Knowledge Practice Gap in Maternal Nutrition Among Pregnant Women Attending Antenatal care in Ihiagwa, Owerri West Nigeria: A Cross Sectional Study

References

[1] [1] M. Khammarnia, A. Ansari-Moghaddam, F. G. Kakhki, et al., “Maternal macronutrient and energy intake during pregnancy: a systematic review and meta-analysis,” BMC Public Health (2024), vol. 24, p. 478, doi:10.1186/s12889-024-17862-x.

[2] [2] A. A. Tareke, E. G. Melak, B. K. Mengistu, et al., “Association between maternal dietary diversity during pregnancy and birth outcomes: evidence from a systematic review and meta-analysis,” BMC Nutr (2024), vol. 10, p. 151, doi:10.1186/s40795-024-00960-9.

[3] [3] Z. Figa, T. Temesgen, A. A. Mahamed, and E. Bekele, “The effect of maternal undernutrition on adverse obstetric outcomes among women who attend antenatal care in Gedeo zone public hospitals: cohort study design,” BMC Nutrition (2024), vol. 10, no. 1, p. 64, doi:10.1186/s40795-024-00870-w.

[4] [4] S. K. Alamirew, S. Lemke, B. Stadlmayr, and B. Freyer, “Dietary behaviour and sociocultural determinants of dietary diversity among rural women of reproductive age: a case of Amhara region, Ethiopia,” Nutrients (2023), vol. 15, no. 15, p. 3369.

[5] [5] E. M. Bayked, E. M. Yimer, T. Gelaw, A. S. Mohammed, and N. A. Mekonen, “Dietary knowledge, attitude, practice, and associated factors among pregnant mothers in Ethiopia: a systematic review and meta-analysis,” Front. Public Health (2024), vol. 12, p. 1393764, doi:10.3389/fpubh.2024.1393764.

[6] [6] National Population Commission (NPC) [Nigeria] and ICF, “Nigeria Demographic and Health Survey 2023,” Abuja, Nigeria and Rockville, MD, USA: NPC and ICF, 2024. Available: https://dhsprogram.com/pubs/pdf/FRXXX/FRXXX.pdf.

[7] [7] G. O. Akaba, U. I. Anyang, and B. A. Ekele, “Prevalence and materno-fetal outcomes of preeclampsia/eclampsia amongst pregnant women at a teaching hospital in north-central Nigeria: a retrospective cross-sectional study,” Clin. Hypertens. (2021), vol. 27, p. 20, doi:10.1186/s40885-021-00178-y.

[8] [8] F. A. Olatona, M. E. Sosanya, and O. O. Sholeye, “Dietary diversity and nutritional status of pregnant women in Lagos, Nigeria,” Afr. J. Reprod. Health (2022), vol. 26, no. 2, pp. 45–56.

[9] [9] UNICEF, “Improving maternal nutrition: the first 1000 days,” New York: UNICEF, 2021.

[10] [10] M. Saaka, J. Oladele, and A. Larbi, “Nutritional knowledge and dietary practices among pregnant women in sub-Saharan Africa,” Nutrients (2022), vol. 14, no. 9, p. 1850.

[11] [11]P. H. Nguyen, S. Kachwaha, and L. M. Tran, “Maternal nutrition knowledge and practices in low income settings,” Matern. Child Nutr. (2021), vol. 17, no. 3, p. e13100.

[12] [12] B. O. Ogunba and I. O. Akinyele, “Maternal nutrition knowledge and dietary practices in southwest Nigeria,” Niger J. Nutr. Sci. (2020), vol. 41, no. 1, pp. 12–21.

[13] [13] World Health Organization, “WHO recommendations on antenatal care for a positive pregnancy experience,” Geneva: WHO, 2020.

[14] [14] K. Glanz, B. K. Rimer, and K. Viswanath, Health behavior: theory, research, and practice, 6th ed., San Francisco, CA: Jossey-Bass, 2021.

[15] [15] Z. S. Lassi, S. G. E. Kedzior, and W. Tariq, “Effects of nutrition education on maternal diet,” Cochrane Database Syst. Rev. (2020), no. 3, Art. no. CD009275.

[16] [16] P. U. Agu, F. A. Ogbo, and B. J. Akombi, “Predictors of micronutrient supplementation among pregnant women in Nigeria,” Public Health Nutr. (2021), vol. 24, no. 12, pp. 3802–3810.

[17] [17] G. A. Tesema, M. G. Worku, and A. B. Teshale, “Folic acid supplementation among pregnant women in Africa,” PLoS One (2021), vol. 16, no. 4, e0249252.

[18] [18] Food and Agriculture Organization, “Minimum dietary diversity for women: updated guide,” Rome: FAO, 2021.

[19] [19] National Bureau of Statistics, UNICEF, and Federal Ministry of Health, “Nigeria National Food Consumption and Micronutrient Survey 2022,” Abuja: NBS, 2022.

[20] [20] F. A. Olatona, “Dietary habits, diversity, and predictors among pregnant women attending primary health care centers for antenatal care in Lagos, Nigeria,” J. Fam. Med. Prim. Care (2021), vol. 10, no. 8, pp. 3076–3083.

[21] [21] A. Abubakar et al., “Dietary diversity among pregnant women in northern Nigeria,” Afr. Health Sci. (2020), vol. 20, no. 3, pp. 1250–1258.

[22] [22] Global Nutrition Report, “2022 Global Nutrition Report,” Bristol, UK, 2022.

@article{1714663,
      author = {Chiamaka Judith Ezenwa, Esther Ezeji, Ogechi Chikaodi Nwokeleme, Florence Chinyere Cletus, Joy Adaku Mbachu},
      title = {Knowledge Practice Gap in Maternal Nutrition Among Pregnant Women Attending Antenatal care in Ihiagwa,  Owerri West Nigeria: A Cross Sectional Study},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {9},
      number = {3},
      pages = {2181-2189},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1714663.pdf},
      abstract = {Maternal nutrition remains a critical determinant of pregnancy outcomes, particularly in low- and middle-income countries where preventable complications continue to contribute to maternal and neonatal morbidity and mortality. This study assessed the nutritional knowledge and uptake of required nutrition practices among pregnant women attending antenatal services at Ihiagwa Primary Health Centre, Imo State, Nigeria. A descriptive cross-sectional design was adopted, and 404 pregnant women were recruited using a convenience sampling technique. Data were collected using a semi-structured questionnaire and analyzed with SPSS version 22.0. Findings revealed that 98.0% (396) of respondents had heard about good nutrition during pregnancy. However, despite this high level of awareness, dietary practices were suboptimal. Although 67.6% reported eating three meals daily, the most commonly consumed foods were starch-based, including bread (23.4%), rice (19.8%), and pasta (19.1%), indicating limited dietary diversity. Statistical analysis showed significant associations between nutritional knowledge and socio-demographic factors such as age (p = 0.004), parity (p = 0.003), and educational level (p = 0.0073). While awareness of good nutrition was high among pregnant women attending antenatal services at Ihiagwa Primary Health Centre, knowledge depth and practical implementation remained inadequate. Nutritional counseling and targeted dietary education during antenatal visits should be strengthened to improve maternal nutritional practices and pregnancy outcomes.},
      keywords = {Maternal Nutrition, Pregnancy, Antenatal Care, Nutritional Practice},
      month = {September},
      doi = {https://doi.org/10.64388/IREV9I3-1714663}
  }