ArticleBMJ nutrition, prevention & health2021
Tradition, taste and taboo: the gastroecology of maternal perinatal diet.
Article in BMJ nutrition, prevention & health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- From counsel to consumption: examining sociocultural influences on perinatal nutrition in rural India.Frontiers in nutrition · 2025Article
- Coexisting traditional and biomedical healthcare systems: a mixed-methods analysis of community health workers and traditional birth attendants' contributions to perinatal health behaviors in rural India.Frontiers in health services · 2025Article
- Qualitative assessment of family caregiver-centered neonatal education program in Karnataka, India.PLOS global public health · 2023Article
- Leverage the power of ritual to improve community health worker efficacy and public health outcomes: Lessons from Bihar, India.The Lancet regional health. Southeast Asia · 2022Review
- Facilitating behavioral change: A comparative assessment of ASHA efficacy in rural Bihar.PLOS global public health · 2022Article
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Authors and funding
13 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundMaternal malnutrition is a major source of regional health inequity and contributes to maternal and infant morbidity and mortality. Bihar, a state in eastern India adjacent to Jharkhand and West Bengal, has relatively high neonatal mortality rates because a large portion of infants are born to young mothers. Bihar has the second-highest proportion of underweight children under 3 in India, with infant mortality rates of 48 per 1000 live births. Maternal malnutrition remains a major threat to perinatal health in Bihar, where 58.3% of pregnant women are anaemic.
methodsWe examined dietary beliefs and practices among mothers, mothers-in-law and community members, including Accredited Social Health Activists (ASHAs), using focus group discussions (n=40 groups, 213 participants), key informant interviews (n=50 participants) and quantitative surveys (n=1200 recent mothers and 400 community health workers). We report foods that are added/avoided during the perinatal period, along with stated reasons underlying food choice. We summarise the content of the diet based on responses to the quantitative survey and identify influencers of food choice and stated explanations for adding and avoiding foods. KEY
findingsAnalyses for all methodologies included gathering frequency counts and running descriptive statistics by food item, recommendation to eat or avoid, pregnancy or post partum, food group and health promoting or risk avoiding. During pregnancy, commonly added foods were generally nutritious (milk, pulses) with explanations for consuming these foods related to promoting health. Commonly avoided foods during pregnancy were also nutritious (wood apples, eggplant) with explanations for avoiding these foods related to miscarriage, newborn appearance and issues with digestion. Post partum, commonly added foods included sweets because they ease digestion whereas commonly avoided foods included eggplants and oily or spicy foods. Family, friends, relatives or neighbours influenced food choice for both mothers and ASHAs more than ASHAs and other health workers.Perinatal dietary beliefs and behaviours are shaped by local
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