Determinants of Nutritional Practice among Expectant Mothers Attending Antenatal Clinic in Selected Hospitals in Abeokuta, Ogun State
Abstract:
Objective: This study sort to determine the knowledge,
attitude, environmental factors and nutritional practice among expectant mothers attending antenatal
clinics in selected hospital in Abeokuta, Ogun state.
Methodology: This study was a cross
sectional survey design guided by behavioral theory that employed quantitative method
of data collection. Multistage sampling was employed in this study. A 36 item semi-structured
questionnaire validated at 0.75 Cronbach alpha was used. A total of 295 patients
responded to the questionnaire. Data were analyzed using descriptive and inferential
statistics at p< 0.05.
Results: Majority were married
217 (73.6%) and 90 (30.5%) of the respondents falls between age 30-34 years. The
study revealed that many 167 (56.6%) of the respondents had fair knowledge of diet
(13.64 ± 2.65), majority 219 (74.2%) had positive attitude towards nutritional practice
(13.57 ± 3.97) and more than half 157 (53.2%) of the respondents were negatively
influenced by environmental factors (14.22 ± 4.65). Also, 148 (50.2%) had good nutritional
practice (14.09 ± 2.48). There was no significant relationship between knowledge
and nutritional practice (r=0.107; p= 0.066) whereas there was a significant relationship
between attitude and environmental factors (r=0.359; p=0.000) and (r=0.282; p=0.000)
respectively.
Conclusion: Pregnancy is the most
crucial nutritionally demanding period of every woman’s life. It is important for
expectant mothers to maintain good nutritional practice so as to achieve optimal
birth outcome. Therefore, appropriate health promotional intervention is
highly recommended to modify expectant mothers’ attitude and environmental factors
so as to achieve good nutritional practice.
References:
[1].
Baker, H., De Angelis B., Holland B.,
Gittens-Williams L., and Barrett, T., 2002, Vitamin profile of 563 gravidas during
trimesters of pregnancy. Journal of the American College of Nutrition,
21, 33–37.
[2].
Khan,
Y., and Bhutta, Z. A., 2010, Nutritional deficiencies in the developing world: current
status and opportunities for intervention. Pediatric
Clinics of North America, 57, 1409–1441.
[3].
Sholeye,
O.O., Catherine, A. B., and Olubukunola, A. J., 2014, Dietary habit of pregnant
women in Ogun-East senatorial zone, Ogun state, Nigeria: A comparative study. International
Journal of Nutrition and Metabolism, 6(4), 42-49.
[4].
Campbell,
T. M., and Campbell, T. C., 2008, The benefits of integrating nutrition in to clinical
medicine. Israel Medical Association Journal,
10, 730-2.
[5].
Flick,
A. A., Brookfield, K. F., de la Torre, L., Tudela, C. M., Duthely, L., and Gonzalez-Quintero,
V. H., 2010, Excessive weight gain among obese women and pregnancy outcomes. American Journal of Perinatology, 2, 333–338.
[6].
Lindsay,
K. L., Gibney, E. R., and McAuliffe, F. M., 2012, Maternal Nutrition among Women
from Sub-Saharan Africa, with a Focus on Nigeria, and potential implications for
pregnancy outcomes among immigrant populations in developed countries. Journal of Human Nutrition Diet, 25(6), 534-46.
[7].
Dahlui, M., Azahar, N., Oche,
O. M., and Aziz, N. A., 2016, Risk factors of low birth weight in Nigeria: evidence from
the 2013 Nigeria demographic and health survey. Global Health Action, 9, 28822.
[8].
Ugwu,
E. A., 2016, Nutritional Practices and Taboos Among Pregnant Women Attending Antenatal
Care at General Hospital in Kano, Northwest Nigeria. Annals of Medical and Health Science Research, 6(2), 109-14.
[9].
Nana,
A. and Zema, T., 2018, Dietary practices and associated factors during pregnancy
in northwestern Ethiopia, BMC Pregnancy Childbirth,
18, 183.
[10].
Lim,
S. S., Vos, T., Flaxman, A. D., Danaei, G., Shibuya, K., Adair-Rohani, H., et al.,
2012, A comparative risk assessment as a research project topic for disease and
injury attributable to 67 risk factors and risk factor clusters in 21 regions, 2012,
1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet, 380, 2224–2260.
[11].
Masuku, S. K., and Lan, S. J., 2014, Nutritional Knowledge,
Attitude, and Practices among Pregnant and Lactating Women Living with HIV in the
Manzini Region of Swaziland. Journal of health, population, and nutrition, 32(2), 261–269.
[12].
Fasola,
O., Abosede, O., and Foluke., 2018, Knowledge, attitude and practice of good nutrition
among women of childbearing age in Somolu Local Government, Lagos State. Journal of public health Africa, 9(1): 793.
[13].
Parmar, A., Khanpara, H., and Kartha, G., 2013, A Study
on Taboos and Misconceptions Associated with Pregnancy among Rural Women of Surendranagar
District. Age, 4, 1.
[14]. Otoo, P., Habib, H., and Ankomah, A., 2015, Food Prohibitions and Other Traditional
Practices in Pregnancy: A Qualitative Study in Western Region of Ghana. Advances in Reproductive Sciences, 3, 41-49.
[15].
Gebremariam, H., 2017, Food Taboos during Pregnancy and
its Consequence for the Mother, Infant and Child in Ethiopia: A Systemic Review.
International Journal of Pharmaceutical and
Biological Sciences Fundamentals, 13(02).
[16]. Wen, L. M., Flood, V. M., Simpson, J. M., Rissel, C., & Baur, L. A. (2010).
Dietary behaviours during pregnancy: findings from first-time mothers in southwest
Sydney, Australia. International Journal of Behavioral Nutrition and Physical Activity.
7, 13.
[17]. Ortega, R. M. (2001). Food, pregnancy and lactation.
Public Health Nutrition, 4 (6A),
1343–1346.
[18]. Aktaç, S., Sabuncular, G., Kargin, D., Gunes, F. E., 2018, Evaluation of Nutrition Knowledge of Pregnant
Women before and after Nutrition Education according to Sociodemographic Characteristics
before and after Nutrition Education according to. Ecology of Food and Nutrition, 57(6):441-455.
