Sanitation and Multiple Micronutrient Supplementation in Pregnancy Outcomes: Literature Review

Authors

  • Miranti Miranti Department of Public Health, Student of Doctoral Program Public Health, Hasanuddin University, Makassar, Indonesia
  • A. Arsunan Arsin Department of Epidemiology, Hasanuddin University, Makassar, Indonesia
  • Ridwan Amiruddin Department of Epidemiology, Hasanuddin University, Makassar, Indonesia
  • Veny Hadju Department of Nutrition, Hasanuddin University, Makassar, Indonesia
  • Atjo Wahyu Department of Occupational Safety and Health, Hasanuddin University, Makassar, Indonesia
  • Sukri Palutturi Department of Health Policy and Administration, Hasanuddin University, Makassar, Indonesia
  • Muhammad Basir-Cyio Department of Agriculture, Tadulako University, Palu, Indonesia
  • Muhammad Sabir Department of Medical Microbiology and Biomedical Science of Medicine, Tadulako University, Palu, Indonesia
  • Diah Mutiarasari Department of Medicine, Tadulako University, Palu, Indonesia
  • Haerani Harun Department of Medicine, Tadulako University, Palu, Indonesia
  • Rahma Rahma Department of Medicine, Tadulako University, Palu, Indonesia
  • Rosa Dwi Wahyuni Department of Medicine, Tadulako University, Palu, Indonesia
  • Ketut Suarayasa Department of Medicine, Tadulako University, Palu, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9052

Keywords:

Sanitation, Pregnancy, Multiple micro nutrients

Abstract

BACKGROUND: Around 2.6 billion people lack proper sanitation. In addition, nutritional problems such as multiple micronutrient (MMN) deficiency can increase morbidity, mortality, and impaired neurocognitive growth at later stages of life. In addition to the need for a sanitary approach, a globally applicable strategy to prevent micronutrient deficiencies in pregnant women, UNICEF recommends the use of MMN for prenatal supplementation as an initial program in developing countries, to reduce the risk of poor birth outcomes.

AIM: The aim of this literature study was to analyze the relationship between sanitation and the multimicronutrient (MMN) approach in pregnancy and birth outcomes.

METHODS: This research was conducted using literature review method. Various references were collected from online database including reports, journals, and books. The journals were mostly from the scholarly journals. The articles were screened according to the research objectives. The keywords used are sanitation, pregnancy, and multiple micronutrient approach.

RESULTS: Several studies have shown that sanitation and the multi micronutrient (MMN) approach play a role in determining pregnancy outcomes. We conclude that the importance of sanitation on pregnancy outcome is to reduce the chance of infection. The importance of MMN in pregnancy outcomes is that mothers who consume MMN during pregnancy can reduce the risk of poor birth output. The role of stakeholders is needed in the future.

CONCLUSIONS: Several studies have shown that sanitation and multi micronutrient (MMN) play a role in determining pregnancy outcome.

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References

Hanieh S, Ha TT, Simpson JA, Casey GJ, Khuong NC, Thoang DD, et al. The effect of intermittent antenatal iron supplementation on maternal and infant outcomes in rural Viet Nam: a cluster randomised trial. PLoS Med. 2013;10(6):e1001470. https://doi.org/10.1371/journal.pmed.1001470 PMid:23853552 DOI: https://doi.org/10.1371/journal.pmed.1001470

Maggizi S, Pierre A, Calder AP. Immune function and micronutrient requirements. Nutrients. 2018;10(10):1531. https://doi.org/10.3390/nu10101531 PMid:30336639 DOI: https://doi.org/10.3390/nu10101531

World Health Organization. Maternal Mortality. Geneva, Switzerland: Department of Reproductive Health and Research World Health Organization; 2014.

Chauhan S, Patel R, Bansod D. Are we ignoring the importance of sanitation while mourning the adverse pregnancy outcomes? Clin Mother Child Health. 2020;17:1-3.

Dalmiya N, Darnton-Hill I, Schultink W, Shrimpton R. Multiple micronutrient supplementation during pregnancy: A decade of collaboration in action. Food Nutr Bull. 2009;30(4):S477-9. https://doi.org/10.1177/15648265090304s401 DOI: https://doi.org/10.1177/15648265090304S401

Haider BA, Bhutta ZA. Multiple-micronutrient supplementation for women during pregnancy. Cochrane Database Syst Rev. 2017;4(4):CD004905. https://doi.org/10.1002/14651858.cd004905.pub5 PMid:30873598 DOI: https://doi.org/10.1002/14651858.CD004905.pub5

Benova L, Cumming O, Campbell OM. Systematic review and meta-analysis: Association between water and sanitation environment and maternal mortality. Trop Med Int Health. 2014;19(4):368-87. https://doi.org/10.1111/tmi.12275 PMid:24506558 DOI: https://doi.org/10.1111/tmi.12275

Brown J, Cairncross S, Ensink JH. Water, sanitation, hygiene and enteric infections in children. Arch Dis Child. 2013;98(8):629-34. https://doi.org/10.1136/archdischild-2011-301528 PMid:23761692 DOI: https://doi.org/10.1136/archdischild-2011-301528

Shrimpton R, Huffman SL, Zehner ER, Darnton-Hill I, Dalmiya N. Multiple micronutrient supplementation during pregnancy in developing-country settings: Policy and program implications of the results of a meta-analysis. Food Nutr Bull. 2009;30(4):S556-73. https://doi.org/10.1177/15648265090304s410 PMid:20120797 DOI: https://doi.org/10.1177/15648265090304S410

The Supplementation with Multiple Micronutrients Intervention Trial (SUMMIT) Study Group. Effect of maternal multiple micronutrients supplementation on fetal loss and infant death in Indonesia: A double blind cluster-randomised trial. Lancet. 2008;371(9608):215-27. https://doi.org/10.1016/s0140-6736(08)60133-6 PMid:18207017 DOI: https://doi.org/10.1016/S0140-6736(08)60133-6

Smith ER, Shankar AH, Wu LS, Aboud S, Adu-Afarwuah S, Ali H, et al. Modifiers of the effect of maternal multiple micronutrient supplementation on stillbirth, birth outcomes, and infant mortality: A meta-analysis of individual patient data from 17 randomised trials in low-income and middle-income countries. Lancet Global Health. 2017;5(11):e1090-100. https://doi.org/10.1016/s2214-109x(17)30371-6 PMid:29025632 DOI: https://doi.org/10.1016/S2214-109X(17)30371-6

Padhi BK, Baker KK, Dutta A, Cumming O, Freeman MC, Satpathy R, et al. Risk of adverse pregnancy outcomes among women practicing poor sanitation in rural India: A population-based prospective cohort study. PLOS Med. 2015;12(7):e1001851. https://doi.org/10.1371/journal.pmed.1001851 PMid:26151447 DOI: https://doi.org/10.1371/journal.pmed.1001851

Vuori L, Christiansen N, Clement J, Mora JO, Wagner M, Herrera MG. Nutritional supplementation and the outcome of pregnancy. II. Visual habituation at 15 days. Am J Clin Nutr. 1979;32(2):463-9. https://doi.org/10.1093/ajcn/32.2.463 DOI: https://doi.org/10.1093/ajcn/32.2.463

Miranti M, Mutiarasari D, Arsin AA, Hadju V, Mallongi A, Nur R, et al. Determinants of the incidence of stunting in the working area of KinovaroSigi Health Center. Enferm Clin. 2020;30(4):246-52. https://doi.org/10.1016/j.enfcli.2019.10.077 DOI: https://doi.org/10.1016/j.enfcli.2019.10.077

Patel R, Gupta A, Chauhan S, Bansod DW. Effects of sanitation practices on adverse pregnancy outcomes in India: A conducive finding from recent Indian demographic health survey. BMC Pregnancy Childbirth. 2019;19(1):378. https://doi.org/10.1186/s12884-019-2528-8 PMid:31651276 DOI: https://doi.org/10.1186/s12884-019-2528-8

Schaefer E. Micronutrient Deficiency in Women Living in Industrialized Countries During the Reproductive Years: Is there a Basis for Supplementation with Multiple Micronutrients? J Nutr Disord Ther. 2016;6:4. https://doi.org/10.4172/2161-0509.1000199 DOI: https://doi.org/10.4172/2161-0509.1000199

Wang YF, Pei LJ, Song XM, Chen G, Zheng XY. Impact of periconceptional multi-micronutrient supplementation on gestation: A population-based study. Biomed Environ Sci. 2013;26(1):23-31. PMid:23294612

Baumgartner J. Comment Antenatal multiple micronutrient supplementation: Benefits beyond iron-folic acid alone. Lancet Global Health. 2017;5(11):e1050-1. https://doi.org/10.1016/s2214-109x(17)30389-3 DOI: https://doi.org/10.1016/S2214-109X(17)30389-3

Fall CH, Fisher DJ, Osmond C, Margetts BM, Maternal Micronutrient Supplementation Study Group. Multiple micronutrient supplementation during pregnancy in low-income countries: A meta-analysis of effects on birth size and length of gestation. Food Nutr Bull. 2009;30(4):S533-46. https://doi.org/10.1177/15648265090304s408 PMid:20120795 DOI: https://doi.org/10.1177/15648265090304S408

Ronsmans C, Fisher DJ, Osmond C, Margetts BM, Fall CH, Maternal Micronutrient Supplementation Study Group. Multiple micronutrient supplementation during pregnancy in low-income countries: A meta-analysis of effects on stillbirths and on early and late neonatal mortality. Food Nutr Bull. 2009;30(4):S547-55. https://doi.org/10.1177/15648265090304s409 PMid:20120796 DOI: https://doi.org/10.1177/15648265090304S409

Devakumar D, Fall CH, Sachdev HS, Margetts BM, Osmond C, Wells JC, et al. Maternal antenatal multiple micronutrient supplementation for long-term health benefits in children: A systematic review and meta-analysis. BMC Med. 2016;14:90. https://doi.org/10.1186/s12916-016-0633-3 PMid:27306908 DOI: https://doi.org/10.1186/s12916-016-0633-3

Nguyen PH, Young M, Gonzalez-Casanova I, Pham HQ, Nguyen H, Truong TV, et al. Impact of preconception micronutrient supplementation on anemia and iron status during pregnancy and postpartum: A randomized controlled trial in rural Vietnam. PLoS One. 2016;11(12):e0167416. https://doi.org/10.1371/journal.pone.0167416 PMid:27918586 DOI: https://doi.org/10.1371/journal.pone.0167416

Kawai K, Spiegelman D, Shankar AH, Fawzi WW. Maternal multiple micronutrient supplementation and pregnancy outcomes in developing countries: Meta-analysis and meta-regression. Bull World Health Organ. 2011;89(6):402-11B. https://doi.org/10.2471/blt.10.083758 PMid:21673856 DOI: https://doi.org/10.2471/BLT.10.083758

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Published

2022-05-12

How to Cite

1.
Miranti M, Arsin AA, Amiruddin R, Hadju V, Wahyu A, Palutturi S, Basir-Cyio M, Sabir M, Mutiarasari D, Harun H, Rahma R, Wahyuni RD, Suarayasa K. Sanitation and Multiple Micronutrient Supplementation in Pregnancy Outcomes: Literature Review. Open Access Maced J Med Sci [Internet]. 2022 May 12 [cited 2024 Apr. 26];10(F):380-5. Available from: https://oamjms.eu/index.php/mjms/article/view/9052

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