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Scoping Review
- Pre-pregnancy Diet to Maternal and Child Health Outcome: A Scoping Review of Current Evidence
- Fadila Wirawan, Desak Gede Arie Yudhantari, Aghnaa Gayatri
- J Prev Med Public Health. 2023;56(2):111-127. Published online March 13, 2023
- DOI: https://doi.org/10.3961/jpmph.22.472
- 5,602 View
- 259 Download
- 3 Web of Science
- 3 Crossref
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Abstract
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Supplementary Material - Objectives
Pre-pregnancy diet has an important role in preparing for healthy generation. However, evidence on this issue has been scarce. A scoping review synthesising current evidence will support the demand to map ‘what has been researched’ on pre-pregnancy diet and maternal and child health.
Methods
Systematic search was performed using PICOS (Population, Intervention, Comparison, Outcomes, and Study design) framework in electronic databases. Articles were screened for eligibility, summarized, and the quality was assessed using the National Institute of Health assessment tool. The review structure complies with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guide.
Results
Forty-two articles were included after full-text screening. Twenty-five studies were in high-income countries (HICs), six in each upper-middle income, five in lower-middle income countries (LMICs), and one in low-income countries (LIC). Based on the regions: North America (n=16), Europe (n=5), South America (n=4), Australia (n=4), Asia (n=5), Middle East (n=2), and sub-Saharan Africa (n=1). The two-most observed diet-related exposures were dietary pattern (n=17) and dietary quality (n=12). The most assessed outcome was gestational diabetes mellitus (n=28) and fetal and newborn anthropometry (n=7). The average quality score±standard deviation was 70±18%.
Conclusions
Research related to pre-pregnancy diet is still concentrated in HICs. The context of diet may vary; therefore, future research is encouraged in LMICs and LICs context, and Mediterranean, South-East Asia, Pacific, and African regions. Some maternal and child nutrition-related morbidity, such as anemia and micronutrient deficiencies, have not been discussed. Research on these aspects will benefit to fill in the gaps related to pre-pregnancy diet and maternal and child health. -
Summary
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- Maternal pre-pregnancy diet and prenatal depression: the mediating role of pre-pregnancy weight status and prenatal inflammation
Elnaz Vaghef-Mehrabani, Rhonda C. Bell, Catherine J. Field, Megan Jarman, Jenna L. Evanchuk, Nicole Letourneau, Gerald F. Giesbrecht
British Journal of Nutrition.2024; 132(2): 115. CrossRef - Maternal Dietary Strategies for Improving Offspring Cardiovascular–Kidney–Metabolic Health: A Scoping Review
You-Lin Tain, Chien-Ning Hsu
International Journal of Molecular Sciences.2024; 25(18): 9788. CrossRef - Role of Human Milk Microbiota in Infant Neurodevelopment: Mechanisms and Clinical Implications
Valentina Biagioli, Vincenzo Sortino, Raffaele Falsaperla, Pasquale Striano
Children.2024; 11(12): 1476. CrossRef
Original Article- Child Rearing Practice of Working Mothers in a Poor Area of Pusan.
- Yeon Ja Hwang, Jung Han Park
- Korean J Prev Med. 1989;22(3):389-397.
- 2,149 View
- 25 Download
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Abstract
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- To identify the problems in child rearing practice of employed mothers in urban poor area, all of 201 women with children under 6 years old living in Yun San 3 Dong, a poor area of Pusan city, were interviewed with a questionnaire by a trained interviewer from 10th April to 10th May 1989. Among 201 women, 51 women were employed and 150 women were unemployed. Of the employed mothers 78.5% got their jobs because of economical need and 31.4% of them worker for 60-69 hours per week. Their average monthly income was 100,000-190,000 Won in 33.4% and 200,000-290,000 Won in 25.4%. Breast milk was fed in 66.0% of the children of unemployed mothers while 49.0 of the children of the employed mothers were breast-fed (p<0.05). The most common reason for not breast feeding was shortage of breast milk among unemployed mothers (58.9%) but that of the employed mothers was their job(63.6%). The basic immunization for children was completed in 70.5% of children of employed mothers as compared with 82.0% of the children of the unemployed mothers were completely immunized (p<0.1). Accident experience rate of children among the employed mothers was 23.5% and that of the children of the unemployed mothers was 17.3%. The most common cause of accident in children of the unemployed mothers was carelessness while they were playing(34.6%) but in children of the employed mothers it was traffic accident(25.0%) and falling(25.0%). Most of the traffic accidents took place while the children's brother or sister of age under 14 years were baby sitting. When the accident took place 73.1% of the unemployed mothers were just at home, but 58.3% of the employed mothers were out of home for work. In case of the employed mothers, 58.7% of their children were looked after by an adult mainly grandparents, 15,7% by the children's brothers and sisters under 14 years old, and 3.9% of the children were left alone. A majority of the unemployed mothers wanted to get a job if someone could take care of their children. To facilitate the women employment and for the safety and health of the children, good nurseries for working mothers need to be established at a cost they can afford.
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