Version 1
: Received: 3 October 2023 / Approved: 4 October 2023 / Online: 4 October 2023 (11:13:08 CEST)
Version 2
: Received: 11 October 2023 / Approved: 11 October 2023 / Online: 11 October 2023 (12:26:16 CEST)
Hadi, H.; Nurunniyah, S.; Gittelsohn, J.; Alfiana, R.D.; Fatimatasari; Lewis, E.C.; Nurdiati, D. Preconception Maternal Mentoring for Improved Fetal Growth among Indonesian Women: Results from a Cluster Randomized Controlled Trial. Nutrients2023, 15, 4579.
Hadi, H.; Nurunniyah, S.; Gittelsohn, J.; Alfiana, R.D.; Fatimatasari; Lewis, E.C.; Nurdiati, D. Preconception Maternal Mentoring for Improved Fetal Growth among Indonesian Women: Results from a Cluster Randomized Controlled Trial. Nutrients 2023, 15, 4579.
Hadi, H.; Nurunniyah, S.; Gittelsohn, J.; Alfiana, R.D.; Fatimatasari; Lewis, E.C.; Nurdiati, D. Preconception Maternal Mentoring for Improved Fetal Growth among Indonesian Women: Results from a Cluster Randomized Controlled Trial. Nutrients2023, 15, 4579.
Hadi, H.; Nurunniyah, S.; Gittelsohn, J.; Alfiana, R.D.; Fatimatasari; Lewis, E.C.; Nurdiati, D. Preconception Maternal Mentoring for Improved Fetal Growth among Indonesian Women: Results from a Cluster Randomized Controlled Trial. Nutrients 2023, 15, 4579.
Abstract
The prevalence of stunting in young Indonesian children is the highest among Southeast Asian Nations, and is associated with poor growth during the prenatal and early postnatal periods. A maternal mentoring program was developed for Indonesian women to improve birth outcomes. A cluster randomized control trial (CRCT) was conducted in three sub-districts of the Special Re-gion of Yogyakarta, Indonesia. A total of 384 eligible participants were randomly allocated to either intervention (received maternal mentoring program and standard care; n=189) or control (received standard care only; n=195). The maternal mentoring program provided preconception health education; health monitoring; and text message reminders for preconception women. Fetal growth was measured between gestational weeks 27-30 using estimated fetal weight generated from ultrasonographic measurement. Birth weight was measured within 24 hours of birth. A structured questionnaire captured women’s’ demographics, pregnancy readiness, and body mass index (BMI. After adjustment, fetal weight was 14% (95% CI: 5.1-23.0) higher in the intervention group than in the control group, and the average weight-for-length Z-score at birth was 0.16 (95% CI: 004-0.30) higher in the intervention group than in the control group. A maternal mentoring program was associated with improved fetal growth and birth weight in this population.
Keywords
Stunting; fetal growth; maternal mentoring; maternal and child health; Indonesia
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received:
11 October 2023
Commenter:
Hamam Hadi
Commenter's Conflict of Interests:
Author
Comment:
Dear Editor,
Thank you very much for your suggestion. We have followed your suggestion to edit our pre prints manuscript using a free Layout Editing service. Nothing changed in our manusctipt except the layout. Kind regards,Hamam Hadi
,
,
Commenter: Hamam Hadi
Commenter's Conflict of Interests: Author
Thank you very much for your suggestion. We have followed your suggestion to edit our pre prints manuscript using a free Layout Editing service. Nothing changed in our manusctipt except the layout.
Kind regards,Hamam Hadi