Systematic Review of Interventions Addressing Food Insecurity in Pregnant Women and New Mothers

Purpose of the Review Food insecurity can have a negative health impact for women during pregnancy and the postpartum period; however, there are a range of barriers to meeting nutritional guidelines during pregnancy. Food insecurity is associated with an increased risk of pregnancy complications and...

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Bibliographic Details
Published in:	Current nutrition reports Vol. 11; no. 3; pp. 486 - 499
Main Authors:	McKay, Fiona H., Spiteri, Sheree, Zinga, Julia, Sulemani, Kineta, Jacobs, Samantha E., Ranjan, Nithi, Ralph, Lauren, Raeburn, Eliza, Threlfall, Sophie, Bergmeier, Midina L., van der Pligt, Paige
Format:	Journal Article
Language:	English
Published:	New York Springer US 01-09-2022
Subjects:	Cardiology Clinical Nutrition Diabetes Female Food Insecurity Health Promotion and Disease Prevention Humans Maternal and Childhood Nutrition (AC Wood Maternal and Childhood Nutrition (AC Wood, Section Editor) Medicine Medicine & Public Health Mothers Oncology Postpartum Period Pregnancy Pregnancy Complications - epidemiology Pregnant Women Section Editor Topical Collection on Maternal and Childhood Nutrition Pregnancy Intervention Review Food security
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Summary:	Purpose of the Review Food insecurity can have a negative health impact for women during pregnancy and the postpartum period; however, there are a range of barriers to meeting nutritional guidelines during pregnancy. Food insecurity is associated with an increased risk of pregnancy complications and mental and physical health outcomes. This review aims to provide insight into programmes and interventions which have targeted food insecurity in pregnant and early postpartum women. The central research question for this review is as follows: What programmes and interventions have sought to address food insecurity among pregnant and postpartum women? A systematic search of five electronic databases including Medline, CINAHL, Global Health, Embase, and Cochrane was undertaken on August 2021. Key thematic areas searched were food insecurity, pregnancy, nutritional outcomes, and interventions or programmes. Only studies that were published since 2000 in English were considered. Recent Findings Eleven studies were included in this review. Studies employed a range of methods and outcomes measures. They were conducted in mostly low- and middle-income countries, and in general, focused on nutritional supplementation, with some studies also incorporating nutrition education or counselling. Summary The findings of this review suggest that while there are a range of possible interventions that seek to address food insecurity and hunger among pregnant and postpartum women, the limited number of robust evaluations or long-term interventions mean that evidence for any one intervention type is limited. Furthermore, the programmes and interventions that do exist are generally embedded within a single context or structure, and as such, may not be able to be widely implemented. ( Prospero Registration CRD42022245787)
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 ObjectType-Undefined-4
ISSN:	2161-3311 2161-3311
DOI:	10.1007/s13668-022-00418-z