Title page for ETD etd-08012012-040645

Type of Document Master's Thesis
Author Natarajan, Padma
URN etd-08012012-040645
Title Effect of nutrition counseling on maternal nutritional performance, birth outcome and choice of infant feeding in pregnant teenagers
Degree Master of Science
Department Human Nutrition and Foods
Advisory Committee
Advisor Name Title
Taper, L. Janette Committee Chair
Johnson, Janet M. Committee Member
Rogers, Cosby Steele Committee Member
  • Nutrition counseling
Date of Defense 1989-11-05
Availability restricted
This study investigated the influence of nutrition

education services, measured by duration of participation

and frequency of nutrition counseling, on maternal

nutritional performance, and pregnancy outcome, in 100

pregnant teenagers enrolled in the WIC program in North

Carolina. Data on prenatal weight gain, rate of weekly

weight gain, gestational duration and birth weight of

infants born to these teenagers was retrieved from medical

records. Twenty—four hour recallss, conducted before and

after counseling, were analyzed. for energy and nutrient

content. Results indicated that initiation of prenatal care

by trimester was earlier, and duration of participation was

longer, than was reported in the literature. Mean weight

gain and gestational lengths were found to be comparable to

results from studies on similar populations. Rate of weekly

gain was significantly higher than that recommended for

adult pregnant women. Energy, protein and iron intakes

showed significant improvement after counseling, and, were

comparable to RDA values. However, calcium intake was found

to be significantly lower than the RDA. Mean infant birth

weight was found to be 47.2 gm heavier than the state

average; this was not statistically significant. Although

a strong correlation. between counseling and. pregnancy

outcome was not evident, the incidence of low birth weight

was substantially lower in this population, especially among

the subgroup of black infants. A decreased incidence of

poor outcome of pregnancy among underweight gravidas, was

also indicative of the influence of nutrition education on

this high risk group. Nutrition intervention appears to

have been indireotly influential in optimizing fetal outcome

through improved maternal weight gain, and. an extended

gestation. In addition, early and appropriate prenatal care

measures, probably helped reduce the race specific, risk

differential for adverse outcomes. The results from this

study also indicated that a very small percentage of teens

chose to breast feed. Further studies are, however,

recommended to identify predictors of the feeding choice,

to help increase incidence of breast feeding among teens.

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