Household food insecurity associated with gestacional and neonatal outcomes: a systematic review

Augusto, Ana Lúcia Pires; Rodrigues, Aléxia Vieira de Abreu; Domingos, Talita Barbosa; Salles‐Costa, Rosana

doi:10.1186/s12884-020-02917-9

Cited by 51 publications

(47 citation statements)

References 53 publications

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“…Food insecurity can have a negative impact on a range of health outcomes which are more pronounced in some population groups. Pregnant and postpartum women are especially vulnerable to the negative impacts of food insecurity, as they have increased nutritional requirements during pregnancy to meet the needs of the growing foetus [ 3 ], while after pregnancy they may have additional nutritional requirements for breastfeeding [ 4 ]. Research suggests that the dietary intakes of pregnant women often do not meet nutritional guidelines [ 5 •], and while some studies have explored the role of nutritional counselling [ 6 ], pregnant women may need more assistance in meeting their nutritional needs at this time.…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Interventions Addressing Food Insecurity in Pregnant Women and New Mothers

et al. 2022

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Purpose of the Review Food insecurity can have a negative health impact for women during pregnancy and the postpartum period; however, there are a range of barriers to meeting nutritional guidelines during pregnancy. Food insecurity is associated with an increased risk of pregnancy complications and mental and physical health outcomes. This review aims to provide insight into programmes and interventions which have targeted food insecurity in pregnant and early postpartum women. The central research question for this review is as follows: What programmes and interventions have sought to address food insecurity among pregnant and postpartum women? A systematic search of five electronic databases including Medline, CINAHL, Global Health, Embase, and Cochrane was undertaken on August 2021. Key thematic areas searched were food insecurity, pregnancy, nutritional outcomes, and interventions or programmes. Only studies that were published since 2000 in English were considered. Recent Findings Eleven studies were included in this review. Studies employed a range of methods and outcomes measures. They were conducted in mostly low- and middle-income countries, and in general, focused on nutritional supplementation, with some studies also incorporating nutrition education or counselling. Summary The findings of this review suggest that while there are a range of possible interventions that seek to address food insecurity and hunger among pregnant and postpartum women, the limited number of robust evaluations or long-term interventions mean that evidence for any one intervention type is limited. Furthermore, the programmes and interventions that do exist are generally embedded within a single context or structure, and as such, may not be able to be widely implemented. (Prospero Registration CRD42022245787)

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Section: Introductionmentioning

confidence: 99%

“…Pregnancy can be a physically and mentally demanding time where food insecurity can exacerbate stress [ 3 ]. Many studies have found an association with food insecurity, and reduced quality of life and psychosocial outcomes such as increased depression and anxiety [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of Interventions Addressing Food Insecurity in Pregnant Women and New Mothers

et al. 2022

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“…Optimal antenatal nutrition promotes best health outcomes for the mother and baby (Procter & Campbell, 2014 ), however, pregnant women experiencing FI may be less able to access healthy foods. FI during pregnancy is associated with adverse outcomes such as excessive gestational weight gain, gestational diabetes, maternal anaemia, preterm birth, and birth defects (Augusto et al, 2020 ). Some of these obstetric complications are linked with longer term poor health outcomes for the offspring, such as diabetes and cardiovascular disease (Carolan-Olah et al, 2015 ; Luu et al, 2016 ), highlighting the potentially dire intergenerational impacts of food insecurity.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Food-Insecure Pregnant Women and Factors Influencing Their Food Choices

Zinga

McKay

Lindberg

et al. 2022

Matern Child Health J

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Introduction Food insecurity (FI), an inadequate access to healthy, affordable food, is a public health concern primarily driven by material hardship. Optimal antenatal nutrition promotes best health outcomes for the mother and baby. Pregnant women experiencing FI are less able to access healthy foods, increasing the risk of complications such as gestational diabetes and preterm labour. Little is known about the experiences of food-insecure pregnant women in obtaining sufficient, nutritious food, their perceptions regarding antenatal nutrition and how this contributes to their food choices. Methods This qualitative study conducted from August to November 2020, during the COVID-19 pandemic, examined the experiences and coping strategies of food-insecure pregnant women, and the factors influencing their food choices. Seven English-speaking food-insecure pregnant women participated in semi-structured interviews. Interview transcripts were thematically analysed, informed by grounded theory methodology. Results Three themes were identified through analysis of the interviews related to strategies that managed household food supply, factors that influenced food choices, and experiences of pregnancy during the COVID-19 pandemic. As a result of a limited food budget, pregnancy symptoms, the cognitive overload that attends the FI experience, and the acute yet significant impact of the pandemic, food-insecure pregnant women in this study defaulted to cheap and convenient food choices despite acknowledging the importance of eating well for pregnancy. Conclusion FI during pregnancy is burdensome, relentless and undermines women’s wellbeing. Supportive strategies within antenatal healthcare settings are urgently required to deliver an equitable health response for vulnerable women.

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“…Pregnant women who are food insecure frequently have poor diet quality and sub-optimal nutritional intake during pregnancy, leading to negative maternal and child health outcomes [ 3 , 4 ]. When compared to women who are food secure, women who are food insecure during pregnancy are at a higher risk of gestational diabetes [ 5 ], low birth weight [ 6 , 7 ], maternal stress [ 4 , 8 ], excess maternal weight gain [ 5 ], birth defects [ 9 ], premature birth, and struggle to breastfeed [ 10 , 11 ]. The impacts of food insecurity, and as a result inadequate nutrition, during pregnancy can be both significant and long term for mother and child, leading to challenges with child growth and development [ 4 , 5 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Food insecurity and hunger during pregnancy have significant implications for the health of the mother and baby. Pregnant women who are food insecure frequently have poor diet quality and sub-optimal nutritional intake during pregnancy, leading to negative maternal and child health outcomes [3,4]. When compared to women who are food secure, women who are food insecure during pregnancy are at a higher risk of gestational diabetes [5], low birth weight [6,7], maternal stress [4,8], excess maternal weight gain [5], birth defects [9], premature birth, and struggle to breastfeed [10,11].…”

Section: Introductionmentioning

confidence: 99%

Consensus from an expert panel on how to identify and support food insecurity during pregnancy: A modified Delphi study

McKay

Zinga

Pligt

2022

BMC Health Serv Res

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Background Food insecurity and hunger during pregnancy have significant implications for the health of the mother and baby. Assisting clinicians when they encounter women who are experiencing hunger or food insecurity during their pregnancy will increase the opportunity for better birth and pregnancy outcomes. At present there are no guidelines for Australian clinicians on how to do this. Methods This study uses a modified Delphi technique, allowing diverse participation in the process, to create consensus on the ways to address and respond to food insecurity during pregnancy. This modified Delphi collected data via two rounds of consensus. The opinions collected from the first round were thematically categorised and grouped. The topics were integrated into the survey for the second round and circulated to participants. During the second round, priorities were scored by giving five points to the topic considered most important, and one point to the least important. Results Through two rounds of consultation, the panel achieved consensus on how to identify food insecurity during pregnancy, with some clear items of consensus related to interventions that could be implemented to address food insecurity during pregnancy. Experts achieved consensus on items that have importance at the institution and policy level, as well as services that exist in the community. The consensus across the spectrum of opportunities for assistance, from the clinical, to community-provided assistance, and on to government policy and practice demonstrate the complexity of this issue, and the multipronged approach that will be required to address it. Conclusion This is the first time such a consultation with experts on hunger and food insecurity during pregnancy has been conducted in Australia. Items that achieved consensus and the importance of the issue suggest several ways forward when working with pregnant women who are hungry and/or food insecure.

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Household food insecurity associated with gestacional and neonatal outcomes: a systematic review

Cited by 51 publications

References 53 publications

Systematic Review of Interventions Addressing Food Insecurity in Pregnant Women and New Mothers

Systematic Review of Interventions Addressing Food Insecurity in Pregnant Women and New Mothers

Experiences of Food-Insecure Pregnant Women and Factors Influencing Their Food Choices

Consensus from an expert panel on how to identify and support food insecurity during pregnancy: A modified Delphi study

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