The relationship between macro- and micro-nutrients intake and risk of preterm premature rupture of membranes in pregnant women of Isfahan
- PMID: 27713876
- PMCID: PMC5046777
- DOI: 10.4103/2277-9175.188949
The relationship between macro- and micro-nutrients intake and risk of preterm premature rupture of membranes in pregnant women of Isfahan
Abstract
Background: Since preterm premature rupture of membranes (PPROM) is one of the most important complications of pregnancy and its relationship with nutrition status have not been surveyed comprehensively, we decided to study the relationship of maternal received nutrients (36 macro- and micro-nutrients) in three trimesters and PPROM which could be considered as a unique study.
Materials and methods: In this prospective cohort study, data was collected by filling a questionnaire through interviews with 620 pregnant women who had no parameters to affect pregnancy outcome. 48-hr dietary recalls were completed for eligible women at 11th-15th, 26th, 34th-37th weeks of gestation. Physical activity was also assessed using a standard questionnaire. Also pregnant mother's reproductive and demographic characteristic and supplementation are considered.
Results: The mean value of received saturated fatty acids, polyunsaturated fatty acids and energy, in the first trimester (P < 0.001, P = 0.007, and P < 0.001 respectively), the mean values of calcium, sodium intake in the second trimester (P = 0.045, P = 0.006, and P = 0.004 respectively), Vitamins C, A (mg), β-carotene, cartenoids intake in the second trimester (P = 0.03, P = 0.001, P = 0.007, and P = 0.01 respectively), and higher Vitamin C intake during the first trimester (P = 0.02) was significantly greater among subjects with PPROM compared to the others.
Conclusions: The mean value of mentioned received nutrients in subjects who experienced PPROM later in pregnancy was higher than the others, which is independent of demographic and reproductive characteristic, estimated physical activity, and supplementation. Therefore, these findings could be considered in the nutritional programming for pregnant women to manage the risk of PPROM.
Keywords: Macro nutrients; minerals; pregnancy outcome; preterm premature rupture of membranes; vitamins.
Similar articles
-
Adequacy of Nutrients Intake among Jordanian Pregnant Women in Comparison to Dietary Reference Intakes.Int J Environ Res Public Health. 2019 Sep 17;16(18):3440. doi: 10.3390/ijerph16183440. Int J Environ Res Public Health. 2019. PMID: 31533206 Free PMC article.
-
[Predictive value of cervical length by transvaginal sonography for preterm pregnancy during mid- and late-trimester of pregnancy].Zhonghua Fu Chan Ke Za Zhi. 2011 Oct;46(10):748-52. Zhonghua Fu Chan Ke Za Zhi. 2011. PMID: 22321348 Chinese.
-
Risk factors and maternal outcomes following preterm premature rupture of membrane in the second trimester of gestation.Arch Gynecol Obstet. 2020 May;301(5):1207-1212. doi: 10.1007/s00404-020-05533-2. Epub 2020 Apr 9. Arch Gynecol Obstet. 2020. PMID: 32274636
-
Mid-trimester preterm premature rupture of membranes (PPROM): etiology, diagnosis, classification, international recommendations of treatment options and outcome.J Perinat Med. 2018 Jul 26;46(5):465-488. doi: 10.1515/jpm-2017-0027. J Perinat Med. 2018. PMID: 28710882 Review.
-
Tocolytics for preterm premature rupture of membranes.Cochrane Database Syst Rev. 2011 Oct 5;(10):CD007062. doi: 10.1002/14651858.CD007062.pub2. Cochrane Database Syst Rev. 2011. Update in: Cochrane Database Syst Rev. 2014 Feb 27;(2):CD007062. doi: 10.1002/14651858.CD007062.pub3. PMID: 21975760 Updated. Review.
Cited by
-
Effects of Antioxidant Intake on Fetal Development and Maternal/Neonatal Health during Pregnancy.Antioxidants (Basel). 2022 Mar 28;11(4):648. doi: 10.3390/antiox11040648. Antioxidants (Basel). 2022. PMID: 35453333 Free PMC article. Review.
-
Determinants of Premature Rupture of Membranes Among Pregnant Women Admitted to Public Hospitals in Southern Ethiopia, 2020: A Hospital-Based Case-Control Study.Int J Womens Health. 2021 Jun 22;13:613-626. doi: 10.2147/IJWH.S314780. eCollection 2021. Int J Womens Health. 2021. PMID: 34188555 Free PMC article.
-
Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis.BJOG. 2019 Mar;126(4):444-456. doi: 10.1111/1471-0528.15512. Epub 2018 Nov 27. BJOG. 2019. PMID: 30347499 Free PMC article.
-
Impact of Nutrition Education in Improving Dietary Pattern During Pregnancy Based on Pender's Health Promotion Model: A Randomized Clinical Trial.Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):18-25. doi: 10.4103/ijnmr.IJNMR_198_16. Iran J Nurs Midwifery Res. 2018. PMID: 29344041 Free PMC article.
References
-
- Health UNLoMNIo. ACOG practice bulletin no.80: Premature rupture of membranes. Clinical management guidelines for obstetrician-gynecologists. Obstet Gynecol. 2007;109:1007–19. - PubMed
-
- Menon R. Spontaneous preterm birth, a clinical dilemma: Etiologic, pathophysiologic and genetic heterogeneities and racial disparity. Acta Obstet Gynecol Scand. 2008;87:590–600. - PubMed
-
- Woods JR., Jr Reactive oxygen species and preterm premature rupture of membranes-a review. Placenta. 2001;22(Suppl A):S38–44. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources