{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:52:56Z","timestamp":1777639976185,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2002,1,1]],"date-time":"2002-01-01T00:00:00Z","timestamp":1009843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:p>A positive deviance inquiry was conducted in Al-Minia, Upper Egypt, to identify factors associated with achievement of good pregnancy outcomes despite limited resources. As compared with women with poor weight gain (n = 30), low-income women with weight gain greater than 1.5 kg per month in the second trimester of pregnancy (n = 11) were more likely to report multiple antenatal care contacts (80% versus 43%), increased rest during pregnancy (67% versus 7%), and more consumption of meat (33% versus 13%) and vegetables (82% versus 37%), and were less likely to report symptoms consistent with urinary tract infection (50% versus 90% with dysuria and 0% versus 57% with cloudy or reddish urine). Similar characteristics distinguished low-income women in a more economically advantaged community whose newborns weighed more than 3 kg (n = 18) as compared with mothers of smaller newborns (n = 18). These characteristics were similar to those identified in the National Research Center's Al-Minia birthweight study. the positive deviance inquiry is an affordable, participatory step to identify accessible individuals, behaviors, and conditions for improved perinatal health.<\/jats:p>","DOI":"10.1177\/156482650202300111","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T16:12:28Z","timestamp":1448467948000},"page":"83-88","source":"Crossref","is-referenced-by-count":27,"title":["Factors Associated with Successful Pregnancy Outcomes in Upper Egypt: A Positive Deviance Inquiry"],"prefix":"10.1177","volume":"23","author":[{"given":"Mahshid","family":"Ahrari","sequence":"first","affiliation":[{"name":"Children Federation in Westport, Connecticut, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attallah","family":"Kuttab","sequence":"additional","affiliation":[{"name":"Children Federation in Westport, Connecticut, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Khamis","sequence":"additional","affiliation":[{"name":"Children Federation in Westport, Connecticut, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal Ali","family":"Farahat","sequence":"additional","affiliation":[{"name":"Children Federation in Westport, Connecticut, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary L.","family":"Darmstadt","sequence":"additional","affiliation":[{"name":"Children Federation in Westport, Connecticut, USA."},{"name":"Department of International Health, School of Hygiene and Public Health, the Johns Hopkins Medical Institutions, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Marsh","sequence":"additional","affiliation":[{"name":"Children Federation in Westport, Connecticut, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. James","family":"Levinson","sequence":"additional","affiliation":[{"name":"School of Nutrition Science and Policy, Tufts University, Medford, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,1,1]]},"reference":[{"key":"bibr1-156482650202300111","volume-title":"Field guide: designing a community-based nutrition education and rehabilitation program using the \u201cpositive deviance\u201d approach.","author":"Sternin M.","year":"1998"},{"key":"bibr2-156482650202300111","volume-title":"Positive deviance in child nutrition with emphasis on psychosocial and behavioral aspects and implications for development.","author":"Zeitlin M.","year":"1990"},{"key":"bibr3-156482650202300111","first-page":"49","volume-title":"The health nutrition model: applications in Haiti, Vietnam, and Bangladesh.","author":"Sternin M.","year":"1996"},{"key":"bibr4-156482650202300111","first-page":"97","volume-title":"Scaling up, scaling down: capacities for overcoming malnutrition in developing countries.","author":"Sternin M.","year":"1999"},{"key":"bibr5-156482650202300111","volume-title":"Towards new applications of the \u201cpositive deviance\u201d approach in Save the Children's programs: report of a planning meeting.","author":"Save the Children.","year":"2000"},{"key":"bibr6-156482650202300111","volume-title":"Low birthweight: report based on the international low birthweight symposium and workshop held on 14-17 June 1999 at the International Center for Diarrheal Disease Research in Dhaka, Bangladesh. SCN Nutrition Policy Paper No. 18.","author":"Subcommittee on Nutrition.","year":"2000"},{"key":"bibr7-156482650202300111","volume-title":"Bull WHO","volume":"73","author":"World Health Organization.","year":"1995"},{"key":"bibr8-156482650202300111","volume-title":"Incidence and risk factors of low birth-weight in Al-Minia Governorate, Egypt.","author":"National Research Center, Community Medicine Department.","year":"1997"},{"key":"bibr9-156482650202300111","doi-asserted-by":"publisher","DOI":"10.1002\/cpt1975174469"}],"container-title":["Food and Nutrition Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/156482650202300111","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/156482650202300111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:15:29Z","timestamp":1777443329000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/156482650202300111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2002,1]]}},"alternative-id":["10.1177\/156482650202300111"],"URL":"https:\/\/doi.org\/10.1177\/156482650202300111","relation":{},"ISSN":["0379-5721","1564-8265"],"issn-type":[{"value":"0379-5721","type":"print"},{"value":"1564-8265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,1]]}}}