The Cultural Assessment Model as an Evaluation Indicator for Nutritional Adequacy in Pregnant Women with Pre-eclampsia

Authors

  • Awatiful Azza Department of Maternity and Child Nursing, Universitas Muhammadiyah Jember, Jember, Indonesia https://orcid.org/0000-0003-0946-1092
  • Cipto Susilo Cardiovascular Department, Universitas Muhammadiyah Jember, Jember, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6627

Keywords:

Cultural assessment model, Nutrition, Pre-eclampsia

Abstract

BACKGROUND: Pre-eclampsia is one of the complications of pregnancy in many communities with low socioeconomic conditions. The lack of intake of quality nutrition can be a precipitating factor in the occurrence of this complication.

AIM: This study aims to find out the nutritional adequacy for pregnant women through the transcultural model assessment using correlational design and a cross-sectional approach in pregnant women at the third trimester.

MATERIALS AND METHODS: The diagnosis of pre-eclampsia was identified through a blood pressure of 140/90 mmHg and proteinuria. There were 222 samples with purposive sampling. The data were obtained through questionnaires and the interview results were used as secondary data. The data were analyzed using the Chi-square test, odds ratio (OR) with confidence intervals (CI) of 95%, and the alpha value of 0.05.

RESULTS: The analysis of the nutritional adequacy with the incidence of pre-eclampsia confirmed that the carbohydrate with OR of 5.250 (OR = 3.545, 95% CI = 2.098, 13.158), folic acid (OR = 16,838, 95% CI = 2.222, 127.64), and vegetable (OR of 4.00, 95% CI = 1.619, 9.885) which are related to the incidence of pre-eclampsia.

CONCLUSION: The fulfillment of the daily nutrition of pregnant women is greatly influenced by the culture and myth developed in society. An assessment using the transcultural model approach can give a lot of information about the influence of culture in pregnant women’s daily life.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Warriner S. Pregnancy and body mass index (BMI). Oxford Univ Hosp. 2016;50:1-10.

Magee LA, Pels A, Helewa M, Rey E, von Dadelszen P, Canadian Hypertensive Disorders of Pregnancy (HDP) Working Group. Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy. Pregnancy Hypertens. 2014;4(2):105-45. https://doi.org/10.1016/j.preghy.2014.01.003 PMid:26104418

Prasetyo B, Winardi B, Pranadyan R, Erlin H, Damayanti MA, Yusuf M, et al. Increasing of early high-risk pregnancy detection with proactive intervention in Bangkalan district, Madura Indonesia. J Glob Pharm Technol. 2020;12(6):26-31.

Rawlins B, Plotkin M, Rakotovao JP, Getachew A, vaz M, Ricca J, et al. Screening and management of pre-eclampsia and eclampsia in antenatal and labor and delivery services: Findings from cross-sectional observation studies in six sub-Saharan African countries. BMC Pregnancy Childbirth. 2018;18(1):346. https://doi.org/10.1186/s12884-018-1972-1 PMid:30139342

Karampas GA, Eleftheriades MI, Panoulis KC, Rizou MD, Haliassos AD, Metallinou DK, et al. Prediction of pre-eclampsia combining NGAL and other biochemical markers with Doppler in the first and/or second trimester of pregnancy. A pilot study. Eur J Obstet Gynecol Reprod Biol. 2016;205:153-7. https://doi.org/10.1016/j.ejogrb.2016.08.034 PMid:27599094

Al-Rubaie ZT, Hudson HM, Jenkins G, Mahmoud I, Ray JG, Askie LM, et al. Prediction of pre-eclampsia in nulliparous women using routinely collected maternal characteristics: A model development and validation study. BMC Pregnancy Childbirth. 2020;20(1):23. https://doi.org/10.1186/s12884-019-2712-x PMid:31906891

Amin O, Tasnim N, Naeem S. Prevention of pre-eclampsia with low dose aspirin in primigravida. Women’s Health. 2020;9(1):28-32. https://doi.org/10.15406/mojwh.2020.09.00264

Burton GJ, Redman CW, Roberts JM, Moffett A. Pre-eclampsia: Pathophysiology and clinical implications. BMJ. 2019;366:1-15. https://doi.org/10.1136/bmj.l2381

Statistics H. Profil Kesehatan Indonesia 2020, Pusat Data dan Informasi Profi Kesehatan Indonesia. Jakarta: Kementerian Kesehatan; 2020. https://doi.org/10.6066/jtip.2013.24.2.121

de Souza Rugolo LM, Bentlin MR, Trindade CE. Preeclampsia: Effect on the fetus and newborn. Neoreviews. 2011;12(4):e198-206. https://doi.org/10.1542/neo.12-4-e198

Park HJ, Shim SS, Cha DH. Combined screening for early detection of pre-eclampsia. Int J Mol Sci. 2015;16(8):17952-74. https://doi.org/10.3390/ijms160817952 PMid:26247944

El Sayed SL, Desoky MM. Effect of lifestyle alteration of pregnant women with mild preeclampsia on maternal and fetal status. JOJ Nurse Health Care. 2019;10(1):1-7.

Nooh AM, Abdeldayem HM. Changes in platelet indices during pregnancy as potential markers for prediction of preeclampsia development Open J Obstet Gynecol. 2015;5(12):703-12. https://doi.org/10.4236/ojog.2015.512099

Aparicio E, Jardí C, Bedmar C, Pallejà M, Basora J, Arija V, et al. Nutrient intake during pregnancy and post-partum: ECLIPSES study. Nutrients. 2020;12(5):1325. https://doi.org/10.3390/nu12051325 PMid:32392706

Samur G, Akkuş OO, Ede G, Ayaz A, Akyol A, Akkuş M, Danışman N. Nutritional status among women with preeclampsia and healthy pregnant women. Prog Nutr. 2016;18(4):360-8.

Mousa A, Naqash A, Lim S. Macronutrient and micronutrient intake during pregnancy: An overview of recent evidence. Nutrients. 2019;11(2):443. https://doi.org/10.3390/nu11020443 PMid:30791647

Fox R, Kitt J, Leeson P, Aye CY, Lewandowski AJ. Preeclampsia: Risk factors, diagnosis, management, and the cardiovascular impact on the offspring. J Clin Med. 2019;8(10):1625. https://doi.org/10.3390/jcm8101625 PMid:31590294

Berliana SM, Kristinadewi PA, Rachmawati PD, Fauziningtyas R, Efendi F, Bushy A. Determinants of early marriage among female adolescent in Indonesia. Int J Adolesc Med Health. 2021;33(1):32-44. https://doi.org/10.1515/ijamh-2018-0054

Ulhaq RA, Anis W, Fatmaningrum W, Akbar MI. Association between pre-pregnancy body mass index and gestational weight gain and the risk of preeclampsia: A systematic review and meta-analysis. Asian Pac J Reprod. 2021;10(1):1-10. https://doi.org/10.4103/2305-0500.306431

oast E, Jones E, Lattof SR, Portela A. Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: A systematic review. Health Policy Plan. 2016;31(10):1479-91. https://doi.org/10.1093/heapol/czw065 PMid:27190222

Khowaja AR, Qureshi RN, Sheikh S, Zaidi S, Salam R, Sawchuck D, et al. Community’s perceptions of pre-eclampsia and eclampsia in Sindh Pakistan: A qualitative study. Reprod Health. 2016;13 Suppl 1:36. https://doi.org/10.1186/s12978-016-0136-x PMid:27357953

Diana R, Rachmah Q. Nutrition intervention of pregnant adolescents: A systematic review. Nutr Food Sci. 2020;51(2):234-43. https://doi.org/10.1108/nfs-03-2020-0096

Schoenaker DA, Soedamah-Muthu SS, Mishra GD. The association between dietary factors and gestational hypertension and pre-eclampsia: A systematic review and meta-analysis of observational studies. BMC Med. 2014;12:157. https://doi.org/10.1186/s12916-014-0157-7 PMid:25241701

Symington EA, Baumgartner J, Malan L, Zandberg L, Ricci C, Smuts CM. Nutrition during pregnancy and early development (NuPED) in urban South Africa: A study protocol for a prospective cohort. BMC Pregnancy Childbirth. 2018 24;18(1):308. https://doi.org/10.1186/s12884-018-1943-6 PMid:30041623

Dewi NU, Mahmudiono T. Effectiveness of food fortification in improving nutritional status of mothers and children in Indonesia. Int J Environ Res Public Health. 2021;18(4):2133. https://doi.org/10.3390/ijerph18042133 PMid:33671696

Morente F, Ferràs X, Žižlavský O. Cultural innovation models: review and proposal for next steps cultural models of innovation. Univ Empres. 2018;20(4):53-81. https://doi.org/10.12804/revistas.urosario.edu.co/empresa/a.5433

Campinha-Bacote J. The process of cultural competence in the delivery of healthcare services: A model of care. J Transcult Nurs. 2002;13(3):181-4; discussion 200-1. https://doi.org/10.1177/10459602013003003 PMid:12113146

Akeju DO, Vidler M, Oladapo OT, Sawchuck D, Qureshi R, von Dadelszen P, et al. “Community perceptions of pre-eclampsia and eclampsia in Ogun state, Nigeria: A qualitative study. Reprod Health. 2016;13 Suppl 1:57. https://doi.org/10.1186/s12978-016-0134-z PMid:27357695

Sami J, Quack Lötscher KC, Eperon I, Gonik L, de Tejada BM, et al. Giving birth in Switzerland: A qualitative study exploring migrant women’s experiences during pregnancy and childbirth in Geneva and Zurich using focus groups. Reprod Health. 2019;16(1):112. https://doi.org/10.1186/s12978-019-0771-0 PMid:31331344

Im EO, Lee Y. Transcultural nursing: Current trends in theoretical works. Asian Nurs Res (Korean Soc Nurs Sci). 2018;12(3):157-65. https://doi.org/10.1016/j.anr.2018.08.006 PMid:30179700

Roberts JM, August PA, Bakries J, Barton JR, Beirnstain IM, Druzin M, et al. ACOG Guidelines: Hypertension in Pregnancy; 2012.

Ghosh S, Ghosh S. Maternal health and nutrition. Nutr Child Care A Pract Guid. 2004;1-9.

Koenig MD. Nutrient intake during pregnancy. J Obstet Gynecol Neonatal Nurs. 2017;46(1):120-2. PMid:27875675

Joewono HT, Sulistyono A, Haslinda Y, A. Maternal and perinatal outcome of women with obesity in pregnancy. Syst Rev Pharm. 2020;11(2):690-4.

Gebreweld A, Tsegaye A. Prevalence and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Adv Hematol. 2018;2018:3942301. https://doi.org/10.1155/2018/3942301 PMid:30245724

Lowe SA, Bowyer L, Lust K, McMahon LP, Morton M, North RA, et al. The SOMANZ Guideline for the Management of Hypertensive Disorders of Pregnancy, SOMANZ Guidelines; 2014. p. 8.

Brion MJ, Ness AR, Rogers I, Emmett P, Cribb V, Smith GD, et al. Maternal macronutrient and energy intakes in pregnancy and offspring intake at 10 y: Exploring parental comparisons and prenatal effects. Am J Clin Nutr. 2010;91(3):748-56. https://doi.org/10.3945/ajcn.2009.28623 PMid:20053880

Oh C, Keats EC, Bhutta ZA. Vitamin and mineral supplementation during pregnancy on maternal, birth, child health and development outcomes in low-and middle-income countries: A systematic review and meta-analysis. Nutrients. 2020;12(2):491. https://doi.org/10.3390/nu12020491 PMid:32075071

Fogacci S, Fogacci F, Banach M, Michos ED, Hernandez AV, Lip GY, et al. Vitamin D supplementation and incident preeclampsia: A systematic review and meta-analysis of randomized clinical trials. Clin Nutr. 2020;39(6):1742-52. https://doi.org/10.1016/j.clnu.2019.08.015 PMid:31526611

Meija L, Rezeberga D. Guidelines: Proper Maternal Nutrition during Pregnancy Planning and Pregnancy: A Healthy Start in Life Recommendations for Health Care Specialists-WHO-OMS. Geneva: World Health Organization; 2017. p. 1-31.

Lee SE, Lee MH, Peters AB, Gwon SH. Assessment of patient safety and cultural competencies among senior baccalaureate nursing students. Int J Environ Res Public Health. 2020;17(12):4225. https://doi.org/10.3390/ijerph17124225 PMid:32545746

Kaihlanen AM, Hietapakka L, Heponiemi T. Increasing cultural awareness: Qualitative study of nurses’ perceptions about cultural competence training. BMC Nurs. 2019;18:38. https://doi.org/10.1186/s12912-019-0363-x PMid:31440116

Hussen SA, Kuppalli K, Castillo-Mancilla J, Bedimo R, Fadul N, Ofotokun I. Cultural competence and humility in infectious diseases clinical practice and research. J Infect Dis. 2020;222 Suppl 6:S535-42. https://doi.org/10.1093/infdis/jiaa227 PMid:32926742

Bengre A. Transcultural nursing: Cultural competence in nurses. Int J Nurs Educ. 2012;4(1):5-7.

Downloads

Published

2021-10-07

How to Cite

1.
Azza A, Susilo C. The Cultural Assessment Model as an Evaluation Indicator for Nutritional Adequacy in Pregnant Women with Pre-eclampsia. Open Access Maced J Med Sci [Internet]. 2021 Oct. 7 [cited 2021 Oct. 19];9(G):143-8. Available from: https://oamjms.eu/index.php/mjms/article/view/6627

Issue

Section

Nursing in Gynecology and Obstetrics

Categories