Lalo Asabi District, Enango Town, Western Ethiopia.
Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
PLoS One. 2023 Jan 17;18(1):e0278180. doi: 10.1371/journal.pone.0278180. eCollection 2023.
Pregnancy is a time when the body is under a lot of stress, which increases your dietary needs. Under nutrition is a worldwide health issue, especially among pregnant women. Malnutrition during pregnancy can result in miscarriages, fetal deaths during pregnancy, pre-term delivery, and maternal mortality for both the mother and her fetus. Therefore, this research aimed to assess the prevalence of under nutrition and associated factors among pregnant woman attending antenatal care services at public hospitals in west Ethiopia.
To assess the prevalence of under nutrition and associated factors among pregnant women attending Antenatal Care service in Public Hospitals of western Ethiopia.
Facility based cross-sectional study was conducted from April 10 to May 10, 2020 among 780 pregnant mothers. The study participants were selected by systematic random sampling methods from antenatal care clinics of the hospitals. Interviewer administered structured questionnaire was used to collect the data and Mid-upper arm circumference, height and weight were measured to determine the magnitude of under nutrition among the study participants. The data were entered to Epi Info version 7.2.3, and then exported to SPSS version 24 for analysis. Multivariable logistic regression was used to identify independent predictors considering adjusted odd ratio (AOR) at p-value ≤ 0.05 to measure the strength of association between dependent and independent variables.
The prevalence of under nutrition among pregnant women was found to be 39.2% (95%CI: 35.7%, 42.6%). Rural residence [(AOR = 1.97, 95% CI: (1.24, 3.14)], substance use [(AOR: 3.33, 95% CI: (1.63, 6.81)], low dietary diversity of women [(AOR = 7.56, 95% CI: (4.96, 11.51)], mildly food insecure household [(AOR = 4.36, 95% CI: (2.36, 8.79)], moderately food insecure household [(AOR = 3.71, 95%CI: (1.54, 8.79), and severely food insecure household [(AOR = 6.96, 95% CI: (3.15, 15.42)] were factors significantly associated with under nutrition.
The study showed that the prevalence of under nutrition is very high among pregnant women. Factors associated with under nutrition of pregnant women were rural residency, household food insecurity, dietary diversity and substance use. All concerned bodies should made efforts to reduce the risk of under nutrition by reducing substance use and improving household food security there by to increase women's dietary diversity.
怀孕是身体承受很大压力的时期，这会增加你的饮食需求。营养不足是一个全球性的健康问题，尤其是在孕妇中。怀孕期间营养不良会导致流产、胎儿死亡、早产和母婴死亡。因此，本研究旨在评估在埃塞俄比亚西部公立医院接受产前保健服务的孕妇中营养不足的流行率及其相关因素。
评估在埃塞俄比亚西部公立医院接受产前保健服务的孕妇中营养不足的流行率及其相关因素。
2020 年 4 月 10 日至 5 月 10 日，在 780 名孕妇中进行了基于设施的横断面研究。采用系统随机抽样方法从医院的产前保健诊所中选取研究参与者。使用访谈者管理的结构化问卷收集数据，并测量中臂围、身高和体重，以确定研究参与者中营养不足的程度。将数据输入 Epi Info 版本 7.2.3，然后导出到 SPSS 版本 24 进行分析。采用多变量逻辑回归来确定独立预测因子，考虑调整后的优势比（AOR），p 值≤0.05，以衡量依赖变量和独立变量之间的关联强度。
研究发现，孕妇营养不足的流行率为 39.2%（95%CI：35.7%，42.6%）。农村居住[（AOR=1.97，95%CI：（1.24，3.14）]、物质使用[（AOR：3.33，95%CI：（1.63，6.81）]、女性饮食多样性低[（AOR=7.56，95%CI：（4.96，11.51）]、轻度粮食不安全家庭[（AOR=4.36，95%CI：（2.36，8.79）]、中度粮食不安全家庭[（AOR=3.71，95%CI：（1.54，8.79）]和重度粮食不安全家庭[（AOR=6.96，95%CI：（3.15，15.42）]与营养不足显著相关。
研究表明，孕妇营养不足的流行率非常高。与孕妇营养不足相关的因素包括农村居住、家庭粮食不安全、饮食多样性和物质使用。所有相关机构应努力减少物质使用和改善家庭粮食安全，从而增加妇女的饮食多样性，以降低营养不足的风险。
