MINISTRY OF EDUCATION AND TRAINING MINISTRY OF HEALTH UNIVERSITY OF PUBLIC HEALTH
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VAN QUANG TAN
NUTRITIONAL STATUS BEFORE AND DURING PREGNANCY OF MOTHERS AND LENGTH AND WEIGHT OF NEWBORNS
BORN IN BINH DUONG PROVINCE 2010 - 2012
DOCTORAL THESIS IN PUBLIC HEALTH
HANOI – 2015
.
MINISTRY OF EDUCATION AND TRAINING MINISTRY OF HEALTH UNIVERSITY OF PUBLIC HEALTH
--------------
VAN QUANG TAN
NUTRITIONAL STATUS BEFORE AND DURING PREGNANCY OF MOTHERS AND LENGTH AND WEIGHT OF NEWBORNS
BORN IN BINH DUONG PROVINCE 2010 - 2012
MAJORITY: PUBLIC HEALTH CODE: 62-72-03-01
SCIENTIFIC INSTRUCTOR: PROFESSOR LE THI HOP
HANOI – 2015
.
COMMITMENT
I hereby certify that this is my own research work. The data and results in this thesis are true and have not been published in any other work.
PhD student
Van Quang Tan
INDEX
LIST OF ABBREVIATIONS | |
LIST OF TABLES - CHARTS - DIAGRAMS | |
PROBLEM STATEMENT | 1 |
RESEARCH OBJECTIVES | 3 |
CHAPTER 1. OVERVIEW OF DOCUMENTS | 4 |
1.1. Nutritional status in women of childbearing age | 4 |
1.1.1. Concept of malnutrition | 4 |
1.1.2. Methods for assessing the nutritional status of adults | 4 |
1.1.3. Chronic energy deficiency | 6 |
1.1.4. Nutritional anemia | 7 |
1.1.5. Nutritional status in women of childbearing age | 10 |
1.2. Nutritional status of infants | 19 |
1.2.1. Characteristics of normal fetal development in the uterus. | 19 |
1.2.2. Classification of low birth weight babies | 19 |
1.2.3. Current status of low birth weight babies | 21 |
1.2.4. Current status of child malnutrition | 24 |
1.3. Maternal nutrition and health factors related to children | 30 |
1.3.1. Mother's nutrition before pregnancy | 30 |
1.3.2. Maternal nutrition during pregnancy | 32 |
1.3.3. Other factors | 33 |
CHAPTER 2. RESEARCH OBJECTS AND METHODS | 36 |
2.1. Research subjects | 36 |
2.1.1. Selection criteria for research | 36 |
2.1.2. Research location and time | 37 |
2.2. Research method | 38 |
2.2.1. Research design | 38 |
2.2.2. Sample size | 38 |
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2.2.4. Description of research steps | 42 |
2.2.5. Definition and listing of research variables | 44 |
2.2.6. Data collection methods and evaluation criteria | 45 |
2.2.7. Standards for evaluating nutritional anthropometric and hematological indices | 47 |
2.2.8. Data processing and analysis | 48 |
2.2.9. Error control measures | 49 |
2.2. 10. Ethics in research | 50 |
CHAPTER 3. RESULTS | 51 |
3.1. Mother's nutritional status before and during pregnancy | 51 |
3.1.1. General characteristics of PNTSD with screening stage | 51 |
3.1.2. General characteristics of PNCT participating in the cohort study | 55 |
3.2. Status of length and weight of children at birth | 64 |
3.3. Relationship between maternal nutritional factors and length and weight birth weight | 69 |
3.3.1. Relationship between maternal nutritional status and child length at birth | 69 |
3.3.2. The relationship between maternal nutritional status and child weight at birth born. | 74 |
CHAPTER 4. DISCUSSION | 85 |
4.1. Mother's nutritional status before and during pregnancy | 86 |
4.2. Nutritional status of children at birth 4.3. Relationship between newborn weight and length and maternal factors | 96 99 |
CONCLUDE | 108 |
RECOMMENDATION | 111 |
REFERENCES – APPENDIX |
2.2.3. Sampling and research grouping
LIST OF ABBREVIATIONS
World Health Organization Commission on Nutrition (Administrative Committee on Coordination) | |
BMI | Body Mass Index |
BVSKBMTE | Protecting maternal and child health |
CC CD | Height Length |
CN SS | Weight Newborn |
CNSS | Birth weight |
CNSST | Low birth weight |
EU | European Union |
FAO | Food and Agriculture Organization of the United Nations (Food and Agriculture Organization) |
IUGR | Intrauterin Growth Retardation Restoration) |
Family Planning | Family planning |
LBW | Low Birth Weight |
PN | Women |
PNTSD PNCT | Women of childbearing age Pregnant women |
SD | Standard Deviation |
SDD | Malnutrition |
SDDBT | Fetal malnutrition |
SSNC | Low birth weight |
WHO | World Health Organization |
TB | Medium |
Chronic lack of energy | |
TSĐ | Childbearing age |
TT - GDSK | Health education communication |
TTDD | Nutritional status |
VDD | Institute of Nutrition |
WHO | World Health Organization |
YNSKCĐ | Public health significance |
LIST OF TABLES
Rate of anemia in pregnant Vietnamese women by ecological region | 15 | |
Table 1.2 | Prevalence of anemia in non-pregnant Vietnamese women by ecological region | 16 |
Table 1.3 | Rate of malnutrition among children under 5 years old in the period 2009 - 2013 in Binh Duong | 28 |
Table 3.1 | Some general information of PNTSĐ – PNCT participating in the research. | 52 |
Table 3.2 | Characteristics of weight, height and BMI of PNTĐ participating in the study save the screening stage | 53 |
Table 3.3 | The relationship between epidemiological factors and the health status of PWD participants screening study | 54 |
Table 3.4 | General information of PNCT by BMI group participating in the pure study practice. | 56 |
Table 3.5 | Distribution of characteristics of age, weight, height, BMI and Hemoglobin of PNCT by TTDD group. | 57 |
Table 3.6 | Maternal weight gain during pregnancy | 59 |
Table 3.7 | Characteristics of weight and blood hemoglobin of pregnant women before pregnancy born in 2 groups of TTDD. | 61 |
Table 3.8 | Understanding of prenatal check-ups, weight gain, and anemia in women before pregnancy pregnancy | 62 |
Table 3.9 | Work practices, iron intake, sleep duration during pregnancy Mothers follow 2 TTDD groups. | 63 |
Table 3.10 | Distribution of weight and length by sex of newborn babies . | 65 |
Table 3.11 | Distribution of gestational age at birth of children according to 2 groups of maternal nutritional status | 66 |
Table 3.12 | Distribution of newborn weight according to 2 groups of maternal nutritional status | 68 |
Table 3.13 | Distribution of length of children at birth according to 2 groups of maternal height. | 69 |
Table 3.14 | The relationship between maternal epidemiological factors and child length at birth. | 70 |
Table 3.15 | The relationship between height, weight, BMI, and anemia during pregnancy mother with the length of the child at birth. | 71 |
Table 3.16 | The relationship between maternal weight and anemia before birth | 72 |





