Publisher：Nutrients  

This study examined the association of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) intake during the second trimester with low birth weight (LBW) in pregnant Japanese women and was conducted in conjunction with the Japan Pregnancy Eating and Activity Cohort (J-PEACH) study. The study included 504 pregnant women from four Japanese sites. During the second trimester (14–27 weeks), the participants filled out a self-administered questionnaire assessing the frequency of DHA and EPA supplement intake in the past month, as well as a brief-type self-administered diet history questionnaire (BDHQ). The analysis involved data from two time points: responses to the BDHQ and infant data at birth. In total, 471 and 33 participants were classified into the normal birth weight and LBW groups, respectively. The participants were divided into high-, medium-, and low-intake groups based on their total dietary and EPA and DHA supplementary intakes. The Cochran–Armitage trend test was used to analyze the data; the prevalence of LBW was higher in the low-intake group (p = 0.04). There was no significant sex-based trend (p = 0.27 and p = 0.35). In Japanese women, low dietary and supplementary EPA and DHA intake until the second trimester were risk factors for LBW.

DOI： 10.3390/nu15224831

Scopus

Publisher：Nutrients  

Nausea and vomiting in pregnancy (NVP) is a common symptom. Although the influence of NVP during the first trimester on dietary intake and birth outcomes has been revealed, no study has focused on NVP during the second trimester. This study aimed to reveal whether NVP severity during the second trimester is associated with dietary intake, gestational weight gain (GWG), birth weight, and delivery week. Participants completed a questionnaire at 18–27 gestational weeks. NVP severity was assessed using the modified Pregnancy-Unique Quantification of Emesis and Nausea scale in the questionnaire. Dietary habits were assessed using a brief-type diet history questionnaire. In total, 825 responses were analyzed: 202 (24.5%), 135 (16.4%), and 8 (1.0%) women reported mild, moderate, and severe NVP, respectively; 480 (58.2%) women did not have NVP during the second trimester. No significant association was observed between energy and nutrient intake and no/mild and moderate/severe NVP. Women with moderate/severe NVP had lower total GWG than those with no/mild NVP (p = 0.007). There was no significant difference in low birth weight and preterm birth rates (p = 0.246 and p = 0.604). This is the first study to investigate whether NVP severity during the second trimester is associated with dietary intake and birth outcomes.

DOI： 10.3390/nu15153383

Scopus

Language：English  

Background: Ensuring an appropriate continuum of care in maternal, newborn, and child health, as well as providing nutrition care, is challenging in remote areas. To make care accessible for mothers and infants, we developed a telehealth care system called Portable Health Clinic for Maternal, Newborn, and Child Health. / Objective: Our study will examine the telehealth care system’s effectiveness in improving women’s and infants’ care uptake and detecting their health problems. / Methods: A quasi-experimental study will be conducted in rural Bangladesh. Villages will be allocated to the intervention and control areas. Pregnant women (≥16 gestational weeks) will participate together with their infants and will be followed up 1 year after delivery or birth. The intervention will include regular health checkups via the Portable Health Clinic telehealth care system, which is equipped with a series of sensors and an information system that can triage participants’ health levels based on the results of their checkups. Women and infants will receive care 4 times during the antenatal period, thrice during the postnatal period, and twice during the motherhood and childhood periods. The outcomes will be participants’ health checkup coverage, gestational and neonatal complication rates, complementary feeding rates, and health-seeking behaviors. We will use a multilevel logistic regression and a generalized estimating equation to evaluate the intervention’s effectiveness. / Results: Recruitment began in June 2020. As of June 2022, we have consented 295 mothers in the study. Data collection is expected to conclude in June 2024. / Conclusions: Our new trial will show the effectiveness and extent of using a telehealth care system to ensure an appropriate continuum of care in maternal, newborn, and child health (from the antenatal period to the motherhood and childhood periods) and improve women’s and infants’ health status.

DOI： 10.2196/41586

CiNii Research

Publisher：東京医学社  

DOI： 10.24479/peri.0000000026

CiNii Research

Language：Japanese   Publisher：(株)東京医学社  

オンラインでの両親学級および母親学級の受講状況や受講満足度を調査し、有用性とその課題について検討した。対象は全国の妊娠中期以降に満20歳以上であった単胎妊娠者で、無記名自記式のWebアンケート調査を実施した結果、回答数は1013名であった。そのうち、対象基準に合った1002名(平均31.0歳、平均妊娠週数21.7週、初産80.1%)を分析対象とした。全体の妊婦1002名における両親学級および母親学級の受講状況は、「対面でのみ受講した」286名(28.5%)、「オンラインでのみ受講した」71名(7.0%)、「両方で受講した」80名(8.0%)、「どちらも受講していない」565名(56.4%)であった。全体の妊婦1002名のうち、オンラインで両親学級または母親学級が実施されているところがあることを知っていた妊婦は653名(65.2%)、実際にオンラインで両親学級または母親学級を受講した妊婦は151名(15.1%)であった。オンラインで受講した妊婦151名のうち、オンラインでの受講が、「役に立った」と回答した妊婦は135名(89.3%)、「不安が解消された」と回答した妊婦は117名(77.4%)であった。対面とオンラインの両方で受講した群とオンラインでのみ受講した群を比較した結果、後者において「オンライン両親学級または母親学級があればまた受けたい」と回答した妊婦の割合が有意に高い結果が示された。対面とオンラインの両方で両親学級または母親学級を受講した経験がある妊婦80名のうち、対面受講を好む傾向を示したのは50名(62.5%)、オンライン受講を好む傾向を示したのは6名(7.5%)であった。対面を好む傾向の理由としては、「実際に顔を合わせて話を開きたい」が68.8%ともっとも多かった。

Event date： 2023.6

Language：Japanese  

Country：Japan  

Event date： 2021.6

Language：Japanese  

Country：Indonesia  

Event date： 2019.6

Language：English  

Language：Japanese  

Language：Japanese  

Language：Japanese  

Language：Japanese  

Type：Competition, symposium, etc. 

Type：Competition, symposium, etc. 

杉の子保育園にて「いのちの授業」