Attending Primary Health Care Centers Research Articles

Awareness of Gestational Diabetes Mellitus Maternal and Neonatal Outcomes Among Women Attending Primary Healthcare Centers in Qassim, Saudi Arabia.

Background Gestational diabetes mellitus (GDM), diagnosed during pregnancy, can harm both mothers and neonates. GDM awareness among women varies among various countries. Understanding the level of awareness is vital for designing effective health interventions. Objectives This study aimed to evaluate GDM awareness among married females at primary healthcare centers (PHCCs) in Qassim, Saudi Arabia, focusing on knowledge regarding adverse maternal and fetal outcomes of GDM. Methods An observational cross-sectional study was conducted among married females at PHCCs in Qassim, from June 2023 to October 2023. A two-stage cluster sampling method was used. Four PHCCs were selected in the first stage, and study participants were selected from these centers in the second stage. A self-administered questionnaire was used. Statistical Product and Service Solutions (SPSS, version 23;IBM SPSS Statistics for Windows, Armonk, NY) was used for statistical analysis. Results Of the 270 participants, the majority (72.2%) demonstrated 'poor' knowledge about GDM adverse outcomes for both mothers and neonates, 17.8% demonstrated a 'fair' level, and only 10% displayed a 'good' knowledge. Participants' educational level, personal history of diabetes, and age were associated with knowledge levels. Awareness of specific outcomes related to GDM, both maternal and neonatal, varied among participants. Information on GDM was mainly obtained from mass media and personal networks, while healthcare providers were reported as the least common source. Conclusion Based on the results of our study, weconclude that educational interventions, especially involving healthcare providers, are essential to improve awareness about GDM adverse outcomes. Strategies involving educational sessions by healthcare providers and health education materials at PHCCs can improve awareness leading to effective management of GDM and improved maternal and neonatal outcomes.

KNOWLEDGE, ATTITUDE, AND PRACTICE OF COMPLEMENTARY AND ALTERNATIVEMEDICINE USAGE AMONG PATIENTS WITH TYPE II DIABETES MELLITUS INEASTERN PROVINCE, SAUDI ARABIA2022-2023

KNOWLEDGE, ATTITUDE, AND PRACTICE OF COMPLEMENTARY AND ALTERNATIVEMEDICINE USAGE AMONG PATIENTS WITH TYPE II DIABETES MELLITUS INEASTERN PROVINCE, SAUDI ARABIA2022-2023

Growth patterns of children under 5 years old in rural area northern of Abha, Aseer Region, Saudi Arabia.

Measuring and monitoring physical growth is a key element in assessing children's health. The physical and mental development of a growing child are indicators of good health and nutrition. This study aimed to explore the patterns of growth parameters among children under 5 years old attending primary health care centres (PHCCs) in rural northern Abha. Feeding habits during the first 2 years of life were also assessed. This study was conducted on 1-5 April 2022 in all (PHCCs) in Billasamr and Ballahmar, two neighbourhoods of northern Abha. The investigator designed a form for collecting each child's age (months), weight (kilograms), gender, birth order, number of family members, type of feeding (exclusive breastfeeding, exclusive bottle feeding, or mixed feeding), and duration of exclusive breastfeeding. Gender affected the body weight of Saudi infants, as boys weighed significantly more than age-matched girls. Birth order also affected body weight. During the first and third years of life, Saudi children's body weight was not significantly affected by feeding type. During the second and fifth years of life, formula-fed children weighed more than breastfed or combination-fed children. However, during the fourth year of life, body weight was highest in combination-fed children. Growth patterns over time, established from multiple data points, must be used in conjunction with other medical and family history to evaluate appropriate growth. Recording and tracking body size, especially recumbent length and weight, as part of well-baby care is critical for any assessment of child wellbeing and health status.

Prevalence of depression and anxiety among elderly primary care patients in Palestine.

Depression and anxiety are common mental health disorders among the elderly worldwide. In this study, we estimated the prevalence of depression and anxiety and related risk factor among elderly attending Primary Health care (PHC) centers in Palestine. A cross-sectional study was conducted from February to July 2021 with a sample size of 380 participants aged ≥60 attending PHC centers in West Bank, using an interviewer-administered questionnaire. We used the Geriatric Depression Scale-15 and the Geriatric anxiety Scale to screen for depression and anxiety, respectively. Logistic regression models were used to identify predictors of depression and anxiety. The prevalence of depression and anxiety was 41.1 and 39.2%, respectively. Elderly people living in rural areas (aOR = 2.63; 95% CI: 1.72-4.20), uneducated (aOR = 2.92; 95% CI: 1.41-6.13), and without monthly income (aOR = 3.42; 95% CI: 1.52-7.61) were more likely to have depression. On the other hand, anxiety was independently associated with living in rural areas (aOR = 1.93, 95% CI: 1.23-3.04) and having non-communicable diseases (aOR = 2.01; 95% CI: 1.13-3.49). Depression and anxiety are common in Palestine, a developing country with a lack of elderly related services. This should be emphasized at the national and regional levels where geriatric health care services are scarce. Such information is required by policymakers and external funding agencies in order to develop future agendas.

Community-Directed Educational Intervention for Lassa Fever Prevention Practices Among Nursing Mothers Attending Primary Health Care Centres in Akinyele, Ibadan, Oyo State, Nigeria: A Quasi-Experimental Study

Community-Directed Educational Intervention for Lassa Fever Prevention Practices Among Nursing Mothers Attending Primary Health Care Centres in Akinyele, Ibadan, Oyo State, Nigeria: A Quasi-Experimental Study

Knowledgment of Birth Spacing Among Women Attending Primary Health Care Centers in Mukalla District, Yemen

Background: Short birth spacing linked with adversative health consequences for infant, child and maternal mortality also increases the chances of mother and their children survival.
 Objective: To assess the determinants and the knowledge of birth space amongst women of reproductive age in Mukalla district, Hadhramout Governorate, Yemen.
 Patients and Methods: A cross sectional study of 384 women of multiplicative ages (15-49 years) was conducted at primary health care centres in Mukalla district. The study was conducted from November. 2018 to Oct 2019.
 Results: The median birth spacing was 35 months. (50.8 %) of respondents have been committed undersized birth spacing underneath the indorsed interval of ideal delivery spacing. Multivariate logestic V regression revealed that age of mother between 15-24 years (OR 3.255, 95%CI 1.598-6.629, P=0.001), not enough family income (OR 1.867, 95%CI1.104-3.158, P =0.020 ), number of living children ≤ 3 children (OR 1.225, 95%CI .532–2.520, P=0.027) and breast feeding duration < 6 months (OR7.435 , 95%CI 1.490 – 37.101,P=0.014) or 6-<12 months (OR 7.320, 95%CI 1.406–38.116, P=0.018) were linked with augmented hazard of short birth spacing, whereas mother’s history of chronic disease (OR.026,95%CI .003-.227,P=.001) and modern family planning methods utilization (OR.208, 95%CI.112-.386, P=0.000) were linked with decreased risk of little birth space. (58.1%) of respondents had high level of knowledge about the birth spacing.
 Conclusion: Certain factors were significant predictors of short birth spacing in Mukalla's women. This should lead to encouragement of longer birth spacing between births.

Knowledgment of Birth Spacing Among Women Attending Primary Health Care Centers in Mukalla District, Yemen

Background: Short birth spacing linked with adversative health consequences for infant, child and maternal mortality also increases the chances of mother and their children survival. Objective: To assess the determinants and the knowledge of birth space amongst women of reproductive age in Mukalla district, Hadhramout Governorate, Yemen. Patients and Methods: A cross sectional study of 384 women of multiplicative ages (15-49 years) was conducted at primary health care centres in Mukalla district. The study was conducted from November. 2018 to Oct 2019. Results: The median birth spacing was 35 months. (50.8 %) of respondents have been committed undersized birth spacing underneath the indorsed interval of ideal delivery spacing. Multivariate logestic V regression revealed that age of mother between 15-24 years (OR 3.255, 95%CI 1.598-6.629, P=0.001), not enough family income (OR 1.867, 95%CI1.104-3.158, P =0.020 ), number of living children ≤ 3 children (OR 1.225, 95%CI .532–2.520, P=0.027) and breast feeding duration < 6 months (OR7.435 , 95%CI 1.490 – 37.101,P=0.014) or 6-<12 months (OR 7.320, 95%CI 1.406–38.116, P=0.018) were linked with augmented hazard of short birth spacing, whereas mother’s history of chronic disease (OR.026,95%CI .003-.227,P=.001) and modern family planning methods utilization (OR.208, 95%CI.112-.386, P=0.000) were linked with decreased risk of little birth space. (58.1%) of respondents had high level of knowledge about the birth spacing. Conclusion: Certain factors were significant predictors of short birth spacing in Mukalla's women. This should lead to encouragement of longer birth spacing between births. Keywords: Birth spacing; knowledgment; primary health care centers; Yemen

Body Mass Index Categories Among Pregnant Women Attending Primary Health Care Centers / Baghdad 2022

Background: Recommended weight gain to support a healthy pregnancy vary by prepregnant body mass index. Insufficient weight gain especially associated with prepregnant underweight is associated with increased risk of spontaneous preterm delivery, small for gestational age. Extensive weight gain often results in large for gestational age babies also may increase risk during delivery. Good nutrition and a healthy diet during pregnancy are critical for a mother’s health, as well as that of her child. A healthy diet contains adequate energy, protein, vitamins and mineral obtained from a variety of foods including green and orange vegetables, meat, fish, beans, nuts, whole grains, and fruit. Many studies have suggested that weight gain during pregnancy is affected by prepregnancy BMI. This study is conducted to determine maternal weight gain, pattern and associated of some selected socio-demographic factors. Method: A cross-sectional analytic study wholly done from July 4th to December 20th; the sample size was 114 pregnant antenatal care files archived selected from primary health care centers. It searched for the full previous pregnancy files and with frequent visits from the beginning of pregnancy to birth. The data and information were collected from antenatal care files from six primary health care centers of As-Salam, AL-A’dil, AL-Mansour, AL-A’dhamiya 3rd, AL-Baladiyaat, AL-Mustansiriya. The exclusion criteria exclude all incomplete files, pregnant women less than 18 years, and pregnant with chronic disease multiple pregnancy. Frequencies and percentage were calculated; Chi square test were used; and the statistical probability were consider significant if P value < 0.05. Results: The current study was conducted through 114 pregnant care files or antenatal care in 6 primary health care centers. 73% of them gained excessive weight during pregnancy; 11% of them gained insufficient weight gain during pregnancy; and 17% of pregnant women had adequate weight gain during pregnancy. There was a statistically significant association between weight gain during pregnancy and primary health care centers, as representing social factor, and also significant association between pre pregnancy BMI and gestational weight gain. Conclusion: Gestational weight gain was significantly affected by pre pregnancy body mass index. Prevalence of excessive weight gain increases with the increase of the pre-pregnancy body mass index and with the increase of age in pregnant women. Weight gain during pregnancy should be monitored and intervention should be developed.

Polypharmacy among patients with hypertension attending primary healthcare centres.

This was an observational, cross-sectional, descriptive study of hypertensive patients followed up at 10 PHC centres in Makkah, Saudi Arabia, from 1 July 2019 to 30 June 2022. Frequencies and percentages were used to present categorical data, and Pearson's χ 2 test was used to measure differences. A P value less than 0.05 was considered statistically significant. A total of 506 patients were included in this study. The mean age of the patients was 60 years, and more than half (69%) were females. Regarding antihypertensive medication use, 64% were on antihypertensive combination therapy, 76% on dual therapy, 21% on triple therapy, and 3% on quadruple therapy. Moreover, 21% of the hypertensive patients were exposed to polypharmacy. There was a significant relationship (P<0.001) between the overall number of chronic medications used per day and the duration of hypertension. More clinical research is needed to identify the impact of polypharmacy on the quality of healthcare in PHC centres in general and hypertensive patients specifically in different regions of Saudi Arabia.

Birth Preparedness and Complication Readiness Among Pregnant Women Attending Primary Health Care Centers in Erbil City

Background and Objectives: Birth preparedness and complication readiness (BP/CR) is a plan that helps women to consider all obtainable maternal health care services. The aim of this study was to assess the level of knowledge on key danger signs and components of BP/CR among pregnant women within 3rd trimester who attending primary health care centers in Erbil city.Methods: A descriptive study was conducted on 300 pregnant women, during the period mid-March 2019 to the end of July 2019 in five primary health care centers in Erbil city. Data gathered through interview with study sample and using structured questionnaires and purposive sampling technique used to selected samples. Data were analyzed by using the social package of statistical science (SPSS version 23).Results: Pregnant women were between the ages of 15 and 46 years, about 8% of the women aged less than 20 years, and 12.3% aged ≥ 35 years. About (93.7%)of the women thinks that planning for the place of delivery is important while only 1.3% thinks that it is important to identify skilled attendant. Also high knowledge about birth preparedness was associated significantly (p = 0.041) with age and the distance to the health care facility (p = 0.003) but there are not significant association with other socio-demographic factors.Conclusion: Large proportion of pregnant women had good knowledge about some of key danger signs. Generally, majority of the respondents had increased awareness on most of components of BP/CR.

Knowledge and Practice of Use of Insulin Therapy Among Patients With Type 2 Diabetes Attending Primary Health Care Centers, Riyadh, Saudi Arabia: A Cross-Sectional Study.

The objective of this study was to explore the level of knowledge and practice of insulin therapy among patients with type 2 diabetes in Saudi Arabia. In this cross-sectional study, 400 pretested structured questionnaires were administered through an interview with patients in a primary health care center. Responses from 324 participants (81% response rate) were analyzed. The questionnaire comprised three main sections: sociodemographic data, a knowledge assessment, and a practice assessment. The total knowledge score was calculated out of 10: 7-10 was excellent, 5.5-6.9 was satisfactory, and less than 5.5 was poor. Approximately 57% of the participants were ≤ 59 years old, and 56.3% were females. The mean knowledge score was 6.5 (+/-1.6). Participants showed an overall good practice, with 92.5 rotating the site of injection, 83.3% sterilizing the site, and 95.7% taking insulin regularly. The knowledge level was influenced effectively by gender, marital status, educational level, job, frequency of follow-up, havingvisited a diabetic educator, duration of insulin therapy, and experiencinga hypoglycemic event (p-value <0.05). Knowledge was revealed to significantly influence self-insulin administration, meal-skipping after taking insulin, use of home glucose monitoring, keeping snacks nearby, and taking insulin in relation to meals (p-value <0.05). In some of the practice parameters, patients with high knowledge scores had better practice. Knowledge of patients with type 2 diabetes mellitus was satisfactory, with significant differences in knowledge according to gender, marital status, educational level, occupation, duration of diabetes, frequency of follow-up, visiting a diabetic educator, and having an experience of the hypoglycemic episode. Participants showed overall good practice, with better practice being associated with a higher knowledge score.

Impacts of Maternal Care Services on Reproductive Health of Pregnant Women Attending Primary Health Care Centres in North-Eastern Nigeria

Maternal care services involves provision of health care to women during pregnancy, childbirth and postpartum period at reproductive health care settings. The quality of maternal care services that women receive determine their reproductive health status in pregnancy, delivery and postpartum and impact on their overall wellbeing and that of the feotus. Maternal complications in pregnancy, childbirth and postpartum that usually result to death of women and their feotus due to poor maternal care services are still persistent in North-Eastern Nigeria, Nigeria. Therefore, the study examined the impacts of maternal care services on reproductive health of pregnant women attending primary health care centres in North-Eastern Nigeria. An ex-post facto research design was adopted for the study. The population of the study consisted of 2,487 registered pregnant women attending primary health care centres in North-Eastern Nigeria. A sample of 482 was selected through multistage sampling procedures. A researcher-developed questionnaire was used as instrument for data collection, the instrument was validated by three experts was used as instrument for the study. The reliability of the instrument was established with the use of split-half method and analyzed using Cronbach alpha statistics; a coefficient of 0.87 was obtained which shows the instrument is reliable. Inferential Statistics of Chi-square was used to analyze the data at 0.05 level of significance. The findings of the study show that maternal care services of medical check-up, physical test, health talk and immunization have significant impacts on reproductive health of pregnant women attending primary health care centres in North-Eastern Nigeria. Based on the findings of the study, it was recommended that regular seminars and training should be organized by reproductive health care professionals for pregnant women in order to enlighten them on the benefits of maternal care services in order to improve their reproductive health status. Also, government should provide high quality immunization equipment and medications available and accessible in maternal care services centres as one strategy of prevention maternal complication during postpartum period and to improve the reproductive health and wellbeing of the mother and newborn baby.

Effectiveness of WHO Combination Treatment Regimen in The Management of Diarrhoea Among Under-Five Children Attending Primary Health Care Centres in Oyo State, Nigeria

Diarrhoea is one of the childhood diseases that result to high mortality. Despite the World Health Organization (WHO) recommendation of the combination treatment regimen of oral rehydration salts (ORS) and zinc supplements for the management of this disease, it effectiveness in treating and preventing the reoccurrence of diarrhoea among the under-five children remains a serious concern. Therefore, the main objective of this study was to assess the effectiveness of WHO combination treatment regimen in the management of diarrhoea amongst under-five children attending Primary Health Care (PHC) centres in Oyo State. The study adopted quasi-experimental of one group Pretest-posttest design. Purposive sampling technique was used to recruit a total of 60 eligible participants on admission. The effectiveness of the combination treatment regimen was assessed based on the recovery rate of the participants at 24 hours, 2 weeks and 4 weeks post intervention using a standardized instrument of WHO observational check-list for assessing diarrhoeaic under-five children. Data analysis was done using both descriptive and inferential statistics. However, on admission (baseline), majority 52(86.7%) of the participants had moderate diarrhoea. After administering WHO-ORS plus Zinc supplements, 24 hours later, majority 51(85.0%) of the participants had no diarrhoea, two (2) weeks later, during home visiting, majority 56(93.3%) of the participants had no diarrhoea. After Four (4) weeks, significant improvement was also achieved as 57(95.0%) participants had no diarrhoea. It was concluded that the significant improvement in the diarrhoea status in 24 hours, 2 weeks and 4 weeks post intervention was an indication that the combination of WHO-ORS plus zinc suggest how highly efficacious the regimen is in the management of under-five diarrhoea. Hence, Health workers in the PHC should combine the therapy and not using only one in the management of under-five diarrhoea.

Perceived Knowledge, Attitude, and Practices (KAP) and Fear toward COVID-19 among Patients with Diabetes Attending Primary Healthcare Centers in Kuwait.

To assess perceived fear and to evaluate the level of knowledge, attitude, and prevention practices (KAP) regarding COVID-19 infection among patients with diabetes mellitus (DM) attending primary healthcare centers (PHCs) in Kuwait. This will help evaluate gaps and provide appropriate support to limit the spread of COVID-19 infection in high-risk patients. A descriptive cross-sectional study was carried out using a self-administered questionnaire. All patients aged 18 years or older attending for follow-up or newly diagnosed with type 1 or type 2 diabetes were eligible to participate in the study. Patients waiting for their regular follow-up appointments at the PHCs were invited verbally to take part in the study. The study excluded patients under the age of 18 and those with significant cognitive or physical impairment that might interfere with independent self-care behavior. The questionnaire included 57 items. The data were analyzed using descriptive statistics. A total of 294 questionnaires were distributed to patients at PHCs in three health districts (Hawally, Capital, and Farwaniya) in Kuwait; 251 patients agreed to participate in the study, yielding a response rate of 85.4%. The study showed that most patients had moderate knowledge (71.1%) of COVID-19. The majority of correctly responded questions were about the mode of COVID-19 transmission, the most common clinical presentations, and at-risk people. On the other hand, 83.7% (n = 210) identified common cold symptoms (stuffy nose, runny nose, and sneezing) as COVID-19 symptoms. More than half of the patients (n = 146, 58.2%) were unable to identify uncommon COVID-19 symptoms, such as diarrhea and skin rash or discoloration. Most patients had a positive attitude (90.9%) and good prevention practices (83.6%). The overall fear score of the participating patients was 21.6 ± 6.5 (61.7%). Regardless of the positive attitude and good preventive practices of the patients, they had moderate knowledge levels about COVID-19. This indicates that there are significant knowledge gaps that still need to be filled. Different strategies can be used for this purpose, such as social media and public information campaigns. Supporting psychological well-being is vital for at-risk patients during a pandemic.

Erratum: Fall risks and health-related quality of life among elderly attending primary healthcare centers in South Western Nigeria: A cross-sectional study

Erratum: Fall risks and health-related quality of life among elderly attending primary healthcare centers in South Western Nigeria: A cross-sectional study

Fall risks and Health-related quality of life among elderly attending primary healthcare centers in South Western Nigeria: A cross-sectional study

Fall risks and Health-related quality of life among elderly attending primary healthcare centers in South Western Nigeria: A cross-sectional study

The relationship between health literacy and self-care management in patients with hypertension attending primary healthcare centers

The relationship between health literacy and self-care management in patients with hypertension attending primary healthcare centers

Demographic Variables as a Determinant of Health Promotion Practices among Postpartum Women Attending Primary Health Care Centers in Abia State

Little is known about the engagement of health promotion practices of postpartum women in Abia State; and no empirical data was identified in Abia State hence the motivation to determine demographic Variables as a determinant of health promotion practices among postpartum women attending primary health care centers in Abia State. To achieve this purpose, 8 specific purposes, and 8 corresponding research questions and 8 hypotheses were raised. Descriptive survey design was adopted. Multi-stage sampling technique was used to draw 600 postpartum women attending primary health care centers at Abia State between September and October, 2021. Research instrument was a researcher- developed questionnaire tagged “Health Promotion Practices Questionnaire, (HPPQ)” which was divided into two clusters (breastfeeding and personal hygiene). Three experts validated the instrument. The HPPQ was subjected to reliability test using Kuder-Richardson (K-R 20) and the reliability coefficients 0.61 and 0.69 were obtained for breastfeeding and personal hygiene respectively. Analysis was done using 462 adequately completed copies of the instrument. Frequencies and percentages were used to answer the research questions, while chi-square statistics was used to test the hypotheses at .05 alpha levels. The findings showed that greater proportion of women below 23years of age engaged less in health promotion practices regarding personal hygiene and breastfeeding. Also, postpartum women of parity level of 1-3 engaged most in health promotion practices of breastfeeding and personal hygiene. Postpartum women who were either civil servants or business women engaged most in health promotion practices stipulated in this study while those postpartum women of educational group of primary education and no-formal education engaged less in health promotion practices of breastfeeding and personal hygiene. There were significant differences among postpartum women of different ages, parity levels, educational status and occupational levels in their engagement of health promotion practices. Based on the above findings, conclusions were drawn and recommendations among others were made: every postpartum woman should be adequately informed and sensitized on the importance of postpartum care and the essence of regular attendance to Primary Health care centers during postpartum period, particularly the younger ones, using appropriate channels and settings.

Differential Utilisation of two Therapeutic Methods in the Management of Diarrhoea among Under-Five Children Attending Primary Health Care Centres in Oyo State, Nigeria

Diarrhoea remains the leading killer of children, accounting for approximately 9 percent of all deaths among children under age 5 worldwide in 2019. This translates to over 1,300 young children under five dying each day, or about 484,000 children a year, despite the availability of a simple treatment solution like the use of oral rehydration therapy (ORS) and zinc supplements. Therefore, this study evaluated the differential utilisation of ORS and Zinc supplements in the management of diarrhoea among under five children attending primary health care centres in Oyo State, Nigeria from 2017 to 2021. The researcher conducted a retrospective cohort study from 2017 to 2021 to evaluate the differential utilisation of ORS and Zinc supplements in the management of diarrhoea among under five children in Oyo State, Nigeria. Secondary analysis of the treatment data from selected primary health care centres in Oyo State was conducted from 2017 to 2021; the number of patients diagnosed of diarrhoea with their age group and treated with either ORS or zinc supplements on admission were analysed for each year at each of the PHC. A significant positive, near perfect correlation was found to occur between number of diarrhoea cases and ORS usage and age range (r= 0.983; p=0.01) and number of diarrhoea cases with Zinc usage (r= 0.914; p= 0.01); translating to the fact that ORS and Zinc usages increased with increased number of diarrhoea cases. Increase in ORS usage also positively correlates with usage of Zinc among the under five children. It was concluded that the most affected age group with the highest diarrhoea rate are children within 12-59 months. There is thus a need to improve the sensitisation of the use of oral rehydration therapy and zinc supplements by the health care workers in our Primary Health Care centres. Again, adequate preventive and control strategies should be put in place at the PHC, Local and State levels to improve on data reporting on cases of under-five diarrhoea disease.

Nutritional study among adolescent pregnant attending primary health care centers

It was the goal of this study to examine the relationship between pregnant women's consumption of fruits, vegetables, and ultra-processed foods and their nutritional status. Analysis of data from a cohort study of pregnant women enrolled in prenatal care at a primary health care center in the urban area of Al Qyarah, Saudi Arabia Socioeconomic, obstetric, and maternal anthropometric, biochemical, and dietary data will be collected from October 2021 to January 2022. (obtained in the 1st clinical evaluation, between the 16th and 20th week of gestation, performed at the health unit). Serum concentrations of vitamin E, folic acid and beta-carotene, as well as pre-pregnancy body mass (BMI, kg/m2), were used to assess nutritional status. Anemia and vitamin A deficiency were also examined. Only 183 of the 860 pregnant women screened were found to be ineligible for the study, and 171 had subsequently dropped out. As a result, 506 pregnant women were included in the study, with 26% of them being adolescents (under the age of 20) and 44% being primigravidae. 15.4% of pregnant women had anemia, and 10.9% had vitamin A deficiency, both of which were found in the study.