BACKGROUND: Pregnant women’s health and nutritional status must be maintained because they are indicators of perinatal growth and neonatal welfare; efforts to prevent fetal growth disorders must begin with pregnant women, one of which is through increased knowledge and nutritional supplementation. AIM: This study aimed to examine the effect of family-based education and zinc supplementation on knowledge, weight, upper arm circumference, nutritional intake, serum zinc levels, insulin-like growth factor-1 (IGF-1), hemoglobin, infant anthropometry, and placenta in stunted pregnant women. MATERIALS AND METHODS: Quasi-experiment with a pre-post-test control design was carried out from September 2020 to June 1, 2021, in four areas of the Mamuju Regency City Health Center. The subject population is pregnant women aged 20–26 weeks gestation, experiencing chronic energy deficiency. RESULTS: The mean knowledge increased in the intervention group with a rate of change of 133.57%, while the control group did not experience a significant increase. Unpaired t-test showed a significant difference in the mean serum zinc, IGF-1, and hemoglobin levels with p < 0.001. CONCLUSION: Zinc supplementation is very beneficial for pregnant women, especially teenage pregnant women who have chronic energy deficiency, but the results of zinc supplementation are better accompanied by providing education based on a family approach, as a form of community support system for mothers, because family diet has a strong impact on pregnant women diet.
BACKGROUND: The nutritional status and health of pregnant women are determinants of perinatal growth and the welfare of neonates. Therefore, efforts to prevent fetal growth disorders start from the time of pregnancy, one of which is through increasing knowledge of pregnant women. AIM: This study aims to produce educational media products in the form of modules and measures their effectiveness on daily energy intake, mid-upper arm circumference (MUAC), and weight of pregnant women. METHODS: The research method uses the stages of Research and Development. The module development stages consist of product analysis, initial product development, expert test validation (materials and media), small sample trials, and large sample trials. The large sample trial used a quasi-experimental. RESULTS: After receiving education through the module, pregnant women’s daily energy intake increased by 3629.6 kcal, MUAC increased by 2.55 cm, and body weight increased by 7.47 kg, with a significance p < 0.05. CONCLUSION: The pregnancy nutrition module is effective in increasing pregnant women’s daily energy intake, MUAC size, and weight. Further research was conducted using the nutrition module during pregnancy as a medium of education on the family approach to increasing pregnant women’s nutritional intake through family and community support.
BACKGROUND: Zinc is an important nutrient for humans at all stages of life, whose needs increase during pregnancy and lactation. Zinc concentrations in breast milk are considered adequate for the first 6 months of life, despite an increase in the volume of milk consumed, zinc in breast milk is likely to be sufficient if there is no diet. weaning (9). Zinc levels in breast milk cannot compensate for the increased zinc requirements of the premature neonate due to higher than normal zinc requirements, small liver size with reduced zinc stores and a shortened digestive system. AIM:This study aims to measure serum zinc levels, IGF-1, and growth of infants aged 6 months in short adolescent mothers who are breastfeeding and have been intervened with zinc supplementation. MATERIAL AND METHOD: This study is a quantitative study using a quasi-experimental design, and a pretest-posttest approach with a control group. The sampling technique used purposive sampling with inclusion criteria, namely: infants from breastfeeding mothers aged <19 years, history of SEZ, maternal height <150 cm, so that the total sample size was 60 respondents (30 control samples and 30 intervention samples). Analysis of the data collected in the study was processed analytically with the Independent Sample T-Test and Paired T-Test tests. RESULT: From this study, it was found that the Paired Sample T Test results obtained p value < 0.001 indicating that there was a difference before and after the intervention, so it can be concluded that there was an effect of giving zinc supplementation on serum zinc and IGF-1 levels of infants in the intervention group. And through the Independent T test, the value of p = 0.001 < = 0.05. This shows that there is an effect of zinc supplementation on serum zinc and IGF-1 levels in infants. While the results of the Z-Score test for body weight and Z-Score values for body length obtained p <0.001. This illustrates that there is a difference between the intervention group and the control group, so it can be concluded that there is an effect of zinc supplementation on the growth of infants aged 6 months. CONCLUSSION: There was a significant difference between before and after the intervention in the two groups, so that zinc supplementation was effective in influencing serum zinc levels, IGF-1 and infant growth.
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