Facteurs associés au gain pondéral insuffisant au cours de la grossesse

Mothers' views on mobile health in self-care for pregnancy: A step towards mobile application development

BACKGROUND

Applications for pregnancy self-care (APSC) can improve post-partum by empowering pregnant women's status quo. This study endeavored to identify the operational needs of an application (app) from the perspective of Iranian pregnant women.

MATERIALS AND METHODS

In a qualitative manner, semi-structured and face-to-face interviews were conducted using an interview guide. Interviewees were pregnant women who encountered to health facilities of Isfahan University of Medical Sciences for prenatal care and were willing to be interviewed. The interviews were conducted from June 2019 to June 2021. All the recorded interviews were transcribed. The obtained data were analyzed through conventional content analysis using MAXQDA 12 (Developer: VERBI GmbH Release: 2015 Version: 12 OS: Microsoft Windows Type: Qualitative Data Analysis - Offline). Data saturation was obtained after 14 interviews. One of the researchers, as a data encoder, became acquainted with them by immersing himself in the data. After the data was first encoded and summarized, the codes were analyzed. In addition, an attempt was made to reduce the impact of researchers' experiences at different stages of the study process.

RESULTS

Based on the opinions of pregnant women, 7 main themes (nutrition, training, fatal monitoring, relaxation, health, risk factors, physical activity) and 38 sub-themes were identified for APSC development. The findings revealed that pregnant women tend to use APSC, but because they are not comprehensive, women search the Internet to answer some of their information needs.

CONCLUSIONS

The findings can be useful in developing a comprehensive pregnancy self-care mobile application that is localized based on the operational needs of pregnant women to make them capable and self-caring in controlling pre-risk situations.

Gestational weight gain in a migration context: are migrant women more at risk of inadequate or excessive weight gain during pregnancy?

BACKGROUND

Inadequate or excessive gestational weight gain (GWG) is associated with adverse maternal and neonatal outcomes. Little is known on adequacy of GWG in migrant women. This study investigates whether migrant women in France are at higher risk of inadequate or excessive GWG, and what characteristics are associated with GWG in migrant and non-migrant groups.

METHODS

We used data from the PreCARE multicentric prospective cohort (N=10 419). The study includes 5403 women with singleton deliveries, with non-migrant (n=2656) and migrant (n=2747) status. We used multinomial logistic regression, adjusting for maternal age and parity, to investigate the association of migrant status, socioeconomic status-related variables and GWG. In stratified analyses, we identified factors associated with GWG in both groups.

RESULTS

Compared with non-migrant women, migrant women had increased risk of inadequate GWG (adjusted odds ratio (aOR) 1.18; 95% CI 1.03 to 1.34). Non-migrant women with foreign origins had increased risk of excessive GWG (aOR 1.58; 95% CI 1.30 to 1.92). Women born in Sub-Saharan Africa had increased risk of both inadequate and excessive GWG. Regardless of migration status, women with lower education and women who did not start pregnancy with a normal weight were less likely to gain adequately. Inadequate prenatal care was associated with inadequate GWG only among non-migrant women.

CONCLUSION

Migrant women are at higher risk of inadequate GWG.

Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy

Several epidemiologic studies have shown an association between Gestational Weight Gain (GWG) and offspring complications. The GWG is directly linked to maternal dietary intake and women’s nutritional status during pregnancy. The aim of this study was (1) to assess, in a sample of Spanish pregnant women, the association between maternal dietary patterns and GWG and (2) to assess maternal dietary patterns and nutrient adequate intake according to GWG. A retrospective study was conducted in a sample of 503 adult pregnant women in five hospitals in Eastern Andalusia (Spain). Data on demographic characteristics, anthropometric values, and dietary intake were collected from clinical records by trained midwives. Usual food intake was gathered through a validated Food Frequency Questionnaire (FFQ), and dietary patterns were obtained by principal component analysis. Nutrient adequacy was defined according to European dietary intake recommendations for pregnant women. Regression models adjusted by confounding factors were constructed to study the association between maternal dietary pattern and GWG, and maternal dietary patterns and nutritional adequacy. A negative association was found between GWG and the Mediterranean dietary pattern (crude β = −0.06, 95% CI: −0.11, −0.04). Independent of maternal dietary pattern, nutrient adequacy of dietary fiber, vitamin B9, D, E, and iodine was related to a Mediterranean dietary pattern (p < 0.05). A Mediterranean dietary pattern is related to lower GWG and better nutrient adequacy. The promotion of healthy dietary behavior consistent with the general advice promoted by the Mediterranean Diet (based on legumes, vegetables, nuts, olive oil, and whole cereals) will offer healthful, sustainable, and practical strategies to control GWG and ensure adequate nutrient intake during pregnancy.