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Dietary behaviours are key modifiable factors that can significantly affect pregnancy
outcomes. An understanding of these behaviours, including their variability according to socio-economic status and cultural diversities, could guide the development of effective nutritional
policies and programmes for pregnant women in Ghana amidst the growing burden of non-communicable diseases (NCDs). This hospital-based study assessed pregnant women’s fat and fibre
consumption and factors affecting this behaviour. The study employed a descriptive cross-sectional
design and quantitative approach. Two hundred (200) pregnant women were recruited from the
antenatal care (ANC) unit of the Presbyterian Hospital in Dormaa Ahenkro, Ghana, using a convenience sampling technique. The Fat and Fibre Behaviour Questionnaire (FFBQ) was used to
collect data for the study. The instrument was interviewer-administered. Statistical Package for
Social Sciences (SPSS) version 25 was used to analyze the data. Overall, fat, fibre, and total index
were 2.65 (± 0.49), 2.82 (± 0.78), and 2.71 (± 0.38), respectively. Factors significantly affecting fibre
index were age (H(4) = 28.21, p < .001), educational status (H(4) = 28.30, p = .001), marital status
(H(2) = 13.49, p = .001), ethnicity (H(3) = 23.92, p < .01), and community of residence (U(Nurban =
61, Nrural = 139) = 5097.00, p = .022). Only educational status (H(4) = 10.17, p = .038) and ethnicity
(H(3) = 24.77, p = .001) significantly affected fat index. The findings highlight the need to scale up public health programmes and research in Dormaa Central Municipality, particularly on maternal
nutrition and related issues.