A qualitative study on the experiences of the prospective brides about nutritional preparation during the preconception period
Abstract
Background: Stunting is still a nutritional problem in Indonesia, where maternal malnutrition is one of the causes. Studies show that prospective brides and women of childbearing age in Indonesia are not physically and knowledgeably ready for pregnancy. Nutritional preparation is crucial during preconception, as preconception nutritional status can have cross-generational impacts, yet it is often overlooked. Objective: This study aimed to explore the experiences of prospective brides regarding nutritional preparation during the preconception period. Methods: This qualitative research was conducted in Bogor, Indonesia, using in-depth interviews and participatory methods. The main informants of this study were 20 prospective brides selected through convenience sampling. Additionally, 21 key informants were involved for triangulation. Data analysis was conducted by coding verbatim transcripts using NVivo12 software. The results of this study used a pre-determined theme aligned with the research objectives. Result: Almost all informants agreed that preconception nutritional preparation was crucial before marriage. Several nutritional preparation activities carried out by prospective brides emerged from this study, such as pre-pregnancy weight management and eating nutritious and healthier foods. However, many prospective brides still did not perform these activities optimally. Conclusion: Many prospective brides were already putting efforts to undertake nutritional preparation. However, knowledge gaps and misunderstandings among brides and grooms regarding nutritional preparation persist. There is a need to improve their awareness at preconception period and ensure government programs are accessible, equitable, and effective. This study offers new insights into nutritional preparation for brides, an area that is underexplored.Downloads
References
Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). Antisipasi Generasi Stunting Guna Mencapai Indonesia Emas 2045 [Internet]. BKKBN. 2021 [cited 2023 Mar 16]. Available from: https://www.kominfo.go.id/content/detail/32898/indonesia-cegah-stunting-antisipasi-generasi-stunting-guna-mencapai-indonesia-emas-2045/0/artikel_gpr
Kementerian Kesehatan Republik Indonesia. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021 [Internet]. 2021. Available from: https://www.litbang.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/
Sartika AN, Fadhilah TM. Diet Diversity to Assess Diet Quality of Pre-Conception Women in Bekasi, West Java. Journal of Global Nutrition. 2021;1(1):46–55.
Paratmanitya Y, Helmyati S, Nurdiati DS, Lewis EC, Hadi H. Assessing preconception nutrition readiness among women of reproductive age in Bantul, Indonesia: findings from baseline data analysis of a cluster randomized trial. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics). 2021;8(2):68.
Ardiana I, Aps M. Perhitungan Indikator Kinerja Utama BKKBN Tahun 2021 (Pengolahan Pendataan Keluarga Tahun 2021) [Internet]. BKKBN. 2021 [cited 2022 Jul 13]. Available from: https://cis.bkkbn.go.id/latbang/?wpdmpro=paparan-hasil-perhitungan-iku-bkkbn-2021
Young MF, Nguyen PH, Gonzalez Casanova I, Addo OY, Tran LM, Nguyen S, et al. Role of preconception nutrition in offspring growth and risk of stunting across the first 1000 days in Vietnam. PLoS One. 2018;2–10.
Santosa A, Arif EN, Ghoni DA. Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and experimental pediatrics, 65(2), 90. Clin Exp Pediatr. 2022;65(2):90–7.
Stephenson J, Heslehurst N, Hall J, Schoenaker DAJM, Hutchinson J, Cade JE, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. The Lancet. 2018;391(10132):1830–41.
Juan J, Yang H. Early life 1000 days: Opportunities for preventing adult diseases. Chin Med J (Engl). 2022;135(5):516–8.
Marshall NE, Abrams B, Barbour LA, Christian P, Friedman JE, Jr WWH, et al. The importance of nutrition in pregnancy and lactation: lifelong consequences. 2022;226(5):607–32.
Donovan, Mary F; Cascella M. Embryology, Weeks 6-8 [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563181/#!po=94.4444
Branum AM, Ahrens KA. Trends in Timing of Pregnancy Awareness Among US Women. Matern Child Health J. 2017;21(4):715–26.
Kantor Wilayah Kementerian Agama Provinsi Bali. Persyaratan Nikah. Layanan Agama Kecamatan. 2023.
Kellogg, Kristi; Olson, Anna Price; DiGiovanna JM. The Ultimate Wedding-Planning Checklist and Timeline [Internet] Brides. 2023. [cited 2023 Mei 16]. Available from: https://www.brides.com/story/brides-wedding-checklist-custom-wedding-to-do-list
Khan NN, Boyle J, Lang AY, Harrison CL. Preconception health attitudes and behaviours of women: A qualitative investigation. Nutrients. 2019;11(7).
Prichard I, Tiggemann M. An examination of pre-wedding body image concerns in brides and bridesmaids. Body Image. 2008;5(4):395–8.
Kasim R, Draman N, Kadir AA, Muhamad R. Knowledge, Attitudes and Practice of Preconception Care among Women Attending Appointments at a Rural Clinic in Kelantan. Education in Medicine Journal. 2016;8(4):57–68.
Huo Y, Monma T, Kataoka C, Takeda F. Dietary Knowledge, Attitudes, and Behaviors Related to Obesity and Highly Underweight Among Urban Chinese High School Students: A Cross-Sectional Study. Int J Public Health. 2024;69(August):1–8.
Li C, Zhu N, Zeng L, Dang S, Zhou J, Pei L, et al. Effect of maternal pre-pregnancy underweight and average gestational weight gain on physical growth and intellectual development of early school-aged children. Sci Rep. 2018;8(1):1–9.
González-Plaza E, Bellart J, Martínez-Verdú MÁ, Arranz Á, Luján-Barroso L, Seguranyes G. Pre-pregnancy overweight and obesity prevalence and relation to maternal and perinatal outcomes. Enferm Clin. 2022;32:S23–30.
Elder, Leslie; Ransom E. Nutrition of Women and Adolescent Girls: Why It Matters. Population Reference Bureau. 2023.
Yan R, Liu X, Peng Y, Peng X. Preconception underweight and the risk of offspring congenital heart diseases in young pregnant women: Evidence from the China Birth Cohort Study. Int J Gynecol Obstet. 2024; 167: 1207-1213.
Kaneko K, Suto M, Miyagawa E, Mikami M, Nakamura Y, Murashima A, et al. Preconception underweight impact on postnatal osteoporotic fracture: a retrospective cohort study using Japanese claims data. BMC Pregnancy Childbirth. 2024;24(1):1–10.
Moutos CP, Lozovyy V, Clark SM. Addressing optimal maternal weight and exercise during the preconception period and pregnancy. Clin Exp Obstet Gynecol. 2020;47(5):624–8.
Manoogian ENC, Chaix A, Panda S. When to Eat: The Importance of Eating Patterns in Health and Disease. J Biol Rhythms. 2019;34(6):579–581.
Colozza D. Dietary health perceptions and sources of nutritional knowledge in an urban food environment: A qualitative study from Indonesia. Public Health Nutr. 2021;24(10):2848–58.
Van Dyke N, Murphy M, Drinkwater EJ. “We know what we should be eating, but we don’t always do that.” How and why people eat the way they do: a qualitative study with rural Australians. BMC Public Health. 2024;24(1):1–15.
Forbes LE, Graham JE, Berglund C, Bell RC. Dietary change during pregnancy and women’s reasons for change. Nutrients. 2018;10(8):1–10.
Gete DG, Waller M, Mishra GD. Changes in dietary patterns from preconception to during pregnancy and its association with socio-demographic and lifestyle factors. Public Health Nutr. 2022;25(9):2530–40.
Skreden M, Bere E, Sagedal LR, Vistad I, Overby NC. Changes in beverage consumption from pre-pregnancy to early pregnancy in the Norwegian Fit for Delivery study. Public Health Nutr. 2015;18(7):1187–96.
Yonezawa Y, Ueno F, Obara T, Yamashita T, Ishikuro M, Murakami K, et al. Fruit and vegetable consumption before and during pregnancy and developmental delays in offspring aged 2 years in Japan. British Journal of Nutrition. 2022;127(8):1250–8.
Djossinou DRA, Savy M, Fanou-Fogny N, Landais E, Accrombessi M, Briand V, et al. Changes in women’s dietary diversity before and during pregnancy in Southern Benin. Matern Child Nutr. 2020;16(2).
Jaisamrarn U, Esteban-Habana MA, Padolina CS, Decena DCD, Dee MT, Damodaran P, et al. Vitamins and minerals, education, and self-care need during preconception to 1000 days of life in Southeast Asia: An expert panel opinion. SAGE Open Med. 2023;11.
Caut C, Leach M, Steel A. Dietary guideline adherence during preconception and pregnancy: A systematic review. Matern Child Nutr. 2020;16(2):1–20.
McKenna E, Hure A, Perkins A, Gresham E. Dietary supplement use during preconception: The Australian longitudinal study on women’s health. Nutrients. 2017;9(10):1–12.
American Pregnancy Association. How to Get Pregnant Naturally. American Pregnancy Association. 2024.
Derbyshire E. Hydration for Pregnancy and Motherhood. Natural Source Water Association. 2016.
Sianipar EA. the Potential of Indonesian Traditional Herbal Medicine as Immunomodulatory Agents: a Review. Int J Pharm Sci Res. 2021;12(10):5229.
Charaf S, Wardle JL, Sibbritt DW, Lal S, Callaway LK. Women’s use of herbal and alternative medicines for preconception care. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2015;55(3):222–6.
Gaskins, Audrey J.; Rich-Edwards, Janet W.; Williams PL; et al. Pre-pregnancy caffeine and caffeinated beverage intake and risk of spontaneous abortion. Eur J Nutr. 2018;57(1):107–117.
Wartiningsih M, Brotosudarmo THP, Gonaldy VA, et al. Effect of Coffee Drinking Habit to Blood Pressure and Hemoglobin Levels on Women of Childbearing Age. Journal of Epidemiology and Public Health. 2024;9(3):276–283.
Lee J. Association between Coffee and Green Tea Consumption and Iron Deficiency Anemia in Korea. Korean J Fam Med. 2023;44(2):69–70.
Centers for Disease Control and Prevention. Health Problems Caused by Secondhand Smoke. Centers for Disease Control and Prevention. 2024.
Schoenaker DAJM, Stephenson J, Smith H, Thurland K, Duncan H, Godfrey KM, et al. Women’s preconception health in England: a report card based on cross-sectional analysis of national maternity services data from 2018/2019. BJOG. 2023;130(10):1187–95.
Office on Smoking and Health NC for CDP and HP (organization). Smoking, Pregnancy, and Babies. Centers for Disease Control and Prevention. 2023.
Lassi ZS, Imam AM, Dean S V., Bhutta ZA. Preconception care: Caffeine, smoking, alcohol, drugs and other environmental chemical/radiation exposure. Reprod Health. 2014;11(Suppl 3):1–12.
Society A, College A, Committee G. Prepregnancy counseling: Committee Opinion No. 762. Fertil Steril. 2019;111(1):32–42.
Prosen M, Žvanut B, Pucer P, Mivšek AP, Petročnik P, Tuomi J. The importance of physical activity in improving preconception health. Kontakt. 2021;23(4):247–55.
Kruszewski A, Przybysz P, Kacperczyk-Bartnik J, Dobrowolska-Redo A, Romejko-Wolniewicz E. Physical Activity during Preconception Impacts Some Maternal Outcomes—A Cross-Sectional Study on a Population of Polish Women. Int J Environ Res Public Health. 2023;20(4).
Kandel P, Lim S, Dever M, Lamichhane P, Skouteris H, Currie S, et al. Enablers and Barriers Related to Preconception Physical Activity: Insights from Women of Reproductive Age Using Mixed Methods. Nutrients. 2023;15(23).
Office on Women’s Health. Preconception health. U.S. Department of Health and Human Services. 2021.
Sūdžiūtė K, Murauskienė G, Jarienė K, Jaras A, Minkauskienė M, Adomaitienė V, et al. Pre-existingmental health disorders affect pregnancy and neonatal outcomes: A retrospectivecohort study. BMC Pregnancy Childbirth. 2020;20(1):1–7.
Kementerian Kesehatan Republik Indonesia. Pentingnya Pemeriksaan Kesehatan Pra Nikah. Kementerian Kesehatan Republik Indonesia. 2018.
Al-Shafai M, Al-Romaihi A, Al-Hajri N, Islam N, Adawi K. Knowledge and Perception of and Attitude toward a Premarital Screening Program in Qatar: A Cross-Sectional Study. Int J Environ Res Public Health. 2022;19(7).
Ministry of Health Republic of Indonesia and United Nations Children’s Fund. Maternal Nutrition in Indonesia: Landscape Analysis & Recommendations [Internet]. Jakarta; 2023. [cited 2024 Dec 20]. Available from: https://www.unicef.org/indonesia/media/19111/file/Maternal nutrition in Indonesia.pdf
Kemenkes RI. Kartu Calon Pengantin Sehat [Internet]. 2019 [cited 2024 Dec 20]. Available from: https://gizikia.kemkes.go.id/assets/file/pedoman/Kartu Catin Sehat.pdf
Harriet Torlesse, Nita Dalmiya VT and VA. Counselling to improve maternal nutrition: Considerations for programming with quality, equity and scale. Unicef. 2021;1–16.
Atrash H, Jack B. Preconception care to improve pregnancy outcomes: clinical practice guidelines. Journal of Human Growth and Development. 2020;30(3):407–16.
Shibata Y, Abe M, Narumoto K, Kaneko M, Tanahashi N, Fetters MD, et al. Knowledge and practices of preconception care among rural Japanese women: findings from a mixed methods investigation. BMC Pregnancy Childbirth. 2023;23(1):1–15.
Skouteris H, Savaglio M. The use of social media for preconception information and pregnancy planning among young women. J Clin Med. 2021;10(9).
Humas Jabar. Tim Pendamping Keluarga Bergerak Bangun Keluarga Sejahtera [Internet]. 2022 [cited 2022 May 13]. Available from: https://jabarprov.go.id/index.php/news/46644/2022/05/12/Tim-Pendamping-Keluarga-Bergerak-Bangun-Keluarga-Sejahtera
BKKBN. Cegah Stunting, BKKBN Upayakan Generasi Siap Nikah dan Siap Hamil. 2022.
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