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Role of nutrition in pre-eclampsia and eclampsia cases, a case control study

By Punyatoya Bej, Pragti Chhabra, Arun Kumar Sharma and Kiran Guleria

Abstract

<p><strong>Background</strong>: Preeclampsia and eclampsia during pregnancy contribute to maternal and fetal morbidity as well as mortality. The identification of the role of maternal nutrition during pregnancy will help in reducing morbidity and mortality. <strong>Aims &amp;</strong> <strong>Objective:</strong> The objective of this study is to find out the role of nutrition, in the form of total calorie, protein, fruits, iron, folic acid and calcium intake in the development of preeclampsia and eclampsia among pregnant women in a tertiary level hospital. <strong>Material Methods:</strong> After ethical approval and informed consent, 122 women who delivered beyond 22 weeks of gestation and diagnosed as preeclampsia or eclampsia were selected. Simultaneously, 122 controls with no diagnosis of preeclampsia or eclampsia were selected from the post natal ward. Cases and controls were administered the same pre-tested questionnaire containing questions related to food and micronutrient intake by cases and control. <strong>Results:</strong> Logistic regression was applied in the statistical analysis. The factors that were found to be significant predictors of risk for development of preeclampsia and eclampsia were higher calorie intake (adjusted Odds Ratio (OR) 14.12 [6.41-43.23] P &lt; 0.001), less protein intake (adjusted OR 3.87 [1.97-8.01] P &lt; 0.001) during pregnancy. Fruits intake in both cases and controls were similar. 77.9% of cases and 84.4% of controls had taken iron tablets during their antenatal period. 75.4% of cases and 82.8% of controls had taken calcium tablets during their antenatal period. Iron and calcium intake is not significantly associated with development of preeclampsia and eclampsia. <strong>Conclusion:</strong> Higher calorie intake and less protein intake during pregnancy were associated with development of preeclampsia and eclampsia. Fruits intake, iron and calcium intake were not associated with development of preeclampsia and eclampsia</p

Topics: Maternal nutrition, preeclampsia and eclampsia, iron and calcium intake, calorie and protein intake, Medicine, R, Public aspects of medicine, RA1-1270
Publisher: Indian Association of Preventive and Social Medicine, Uttar Pradesh & Uttarakhand
Year: 2014
OAI identifier: oai:doaj.org/article:ebcbf61d73e2408b9a4b0b7f7c331952
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