Postpartum traditions and nutrition practices among urban Lao women and their infants in Vientiane, Lao PDR
Postpartum traditions and nutrition practices among urban Lao women and their infants in Vientiane, Lao PDR
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DOI：
10.1038/sj.ejcn.1602928
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发表时间：
2009-03-01
影响因子：
4.7
通讯作者：
Strobel, M.
中科院分区：
文献类型：
--
作者：
Barennes, H.;Simmala, C.;Strobel, M.
背景/目的：评估传统产后实践、母婴营养状况及相关因素。主题/方法：在老挝首都万象郊区随机选择的41个村庄进行横断面研究。300对婴儿（< 6个月大）及其母亲入组。通过标准化的调查表收集关于怀孕、分娩和传统做法的信息。膳食摄入量和食物频率估计使用24小时回忆法，校准碗和粮农组织食物成分表。母亲和婴儿的人体测量进行了评估和多变量analysisperformed.Results：对比高产前保健出勤率（91%）和卫生专业人员的监督下交付（72%），发现一个高流行率的传统做法，包括暴露于热床的余烬（97%），使用传统的草药茶作为唯一的饮料（95%）和限制饮食（90%）。25名母亲（8.3%）体重不足。母亲的热量（55.6%）、脂质（67.4%）、铁（92.0%）、维生素A（99.3%）和C（45%）、硫胺素（96.6%）和钙（96.6%）摄入不足。53.7%的母亲将咀嚼糯米作为婴儿早期（平均34.6天，95%CI：29.3-39.8天）的辅食，并与10%的儿童发育迟缓有关（OR=1.35，95%CI：1.04-1.75）。结论：老挝城市传统产后限制饮食和做法的高度流行，以及孕产妇营养摄入不足，表明产前护理可能是改善产后饮食的重要机会。
Background/Objective: To assess the traditional postpartum practices, mother and child nutritional status and associated factors.Subjects/Methods: A cross-sectional study in 41 randomly selected villages on the outskirts of Vientiane capital city, Lao PDR (Laos). 300 pairs of infants (< 6 months of age) and their mothers were enrolled. Information was collected about pregnancy, delivery and traditional practices through a standardized questionnaire. Dietary intake and food frequency were estimated using the 24 h recall method, calibrated bowls and FAO food composition tables. Mothers' and infants' anthropometry was assessed and multivariate analysis performed.Results: Contrasting with a high antenatal care attendance (91%) and delivery under health professional supervision (72%), a high prevalence of traditional practices was found, including exposure to hot beds of embers (97%), use of traditional herb tea as the only beverage (95%) and restricted diets (90%). Twenty-five mothers (8.3%) were underweight. Mothers had insufficient intake of calories (55.6%), lipids (67.4%), iron (92.0%), vitamins A (99.3%) and C (45%), thiamin (96.6%) and calcium (96.6%). Chewed glutinous rice was given to infants as an early (mean 34.6, 95% CI:29.3-39.8 days) complementary food by 53.7% of mothers, and was associated with stunting in 10% children (OR=1.35, 95% CI:1.04-1.75).Conclusion: The high prevalence of traditional postpartum restricted diets and practices, and inadequate maternal nutritional intake in urban Laos, suggest that antenatal care may be an important opportunity to improve postpartum diets.