What is it about?

In this article we explored dietary changes among Asian (Chinese, Malay, and Indian) women during pregnancy and the initial postpartum period. During pregnancy, participants tended to increase their consumption of milk, fruit and vegetables and decrease their consumption of tea, coffee, soft drinks and seafood. Most participants reported adherence to traditional restrictions ('confinement') during the early postpartum period (Chinese: 94·8 %, Malay: 91·6 %, Indian: 79·6 %). During the postpartum period, participants tended to increase their consumption of fish and milk-based drinks and decrease their consumption of noodles, seafood, and chocolates and sweets. Ethnic differences in food consumption were pronounced during the postpartum period. For example, most Chinese participants (87·2 %) increased their ginger consumption during the postpartum period as compared with smaller percentages of Malays (31·8 %) and Indians (40·8 %). Similar ethnic differences were observed for cooking wine/alcohol, herbs and spices, and herbal tea consumption.

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Why is it important?

Unlike Western populations, dietary choices during pregnancy and the postpartum period for Asian women are heavily influenced by traditional beliefs, and may differ among different ethnic groups. Thus, dietary interventions during these periods should take into consideration these beliefs to enhance compliance.

Perspectives

While Singapore is a developed country with modern healthcare facility, our study shows that traditional beliefs are still deeply rooted in the population and may influence dietary choices. This study thus points to culturally-sensitive interventions during pregnancy and the postpartum period to improve effectiveness and efficacy.

Dr Ling-Wei Chen
National University of Singapore

Read the Original

This page is a summary of: Dietary changes during pregnancy and the postpartum period in Singaporean Chinese, Malay and Indian women: the GUSTO birth cohort study, Public Health Nutrition, June 2013, Cambridge University Press,
DOI: 10.1017/s1368980013001730.
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