Evaluation of a Health Promotion Intervention on Food Safety in Women During Pregnancy
- Conditions
- Health PromotionPregnancy RelatedFood Safety
- Interventions
- Other: Health promotion intervention
- Registration Number
- NCT06528535
- Lead Sponsor
- Centre Hospitalier de Cayenne
- Brief Summary
This is a comparative, observational study aiming to compare the diversity of the diet during pregnancy of women who have benefited from a health promotion intervention and who have not
- Detailed Description
In the Nutri Pou Ti'moun 1 project on food and nutritional insecurity during pregnancy, the inclusion of pregnant women began at the end of January 2023. As of 24 July 2023, 625 pregnant women had been included in the study. The main aim of this study is to estimate the prevalence of household food insecurity among pregnant women admitted for childbirth in one of Guyana's maternity units. Of the women included in this project, 13% were being monitored by one of French Guiana's mother and child protection centres (PMI).
In order to improve pregnancy monitoring for women and adapt to the specific characteristics of the region, the range of antenatal care services is diversified and complementary. For example, the PMI centres mainly monitor pregnant women who are not, or are no longer, entitled to social security benefits or who are affiliated to the State Medical Aid (AME) scheme, while the private sector mainly monitors women who are affiliated to one of the social security schemes. In the sub-group of women followed up by the PMI, the proportion of women in a precarious situation is therefore higher. In view of the issues raised by the Nutri Pou Ti'moun 1 project, it would seem appropriate to describe the situation of food and economic insecurity with greater statistical power in this sub-group of interest, and therefore to over-represent the women followed up by the PMI in the total sample.
The French Guiana Perinatal Network is one of the health networks defined by the law of 4 March 2002, relating to patients' rights and the quality of the health system, as follows: 'The purpose of health networks is to promote access to care, coordination, continuity or interdisciplinarity of health care provision, particularly that which is specific to certain populations, pathologies or health activities. They provide care tailored to the needs of the individual in terms of health education, prevention, diagnosis and care. They may take part in public health initiatives.
The French Guiana Perinatal Network is an association, created in 2002, whose main objective is to improve the quality of care and monitoring of pregnant women and newborn babies, as well as vulnerable children in French Guyana.
The French Guiana Perinatal Network implements a health promotion initiative on nutrition during pregnancy (between the 4th and 7th months) based on :
* Health mediation;
* Group workshops on nutrition, self-esteem, appropriate physical exercise, food budget management, breastfeeding and parenthood;
* Distribution of a basket of fresh fruit and vegetables
The patients benefiting from this intervention will be women attending one of the PMI centres taking part in the study.
These actions are likely to modify the prevalence of food insecurity among beneficiaries. Thus, it seems relevant :
* To identify, among the patients included, those who had benefited from this intervention in order to avoid introducing a bias when measuring the judgement criteria;
* To include patients followed up in the PMI centres of one of the participating centres and who had benefited from the intervention;
* To compare the prevalence of food insecurity between those who had benefited from the Réseau Périnat intervention and those who had not.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Female
- Target Recruitment
- 200
- Intervention group : Pregant women living in French Guiana during their pregancy and who benefited from the intervention
- Control group : Pregant women living in French Guiana during their pregancy and who did not benefit from the intervention
- Refusal to participate to the study
- No authorisation of participation from legal representatives for minor participants
- Participants under guardianship or trusteeship
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Group 1 - intervention Health promotion intervention Pregant women living in French Guiana who benefited from a health promotion intervention
- Primary Outcome Measures
Name Time Method Description of diet during pregancy At inclusion To describe the diet of pregnant women among women who benefited from the health promotion intervention and those who didn't from a questionnaire
- Secondary Outcome Measures
Name Time Method Concentration of micronutrients At inclusion To measure concentration of micronutrients (iron, iodine, zinc, magnesium, vitamins...) of pregnant women
Description of knowledge of pregnant women on diet At inclusion To describe the level of knowledge on diet of pregant women who benefited from the helath promotion intervention
Description of pregnancy outcomes At inclusion To describe pregnancy outcomes (gestational diabetis, foetal cardiac rhythm abnormalities, pre-eclampsia/eclampsia, foetal weight abnormalities) of pregnant women who benefited from the intervention with those who didn't, documented from medical file
Description of self-esteem At inclusion To describe the self-esteem of pregnant women using the Rosenberg self esteem questionnaire
Prevalence of food insecurity At inclusion To estimate food insecurity of pregnant women monitored in PMI using the Minimum Dietary Diversity for Women (MDD-W) score
Description of socio-demographic characteristics of participants At inclusion To compare the socio-demographic characteristics of pregnant women who benefited from the intervention with those who didn't
Description of immediate post-partum outcomes At inclusion To describe immediate post-partum outcomes (vaginal delivery, C-section, post partum bleeding) of pregnant women who benefited from the intervention with those who didn't, documented from medical file
Concentration of heavy metal At inclusion To measure concentration of heavy metal (mercury, lead) of pregnant women
Trial Locations
- Locations (1)
Centre Hospitalier de Cayenne
🇬🇫Cayenne, French Guiana