The Effect of Health Education on Dietary Knowledge and Practices of Pregnant Women in Jordan: A Quasi-Experimental Study

Abu‐Baker, Nesrin N.; Abusbaitan, Hanan A; Al-Ashram, Safa A; Alshraifeen, Ali

doi:10.2147/ijwh.s303568

Cited by 4 publications

(11 citation statements)

References 19 publications

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“…The population size ranged from 47 in Villalon et al (2010) to 2230 in Belizan et al (1995). Thirty‐eight studies described the participant characteristics by at least one element of PROGRESS‐+ (Abdel‐Aziz et al, 2018; Abu‐Baker et al, 2021; Kiani Asiabar et al, 2018; Aşcı & Rathfisch, 2016; Belizan et al, 1995; Daniel et al, 2016; Demilew et al, 2020; Garg & Kashyap, 2006; Goodarzi‐Khoigani et al, 2018; Hasneezah et al, 2020; Isrctn, 2017; Izadirad et al, 2017; Jahan et al, 2014; Jing et al, 2015; Kafatos et al, 1989; Kamalifard et al, 2012; Kanber et al, 2011; Katenga‐Kaunda et al, 2021; Khoramabadi et al, 2015; Kian et al, 2016; Lin et al, 2020; Liu et al, 2017; Malta et al, 2021; Mirmolaei et al, 2009; Mohsenzadeh‐Ledari et al, 2020; Nahrisah et al, 2020; Nyamasege et al, 2021; Nyamasege et al, 2018; Perichart‐Perera et al, 2009; Permatasari et al, 2021; Saadatnia et al, 2021; Sharifirad et al, 2013; Sunuwar et al, 2019; Tu et al, 2021; Villalon et al, 2010; Zhou & Tang, 2020; Ziyenda Katenga‐Kaunda et al, 2020). Thirty‐six studies (84%) reported the age of the pregnant women (Abu‐Baker et al, 2021; Kiani Asiabar et al, 2018; Aşcı & Rathfisch, 2016; Belizan et al, 1995; Daniel et al, 2016; Demilew et al, 2020; Garg & Kashyap, 2006; Goodarzi‐Khoigani et al, 2018; Hasneezah et al, 2020; Isrctn, 2017; Izadirad et al, 2017; Jahan et al, 2014; Jing et al, 2015; Kafatos et al, 1989; Kamalifard et al, ...…”

Section: Resultsmentioning

confidence: 99%

“…We included a total of 42 studies for nutrition counseling to improve maternal and infant outcomes. Nineteen studies were RCTs (Abdel‐Aziz et al, 2018 ; Asiabar et al, 2018 ; Aşcı & Rathfisch, 2016 ; Belizan et al, 1995 ; Goodarzi‐Khoigani et al, 2018 ; Izadirad et al, 2017 ; Jahan et al, 2014 ; Jahangiri et al, 2020 ; Jing et al, 2015 ; Kanber et al, 2011 ; Khoramabadi et al, 2015 ; Kian et al, 2016 ; Lin et al, 2020 ; Liu et al, 2009 ; Mazloomy‐Mahmoodabad et al, 2020 ; Mohsenzadeh‐Ledari et al, 2020 ; Tu et al, 2021 ; Vítolo et al, 2011 ; Zhou & Tang, 2020 ), 16 were NRS (Abu‐Baker et al, 2021 ; Daniel et al, 2016 ; Garg & Kashyap, 2006 ; Hasneezah et al, 2020 ; Kamalifard et al, 2012 ; Liu et al, 2017 ; Malta et al, 2021 ; Mirmolaei et al, 2009 ; Nahrisah et al, 2020 ; Perichart‐Perera et al, 2009 ; Permatasari et al, 2021 ; Saadatnia et al, 2021 ; Sachdeva & Mann, 1994 ; Sharifirad et al, 2013 ; Sunuwar et al, 2019 ; Villalon et al, 2010 ) and 7 were CRTs (Demilew et al, 2020 ; Isrctn, 2017 ; Kafatos et al, 1989 ; Katenga‐Kaunda et al, 2021 ; Nyamasege et al, 2021 ; Nyamasege et al, 2018 ; Ziyenda Katenga‐Kaunda et al, 2020 ). All the studies compared two‐way interactive nutrition counseling with standard ANC.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies were conducted in Africa, two including African population from multiple countries (Nyamasege et al, 2021 ; Nyamasege et al, 2018 ), one in Ethiopia (Demilew et al, 2020 ), two in Malawi (Katenga‐Kaunda et al, 2021 ; Ziyenda Katenga‐Kaunda et al, 2020 ), one in Kenya (Isrctn, 2017 ), one in Benin (Villalon et al, 2010 ) and one in Egypt (Abdel‐Aziz et al, 2018 ). Twenty‐eight studies were conducted in Asia; 12 took place in Iran (Kiani Asiabar et al, 2018 ; Goodarzi‐Khoigani et al, 2018 ; Izadirad et al, 2017 ; Jahangiri et al, 2020 ; Kamalifard et al, 2012 ; Khoramabadi et al, 2015 ; Kian et al, 2016 ; Mazloomy‐Mahmoodabad et al, 2020 ; Mirmolaei et al, 2009 ; Mohsenzadeh‐Ledari et al, 2020 ; Saadatnia et al, 2021 ; Sharifirad et al, 2013 ), six in China (Jing et al, 2015 ; Lin et al, 2020 ; Liu et al, 2009 ; Liu et al, 2017 ; Tu et al, 2021 ; Zhou & Tang, 2020 ), three in India (Daniel et al, 2016 ; Garg & Kashyap, 2006 ; Sachdeva & Mann, 1994 ), two Turkey (Aşcı & Rathfisch, 2016 ; Kanber et al, 2011 ), two in Indonesia (Nahrisah et al, 2020 ; Permatasari et al, 2021 ), one in Malaysia (Soliman et al, 2019 ), one in Bangladesh (Jahan et al, 2014 ), on in Jordan (Abu‐Baker et al, 2021 ) and one in Nepal (Sunuwar et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen trials were high ROB due to inadequate randomization and lack of information to judge the randomization process (Abu-Baker et al, 2021;Garg & Kashyap, 2006;Goodarzi-Khoigani et al, 2018;Hasneezah et al, 2020;Isrctn, 2017;Kamalifard et al, 2012;Kanber et al, 2011;Liu et al, 2017;Mirmolaei et al, 2009;Nahrisah et al, 2020;Nyamasege et al, 2018;Permatasari et al, 2021;Sharifirad et al, 2013;Villalon et al, 2010).…”

Section: Bias Arising From the Randomization Processmentioning

confidence: 99%

“…Zhou & Tang, 2020), 16 were NRS(Abu-Baker et al, 2021;Daniel et al, 2016;Garg & Kashyap, 2006; Hasneezah et al, 2020;Kamalifard et al, 2012;Liu et al, 2017;Malta et al, 2021;Mirmolaei et al, 2009;Nahrisah et al, 2020;Perichart-Perera et al, 2009;Permatasari et al, 2021;Sachdeva & Mann, 1994;Sharifirad et al, 2013;Sunuwar et al, 2019;Villalon et al, 2010) and 7 were CRTs(Demilew et al, 2020;Isrctn, 2017;Kafatos et al, 1989;Katenga-Kaunda et al, 2021;Nyamasege et al, 2021;Nyamasege et al, 2018;Ziyenda Katenga-Kaunda et al, 2020). All the studies compared two-way interactive nutrition counseling with standard ANC.…”

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confidence: 99%

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Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

Dewidar,

John,

Baqar

et al. 2023

Campbell Systematic Reviews

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BackgroundNutritional counseling, which includes two‐way interactive education, has been hypothesized to improve the health and nutritional status of pregnant women, but little is known about the impact such practice of care might have on maternal and infant health and behavioral outcomes of pregnant women living in low income, low‐middle income, and upper‐middle‐income countries (LMIC)s.ObjectivesWe conducted a systematic review to appraise the effectiveness and impact on health equity of two‐way nutritional counseling practices in LMICs on maternal and infant behavioral, nutritional, and health outcomes.Search MethodsWe conducted electronic searches for relevant studies on Medline, Embase, CINAHL, PsychInfo, and the Cochrane CENTRAL for randomized and non‐randomized trials on the effectiveness of two‐way interactive nutritional counseling among pregnant women from the date of database inception up to June 22, 2021. In addition, we searched references of included studies in systematic reviews, gray literature resources, and unpublished studies or reports that satisfied our eligibility criteria using a focused Google search.Selection CriteriaWe included randomized and non‐randomized controlled studies (NRS), controlled before and after, and interrupted time series that assessed the effectiveness of two‐way interactive nutrition counseling targeting pregnant women in LMICs.Data Collection and AnalysisData extraction and risk of bias were conducted in duplicate. The risk of bias (ROB) for randomized trials (RCT) was assessed according to the Cochrane Handbook of Systematic Reviews, and ROB for NRS was assessed using the Newcastle‐Ottawa scale (NOS). RCT and NRS were meta‐analyzed separately.Main ResultsOur search identified 6418 records and 52 studies met our inclusion criteria, but only 28 were used in the quantitative analysis. Twenty‐eight studies were conducted in Asia, the most in Iran. Eight studies were conducted in Africa. Two‐way interactive nutritional counseling during pregnancy may improve dietary caloric intake (mean difference [MD]: 81.65 calories, 95% confidence interval [CI], 15.37–147.93, three RCTs; I2 = 42%; moderate certainty of evidence using GRADE assessment), may reduce hemorrhage (relative risk [RR]: 0.63; 95% CI, 0.25–1.54, two RCTs; I2 = 40%; very low certainty of evidence using GRADE assessment), may improve protein (MD: 10.44 g, 95% CI, 1.83–19.05, two RCTs; I2 = 95%; high certainty of evidence using GRADE assessment), fat intake (MD: 3.42 g, 95% CI, −0.20 to 7.04, two RCTs; I2 = 0%; high certainty of evidence using GRADE assessment), and may improve gestational weight gain within recommendations (RR: 1.84; 95% CI, 1.10–3.09, three RCTs; I2 = 69%). Nutrition counseling probably leads to the initiation of breastfeeding immediately after birth (RR: 1.72; 95% CI, 1.42–2.09, one RCT). There was little to no effect on reducing anemia (RR: 0.77; 95% CI, 0.50–1.20, three RCTs; I2 = 67%; very low certainty of evidence using GRADE assessment) risk of stillbirths (RR: 0.81; 95% CI, 0.52–1.27, three RCTs; I2 = 0%; moderate certainty of evidence using GRADE assessment) and risk of cesarean section delivery (RR: 0.96; 95% CI, 0.76–1.20, four RCTs; I2 = 36%; moderate certainty of evidence using GRADE assessment).Authors’ ConclusionsOur review highlights improvements in maternal behavioral and health outcomes through interactive nutrition counseling during pregnancy. However, we are uncertain about the effects of nutrition counseling due to the low certainty of evidence and a low number of studies for some key outcomes. Moreover, the effects on health equity remain unknown. More methodologically rigorous trials that focus on a precise selection of outcomes driven by the theory of change of nutrition counseling to improve maternal and infant behavioral and health outcomes and consider equity are required.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Bias Arising From the Randomization Processmentioning

confidence: 99%

mentioning

confidence: 99%

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Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

Dewidar,

John,

Baqar

et al. 2023

Campbell Systematic Reviews

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Assessment of Pregnant Women's Knowledge and practice about Risks of Iodine intake Deficiency during Pregnancy

Samuel

Youness

Mohamed³

2021

Minia Scientific Nursing Journal

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Background: Severe iodine deficiency during pregnancy is still a leading cause of maternal and fetal hypothyroidism, as well as preventable cognitive damage, all over the world. The aim of the study is to Assess of Pregnant Women's Knowledge and Practice about Risks of Iodine Intake Deficiency during Pregnancy. Research Design: A descriptive study design was utilized to attain the aim of this study. Subject and setting: Convenient sample (300) pregnant women who visited the general hospital in Mallawy district at Mania governorate in Egypt at the outpatient antenatal clinic over period ( 6) month. Tool of data collection: Structured interview questionnaire include (3 parts) (socio-demographic characteristics, pregnant women knowledge regarding iodine intake deficiency during pregnancy and pregnant women practice regarding iodine intake during pregnancy) Results: The study demonstrates (64.7%)of the studied women have unsatisfactory knowledge about iodine intake during pregnancy.(68%) of the studied women have unsatisfactory practice about iodine salt intake during pregnancy, with a high statically significance relationship between total level of knowledge and total practice about iodine salt intake during pregnancy. Conclusion: This study concluded that around two-thirds of pregnant women knowledge and practice towards iodine salt intake deficiency during pregnancy were unsatisfactory with highly statistically significant relationship between women knowledge and practice towards iodine salt intake deficiency during pregnancy. Recommendation: Educative programs to increase awareness on iodine are very important challenges for Egyptian pregnant women, in the coming years

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Knowledge about Nutrition and Testing Gestational Hypertension in Multiple Pregnancies

Wenang,

Kurniawan,

Rachmanio

2023

magnamed

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Background: Hypertensive disorders in pregnancy (HDP) are a leading contributor to maternal, fetal, and newborn death all over the world, including in Indonesia. Routine pregnancy check-ups and nutritional status can prevent pregnancy complications due to HDP.Objective: To increase health workers’ knowledge about the importance of blood pressure check-ups and adequate nutrition during multiple pregnancies.Methods: The PKM material was delivered through online seminars with 20 employees and their families at Asri Medical Center Hospital. The material provided included knowledge about women's health, multiple pregnancies, nutrition for pregnant women, as well as hypertension in pregnancy, and their management. Pretest and posttest was conducted. The analysis method used Wilcoxon Signed Rank test.Results: The analysis showed a 25% increase in knowledge from the results of the pretest of 75% to a total of 100% at the time of the posttest (p < 0.05), which suggests that there is a difference in the respondents’ knowledge levels about the importance of nutrition and examination of hypertension in multiple pregnancies.Conclusion: There is a significant difference in knowledge about the importance of nutrition and examination of hypertension in multiple pregnancies before and after the seminar at AMC Muhammadiyah Hospital.

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The Effect of Health Education on Dietary Knowledge and Practices of Pregnant Women in Jordan: A Quasi-Experimental Study

Cited by 4 publications

References 19 publications

Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

Assessment of Pregnant Women's Knowledge and practice about Risks of Iodine intake Deficiency during Pregnancy

Knowledge about Nutrition and Testing Gestational Hypertension in Multiple Pregnancies

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