Exploring and optimising maternal and infant nutrition in North West Pakistan

Dykes, Fiona; Lhussier, Monique; Bangash, Sonia; Zaman, Mukhtiar; Lowe, Nicola M

doi:10.1016/j.midw.2011.09.013

Cited by 22 publications

(47 citation statements)

References 9 publications

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“…On the other hand, taboos and prohibitions pertaining to breastfeeding were also common. While religious support for breastfeeding was apparently valued, “the ideal breastfeeding duration is up to two years according to Islam” (Pakistani woman) [ 29 ], a young Turkish mother had different understanding [ 30 ]: Pregnant women’s milk is spoiled milk. It may give harm to the breastfed baby.. .…”

Section: Resultsmentioning

confidence: 99%

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Raman

Nicholls

Ritchie

et al. 2016

BMC Pregnancy Childbirth

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BackgroundThe perinatal period, i.e. pregnancy, childbirth and early infancy, is a significant transition period where the biological and the social strongly intersect. In low and middle-income countries the disease burden arising from the perinatal period, is still substantial. The perinatal period is also a crucial window of opportunity for reducing undernutrition and its long term adverse effects.MethodsWe explored qualitative research conducted in low resource settings around the perinatal continuum over the past two decades, with a particular focus on the ‘cultural’ realm, to identify common themes influencing maternal and infant nutrition. We systematically searched electronic databases from 1990 to 2014, including MEDLINE, EMBASE, PsycINFO, Scopus and Cumulative Index to Nursing and Allied Health Literature, using relevant search terms including traditional beliefs, practices, pregnancy, childbirth, developing countries etc. Adapted Consolidated Criteria for Reporting Qualitative Health Research and Critical Appraisal Skills Programme criteria were used to determine quality of studies. We synthesised the literature thematically, enabled by NVivo 10 software.ResultsMost studies showed cultural support for breastfeeding, although most traditional societies delayed breastfeeding due to colostrum being considered ‘dirty’. A range of restrictive practices through pregnancy and the post- partum period were revealed in Asia, Latin America and Africa. There was a strong cultural understanding of the healing power of everyday foods. A wide range of good foods and bad foods continued to have currency through the perinatal continuum, with little consensus between groups of what was beneficial versus harmful. Cross-cutting themes that emerged were 1) the role of the woman/mother/wife as strong and good; 2) poverty restricting women’s nutrition choices; 3) change being constant, but the direction of change unpredictable.ConclusionsA rich and diverse repertoire of cultural practices and beliefs influenced perinatal nutrition. Results from this synthesis should influence public health policymakers and practitioners, to tailor contextually specific, culturally responsive perinatal nutrition interventions to optimise health and wellbeing of mother-infant dyads. Ideally these interventions should build on culturally sanctioned life affirming behaviours such as breastfeeding, promoting post-partum rest and recovery, while modifying the potentially harmful aspects of other cultural practices in the perinatal period.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-0991-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Raman

Nicholls

Ritchie

et al. 2016

BMC Pregnancy Childbirth

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show abstract

“…As it is evidenced in the results of a qualitative study by Dykes, Lhussier, Bangash, Zaman, and Lowe (2012), cultural and structural factors have a strong impact on women's nutritional practices. In none of these studies has the child's spiritual health been targeted.…”

Section: Discussionmentioning

confidence: 99%

Maternal Experiences of Their Unborn Child’s Spiritual Care

et al. 2014

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Preparing for pregnancy and childbirth has significant association with spirituality. Review of the literature shows that the spirituality of the "unborn child" has not yet attracted much critical attention. This study was conducted with the aim of exploration of maternal behaviors associated with the spiritual health of the unborn child. A qualitative approach was used to investigate the research question. Twenty-seven in-depth unstructured interviews were conducted with 22 Iranian mothers in Tehran city (Iran) who were pregnant or had experienced pregnancy in 2012-2013. Data analysis was carried out using a conventional content analysis approach. "Refusing to eat forbidden food," "Overcoming mental adversity," "Regulating one's social interactions," "Preventing the effects of harmful environments on the senses," "Avoidance of using insulting and abusive language," "Keeping one's mind and spirit free from evil traits," and "Refraining from damaging behaviors" were important experiences that the mothers used for "Holistic Abstinence." The results provide new information about the subjective experiences of Iranian women on the patterns of abstinence for the midwives, research community, policy makers, and planners of maternal and child health care services in order to contribute to holistic, culturally, and religiously competent prenatal care for Muslim pregnant women throughout the world.

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“…The most suitable baby food is breast milk in first six months, because of the milk's rich content and appropriate amount as well as protective features against infections and reducing morbidity and mortality rates. Along with breast milk alone given at sufficient amount and duration, beginning to appropriate nutrients that will provide contribution to the development of infants, at the correct time and continuing with diversification of these nutrients is essential in terms of fundamental child development [1,2]. Beginning to additional food is also a transition period to a new step for mothers.…”

Section: Introductuionmentioning

confidence: 99%

Sleep quality and fatigue levels of mothers in the period of transition to additional food

Eren

Ilknur

2018

Prog Health Sci

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Purpose: To determine the sleep quality and fatigue levels of mothers in the period of transition additional food. Materials and methods: It was a relation seeking descriptive study which contained 377 mothers who had sixth month babies. The datas of the study was collected in Samsun between June and December 2015 with "Personal Information Form", "Pittsburgh Sleep Quality Questionnaire” and "Piper Fatigue Scale”. The statistical analysis of the data was made with using percentages, means, t test, ANOVA, Kruskal Wallis, Man Whitney U and correlation test. Results: It was found that the average age of mothers was 28.1±5.2 years, 44.8% of them high school graduated, 25.2% of them working outside, 78.8% of them lived in a nuclear family. It was determined 69.6% of the babies passed the additional food before sixth month, and 31.5% of them passed with baby formula. It was appointed that the 65.3% of mothers in period of transition additional food experienced sleep problems and 66.6% of them experienced fatigue. It was found a positive weak and significant correlation between the mothers Pittsburgh Sleep Quality Questionnaire scores and and Piper Fatigue Scale scores (p<0.05). Conclusion: It was seen that in the period of transition additional food, the mothers experience problems about the passing time, first foods and feeding method and this situation causes insomnia and fatigue. According to the results it could be recommended to development of training programs for the improvement of mothers' sleep quality and fatigue levels.

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Exploring and optimising maternal and infant nutrition in North West Pakistan

Cited by 22 publications

References 9 publications

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Maternal Experiences of Their Unborn Child’s Spiritual Care

Sleep quality and fatigue levels of mothers in the period of transition to additional food

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