RELATIONSHIP OF NUTRITION TO THE OUTCOME OF WHO COMPLIANCE CLINICAL PRACTICE IN A DEPRIVED POPULATION OF PAKISTAN
Journal Title: Baqai Journal of Health Sciences - Year 2016, Vol 19, Issue 2
Abstract
a woman is pregnant or planning a pregnancy. Eating healthily during pregnancy will help the baby to develop and grow. The present study determined the association of nutrition and body mass index with pregnancy losses using WHO obstetric practice guidelines in deprived societies of Pakistani population. The study comprises of a random sample of 1200 houses in the Peri-urban area of Gadap Town, Karachi and was conducted by 33 lady health workers from January 2008 to June 2009. The maternal and fetal outcomes for 1109 term pregnancies were studied. The nutritional assessment was carried out using a 7 day food diary and an in depth food frequency questionnaires. The entire cohort delivered 775 (69.9%) live healthy neonates from 1109 mothers with 4 maternal deaths, a perinatal mortality of 176/1000 and pregnancy failure in 30.1% was observed if abortions were included. A body mass index of 23.5 or more in pre- or early pregnancy was considered as the cutoff point for adequate nutrition in pregnancy. There was a highly significant association between pregnancy failure and maternal sub nutrition in the rural areas of Gadap Town, Karachi. Thus, the study concluded that the nutritional status and body mass index at the time of conception was associated with maternal mortality, pregnancy failure and perinatal mortality of deprived mothers in Pakistani villages. All outcomes demonstrated the lack of effect of WHO guidelines. The detection of at risk fetuses in deprived populations. Inclusion of translational scientific advances into the epidemiological guidelines of Millennium Development Goals (MDG’s) or Sustainable Development Goals (SDG’s) suggests the way forward.
Authors and Affiliations
Mahajabeen Khan, Peter Baillie
Keywords
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