Nutritional Habits During Pregnancy & Lactation

 

While malnutrition is an ubiquitous problem in rural Guatemala, it is of special concern among pregnant and nursing women

While malnutrition is an ubiquitous problem in rural Guatemala, it is of special concern among pregnant and nursing women; the poor nutrition of mothers during this period is passed on to their children early in life. Thus the problem is perpetuated through several generations, forming an obstacle to health and economic development.

Another cause for concern about malnutrition among mothers is that any malnutrition they experience prior to this period is exacerbated during pregnancy and lactation due to the extra stress that their bodies experience. This can lead to grave consequences because they are supporting the growth and development of new life.

Careful nutrition during pregnancy can greatly reduce the risks of several problems for the mother and the child she is carrying. A complete diet reduces the risk of anemia, toxemia, premature birth, and low birth-weights, and it increases lactation and postnatal infant health.

Although Guatemalan mothers desire conditions that promote the optimal heath of their children, many are unable to provide them. The resources to practice good nutrition are unavailable and knowledge regarding proper nutrition is lacking. Coupled with local customs and taboos that diminish optimal nutrition, especially during pregnancy and lactation, malnutrition continues to plague rural Guatemala.

In order to better understand cultural influences on nutrition during pregnancy and lactation, Gudrid Mariella Jiménez Arriola conducted a study in which she collected qualitative data regarding the habits and traditions of rural Guatemalan mothers. Jiménez conducted interviews and group discussions with the women in three communities near Chiquimula, Guatemala.

Jiménez discussed eating habits during pregnancy and lactation with the women and questioned them regarding their beliefs about proper nutrition during these times. She also recorded information regarding the sources of these beliefs and the motivation for the habits and practices they foster. In the course of her interviews, Jiménez recorded the age and education level of each woman in order to categorize the data. With this information, Jiménez statistically analyzed the data, looking for correlations between the ages and education of the women in relation to their beliefs and habits.

Jiménez derived the data study by collecting reports on the thoughts and feelings of the people with whom she worked. She collected qualitative information using interviews, questionnaires, and group discussions. All of the eligible women involved in the Benson Institute program in the communities of Chancó, Salitrón, and Corral de Piedra participated in the study. In order to qualify for the study, the women had to be between the ages of 18 and 42 and to have at least one child. According to the 1996 census of the area, a total of 77 women qualified for the study.

These women were divided into two groups: 51 were interviewed and 26 participated in the focal discussion groups. Of the 51 interviewed, 23 answered questions about their nutritional beliefs and practices during pregnancy, and the remaining 28 discussed their beliefs and habits during lactation. The focal group participants were likewise divided into two groups; 15 talked about pregnancy and 11 talked about lactation (see Figure 1).

Jiménez asked similar questions in both the interviews and the focal groups. She recorded data on each woman’s -literacy, schooling, and age. She then asked the women to compare their dietary habits before, during, and after pregnancy or lactation. She recorded information regarding changes in their appetite and food preferences during these periods. In addition, she asked the women about the sources of their beliefs and traditions.

 

 

 

 

 

Figure 1

Through the interviews and discussion groups, Jiménez found many traditions regarding nutritional needs during pregnancy and lactation that have been passed among the Guatemalan women. Despite the abundance of such beliefs, most of the women in the study said that they do not change their nutritional habits during these periods. Jiménez found this situation to be the most prevalent in the case of the women who live in Corral de Piedra, where the women have fewer resources than those in the other communities.

When questioned about their specific beliefs, the women in the different groups gave similar answers. In some instances, the women in the focal groups gave more detailed answers; group discussion and the opportunity to respond to others’ answers likely stimulated the increased responses.

Regarding beliefs during pregnancy, many of the women agreed that eating vegetables, grains such as quilete (Amaranthus spp.), Incaparina (a fortified drink made from cotton and soy seeds), and milk will promote the health of the baby. There are also foods considered to be beneficial for lactating mothers, such as quilete, chicken soup, and vegetables, which they believe help them to produce more milk.

The women indicated that the sources of information about nutrition during pregnancy and lactation are their mothers, grandmothers, older people, and mothers-in-law, as well as professional personnel such as doctors, a group of nuns from Jocotán, and Benson Institute workers.

In addition to having beliefs about foods that are good to eat during pregnancy and lactation, the women also had opinions about foods that are harmful during these times. One woman mentioned that coconut and avocado should be avoided during pregnancy. She knew no reasons for this, but she reported that her neighbor gave her this information.

Although most of the women knew of no foods that should be eliminated from the diet during pregnancy, many were aware of foods that should not be consumed immediately after delivery or during lactation. For example, some reported that women should not eat fresh foods immediately after giving birth, but all the foods they eat should be cooked and served hot. Most of the women commented that mothers can resume a normal diet 40 days after delivery.

There are more defined beliefs among Guatemalan women regarding nutrition during lactation. Among foods that some women said should be avoided during this time -included avocado, coconut, coconut preserves, and lemon, as they are believed to make the mothers’ milk rancid, subsequently causing gastric illness in the children. These traditions come from various sources, all of which the women said have been transmitted by word of mouth.

Although there are various traditions among the women regarding proper practices and habits during pregnancy and lactation, what the women actually eat during these times changes little. Jiménez found that 75 percent of the women she interviewed make no alterations in their diets during pregnancy or lactation.

Apparently, this tradition is not for lack of knowledge or beliefs; instead, it stems from the poverty and the scarcity of resources in the communities. The women continue with their normal diets consisting of cereals, legumes, native herbs, sugars, and fats. This monotonous diet is barely sufficient for their normal nutritional requirements, much less for their increased needs during this period.

When asked at which meal of the day they receive the best nourishment, most of the women indicated that they eat the most at lunchtime, but the actual food consumed varies -little from what they eat at other meals. They said they eat a large at lunch because they are more hungry and they have more time to prepare food. They also reported that during pregnancy and lactation they have a marked preference for foods of animal origin, as well as for foods that they rarely eat at other times. These responses indicate that while the women feel better nourished if they eat more, they are not necessarily better nourished, as their situation calls for a larger variety of food as opposed to more food.

As part of her study, Jiménez investigated correlations between schooling, age, and nutritional beliefs. She found a positive correlation between illiteracy and lack of knowledge regarding good nutritional practices during lactation. This suggests that women would benefit from education programs developed in their behalf. Furthermore, Jiménez found that literate women tend to have fewer opinions regarding foods that are unhealthful during lactation. This is interesting because most of the foods that the women mentioned as being harmful during lactation are considered safe from a scientific standpoint. This indicates that as women become more educated and literate they tend to rely less on pure tradition.

In addition, Jiménez found that younger women are generally better educated as to what should be consumed during lactation, which they attribute to their interest in becoming informed about nutrition.

Jiménez’s study indicates that there are two phases in the process of improving the nutrition of pregnant and lactating women in the communities. First, the women must have access to resources for good nutrition; second, they must understand how to maximize the benefits of those resources.

The first phase of this project is one of the objectives of the Benson Institute, which it fulfills through the implementation of agricultural programs in the communities. The second is accomplished through projects implemented in the area, which are being continually improved as students like Gudrid Jiménez conduct studies and make improvement recommendations.

As a result of her study, Jiménez was able to make several suggestions aimed at improving educational activities in the communities of Salitrón, Chancó, and Corral de Piedra. Among these was to teach women about the increased necessity of good nutrition during periods of pregnancy and lactation. Jiménez suggests that these education programs be extended to the entire family so that all are aware of the needs of women during these critical times.

In addition, Jiménez suggests that education material be developed that is understandable to illiterate women. Jiménez concludes that improvement is possible if families are informed about the risks of malnutrition to mothers and children during these times and if they are taught how to improve nutrition using available resources.

It is encouraging to see young women in rural areas -motivated to improve their situations. These young women have a powerful influence on the nutrition of their families and, therefore, entire communities. Before giving birth, they determine the health of their children. After giving birth, mothers provide vital nourishment through breastfeeding. Their influence continues as they prepare meals for the entire family. The Benson Institute hopes to channel interest toward productive and educational programs so that, through these women, the nutrition of the entire community will improve.

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