The status, policies and programs of nutrition among in nursing mothers: A review article

Back ground & Objective: Pregnant or lactating women and children are the two population group most vulnerable to nutritional deficiencies. The aim of this study was to review the nutritional status of lactating women, as one of the main loops of the chain of effective factors on health of the generation and society, assessing the supportive nutrition programs in Iran and to provide solutions in this regard. Method: This review was conducted in April 2014. All related articles on the databases of IranMedex, SID (Scientific Information database) and PubMed were investigated with no time limit. After reviewing the abstracts, 15 Persian articles and 13 English articles were fully reviewed. Results: The results of the few available studies on the nutritional status of lactating women indicate deficiencies or inappropriate nutritional patterns among lactating women. Although in formulation of nutritional strategies, pregnant or lactating women and children often receive equal attention, women are practically the target of nutrition and health programs to improve the growth of the fetus and little attention have been paid to their health and nutritional needs. Nutrition of lactating women have been forgotten and solely focus on prenatal nutrition of women means ignoring the more fundamental nutritional problem in women throughout their lives. Conclusion: Implementing a holistic approach to health and nutrition of women instead of the traditional approach, which focuses solely on a particular period of life, leads to health promotion and ensuring the health of women and the next generation.

[1]  M. Lundberg,et al.  Supplemental feeding during pregnancy compared with maternal supplementation during lactation does not affect schooling and cognitive development through late adolescence123 , 2013, The American journal of clinical nutrition.

[2]  M. Hajifaraji,et al.  Nutrition research in the first decade of 21st century in Iran: the necessity of road Map , 2013, SpringerPlus.

[3]  E. Goyder,et al.  Community-based dietary and physical activity interventions in low socioeconomic groups in the UK: a mixed methods systematic review. , 2013, Preventive medicine.

[4]  Afework Mulugeta,et al.  Feeding practices, nutritional status and associated factors of lactating women in Samre Woreda, South Eastern Zone of Tigray, Ethiopia , 2013, Nutrition Journal.

[5]  V. Chasnyk,et al.  Dietary intakes of energy and macronutrients by lactating women of different ethnic groups living in Yakutia , 2013, International journal of circumpolar health.

[6]  M. Lundberg,et al.  Children and youth in crisis. Protecting and promoting human development in times of economic shocks. , 2012 .

[7]  S. Ghiasian,et al.  Infants’ Exposure to Aflatoxin M1 from Mother’s Breast Milk in Iran , 2012, Iranian journal of public health.

[8]  B. P. Gargari,et al.  Evaluation of Zinc, Copper and Iron Concentrations in Breast Milk of Mothers Belonging to Different Economic Classes and their Correlations with Infants Growth , 2011 .

[9]  F. Azizi,et al.  Does Dietary Intake by Tehranian Adults Align with the 2005 Dietary Guidelines for Americans? Observations from the Tehran Lipid and Glucose Study , 2011, Journal of health, population, and nutrition.

[10]  M. Palizvan,et al.  The evaluation of the relationship between retinol equivalent intake and colostrum retinol of lactating mothers referring to hospitals in Tabriz , 2011 .

[11]  N. Younger,et al.  The effect of psychosocial stimulation on cognition and behaviour at 6 years in a cohort of term, low‐birthweight Jamaican children , 2010, Developmental medicine and child neurology.

[12]  M. Hashemipour,et al.  Urine and milk iodine concentrations in healthy and congenitally hypothyroid neonates and their mothers. , 2010, Endokrynologia Polska.

[13]  H. Ezzatpanah,et al.  Zinc and Copper Concentrations in Human Milk and Infant Formulas , 2010, Iranian journal of pediatrics.

[14]  F. Azizi,et al.  Breastfeeding and maternal and infant iodine nutrition , 2009, Clinical endocrinology.

[15]  J. Coveney,et al.  Exploring health stakeholders' perceptions on moving towards comprehensive primary health care to address childhood malnutrition in Iran: a qualitative study , 2009, BMC health services research.

[16]  S. Ozsoy,et al.  A comparison of traditional practices used in pregnancy, labour and the postpartum period among women in Turkey and Iran. , 2008, Midwifery.

[17]  F. Azizi Iodine nutrition in pregnancy and lactation in Iran , 2007, Public Health Nutrition.

[18]  F. Azizi,et al.  Dietary quality-adherence to the dietary guidelines in Tehranian adolescents: Tehran Lipid and Glucose Study. , 2005, International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition.

[19]  Z. Rahimi,et al.  Fatty acid composition of human milk in Western Iran , 2005, European Journal of Clinical Nutrition.

[20]  Z. Abdollahi,et al.  Managing nutritional programmes in developing countries. , 2004, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit.

[21]  A. Djazayery Regional overview of maternal and child malnutrition: trends, interventions and outcomes. , 2004, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit.

[22]  S. Ayatollahi Nutritional assessment of lactating women in Shiraz in relation to recommended dietary allowances. , 2004, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit.

[23]  N. Sarraf-zadegan,et al.  Fat-modified diets during pregnancy and lactation and serum lipids after birth , 2004, Indian journal of pediatrics.

[24]  D. Meyers Promoting and supporting breastfeeding. , 2001, American family physician.

[25]  E. Wirfält,et al.  Beliefs concerning dietary practices during pregnancy and lactation. A qualitative study among Iranian women residing in Sweden. , 2000, Scandinavian journal of caring sciences.

[26]  J. O. Mora,et al.  Improving prenatal nutrition in developing countries: strategies, prospects, and challenges. , 2000, The American journal of clinical nutrition.

[27]  D. Calloway,et al.  Lactation and pregnancy in Iran. II. Diet and nutritional status. , 1978, The American journal of clinical nutrition.

[28]  Nazarpour Sima,et al.  CADMIUM AND CHROME CONCENTRATIONS IN HUMAN MILK , 2014 .

[29]  K. Abdi,et al.  Lead concentration in breast milk of lactating women who were living in Tehran, Iran. , 2014, Acta medica Iranica.

[30]  R. Mahdavi,et al.  Determination of Aflatoxin M1 in Breast Milk Samples in Tabriz–Iran , 2008, Maternal and Child Health Journal.

[31]  J. Nasiri,et al.  COMPARISON OF GROWTH PARAMETERS OF INFANTS OF RAMADAN FASTED AND NON-FASTED MOTHERS , 2008 .

[32]  N. Kalantari,et al.  NUTRITIONAL STATUS OF VITAMIN A IN HORMOZGAN PROVINCE, SOUTHERN IRAN- MARCH 2000 , 2003 .

[33]  Ransom Ei,et al.  Nutrition of women and adolescent girls: why it matters. , 2003 .

[34]  L. Mahan,et al.  Krause's Food, Nutrition, & Diet Therapy , 1984 .

[35]  M. Villacampa,et al.  [Fatty acid composition of human milk]. , 1982, Anales espanoles de pediatria.

[36]  D. Raphael Lactation and pregnancy , 1979 .

[37]  D. Calloway,et al.  Lactation and pregnancy in Iran. I. Social and economic aspects. , 1978, The American journal of clinical nutrition.