CHAPTER
ONE
INTRODUCTION
1.1 Background to the Study
Pregnancy
is the most vital time for having a proper nutrition plan. The high demand for
nutrients is to deposit energy in to the new and developing tissues, the growth
of maternal mother tissues including the breast and the uterus, and the
increased energy necessities for tissue synthesis make pregnant women more
susceptible to the dangers of malnutrition (Daba, 2011). In line with finding
of Daba (2011), Pregnant women more at risk of malnutrition. In 2010, maternal
and child malnutrition was accountable for 1.5 million deaths worldwide.
Maternal
nutrition continues to gin populaity in many part of the world (Ojo, 2010).
this may be attributed to the reality that pregnancy is associated with growth
in physiological, metabolic and nutritional necessities imparted to the women
by her growing infant (Arkkola, 2008). throughout pregnancy, the body’s energy
requirements, protein and minerals increase by 13%, 54% and 50% respectively
(Hoffmann, 2013). Therefore, the pregnancy period becomes a vital point to meet
those needs for macro and micronutrients. Proper eating at some point in
pregnancy assist prevent complications of pregnancy, facilitate postpartum
recovery, assist breastfeeding, and additionally prevent the onset of disease
in adulthood. However, if nutrients isn’t always maintained throughout
pregnancy, malnutrition ensues.
It has being established by Saha (2007) that Socio economic and demographic status is one of the most critical factors related to pregnancy outcome and dietary desposition of expectant mothers. When Socio economic and demographic status is low, medical care will consequently be insufficient which can further lead to other unfavourable outcomes (kruger 2012). In pregnant women, low Socio economic and demographic status which is often described as financial hardship and low exposure to globalization, can increase the danger of detrimental pregnancy outcome. several studies have discovered that low Socio economic status is also associated with pregnancy complications such as abortion, preeclampsia, preterm delivery and eclampsia (kings, 2013; Obasi, 2015; Demin, 20016). women with low Socio economic don’t often have the means to acquire enough prenatal care and this may affect their dietary decision, leading to insufficient consumption of precise nutrients at some during pregnancy.
SOCIAL DETERMINANTS OF NUTRITIONAL PRACTICE IN PREGNANCY AMONG EXPECTANT MOTHERS ATTENDING ANTENATAL CLINIC IN KWALE DELTA STATE