N, Madiwale S, Joshi S. Maternal fats, and pregnancy complications: Implications for long-term health. Prostaglandins Leukot Essent Fatty Acids. 2020 Jun; 157:102098. doi: 10.1016/j.plefa.2020.102098. Epub 2020 Apr 21. PMID: 32380367.

[28] Creswell, J. W. (2005). Educational Research: Planning, Conducting and Evaluating Quantitative and Qualitative Research (2nd Ed.). Pearson Merrill Prentice Hall.

[29] Huck, S. W. (2007). Reading Statistics and Research (5th Ed.). New York, NY: Allyn and Bacon.

[30] Banjo, A.D., Lawal, O. A., and Songonuga, E. A. (2006). The nutritional value of fourteen species of edible insects in southwestern Nigeria. African Journal of Biotechnology, 5(3): 298-301.

[31] Jerzy K, Delma P, Nathan K, Totona C, Sophie S, Ethel K. (2013). Food taboos and traditional customs among pregnant women in Papua New Guinea: Missed opportunity for education in antenatal clinics. Contemporary PNG Studies, DWU Research Journal.; 19:1–11.