Effect of nutritional instruction about calcium dietary supplementation on the incidence of preeclampsia among high risk pregnant mother / Marwa Gomaa Mohamed ; Supervised Hanan Fahmy Azzam , Azza Ali Abdelhamid , Mohamed Abdelfattah

Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Maternal and Newborn Health Nursing

Background: Pre-eclampsia represents a major cause of morbidity and mortality to mother and fetus in many parts of the world. Previous trials have suggested that calcium supplementation during pregnancy may reduce the risk of preeclampsia. Aim: Examine the effect of nutritional instruction about calcium dietary supplementation on the incidence of preeclampsia among high risk pregnant mothers. Design: Quasi-experimental design (post-test only) will be adopted in this study. Sample: 100 pregnant mothers attending antenatal clinic were recruited according to certain criteria the sample was divided randomly into study and control group. Tools: There were three tools for data collection developed and filled by the investigator 1-Structured Interview tool, 2-Nutritional assessment tool and3-assessment and follow up tool setting: Antenatal clinic at two different hospitals: Elmanial maternity and El Nabawy el Mohandas hospitals. Result: The study results revealed that there were statistical significant differences between the two groups in relation to all signs and symptoms of preeclampsia which included weight gain, increasing BMI, edema, proteinuria, and blood pressure. Also, there was statistical significant difference between the two groups related to the incidence of preeclampsia (X²=7.10, P=0.03). The results revealed statistical significant difference between the two groups in accordance to the mean level of ionized calcium in the 8th month of pregnancy (4.24±0.51, 3.56±0.32,respectively)in study and control group (T=8.0,P=0.0001) Conclusion: Nutritional instruction about calcium dietary supplementation was effective in decreasing the incidence of preeclampsia among high risk pregnant mothers. Recommendations: Pregnant mothers should be informed to enhance health habits that reduce calcium deficiency through health classes about the benefits of calcium, foods rich in calcium, and the best way to consume calcium rich foods

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