Antenatal dietary education and supplementation to increase energy and protein intake

Ota, Erika; Hori, Hiroyuki; Mori, Rintaro; Tobe‐Gai, Ruoyan; Farrar, Diane

doi:10.1002/14651858.cd000032.pub3

Cited by 215 publications

(263 citation statements)

References 135 publications

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“…9 In the meta-analysis of Ota et al, apart from abovementioned advantages, was shown that pregnant women, who got advice on healthy diet principles from healthcare professionals, increased protein consumption. 10 Other studies analyzed not only women's awareness level but also evaluated an impact of medical specialists training.…”

Section: Discussionmentioning

confidence: 99%

Nutritional awareness among pregnant women in Latvia

Kolosova

Miskova²

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Women's eating habits affect not only the course of pregnancy but also the later life's metabolic health of their off springs. In 2016 Latvian guidelines on healthy nutrition during preconception period, pregnancy and lactation were published. The aim of this study was to analyze the level of nutritional awareness among pregnant women in Latvia.Methods: A descriptive cross-sectional study was carried out in Riga Maternity Hospital. 110 pregnant women receiving antenatal care participated in the survey.Results: 64.5% of respondents received recommendations on proper nutrition from health care professionals during pregnancy, whereas only 20.9% were informed in the preconception period. 68.7% of participants, who received information about the principles of healthy nutrition, considered them to be sufficient. The majority of women got the recommendations from gynecologists-obstetricians- 4.9%. 39.1% of women used non-evidence-based sources when searching for the information about healthy nutrition. 34.5% of all pregnant women had at least one health or social risk factor, which required individualized diet planning, however, 26.3% of them did not receive any recommendations at all. 28.7% of respondents started pregnancy with abnormal Body Mass Index (BMI).Conclusions: Women should be advised to make diet corrections before pregnancy, therefore more consultations in preconception period are needed. Additional educational sources providing information about healthy nutrition should be considered.

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Section: Discussionmentioning

confidence: 99%

Nutritional awareness among pregnant women in Latvia

Kolosova

Miskova²

2017

Int J Reprod Contracept Obstet Gynecol

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“…La suplementación proteicoenergética equilibrada parece mejorar el crecimiento fetal y puede reducir el riesgo de muerte fetal y de recién nacidos pequeños para la edad gestacional. Mientras tanto, la suplementación muy alta de proteínas podría ser dañina para el feto (36) .…”

Section: La Alimentación Durante La Gestaciónunclassified

Gestación en la mujer obesa: consideraciones especiales

Romero

2017

An Fac med

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Resumen La obesidad sería el problema de salud más común en las mujeres en edad reproductiva. Los embarazos complicados con obesidad se relacionan con diabetes gestacional, preeclampsia, parto pretérmino, partos instrumentados y cesáreas, así como infecciones y hemorragia en el posparto. Y el bebe tiene mayor riesgo de malformaciones congénitas, ser grande/macrosómico, complicarse con distocia de hombros y muerte fetal. Las implicancias relacionadas al manejo de la obesidad en el embarazo no son muy conocidas por la falta de opciones de manejo basadas en la evidencia. El manejo de la obesidad debería empezar desde antes del embarazo, siguiendo el precepto de que una mujer debe estar en las mejores condiciones físicas y mentales si desea gestar. El profesional de la salud encargado del control prenatal necesita del apoyo de un nutricionista y/o endocrinólogo. Se debe tener en cuenta que las mujeres obesas pueden tener más dificultades en el parto, por lo que requieren de infraestructura y manejo especiales, por médicos especializados. En esta revisión se considera los problemas de salud relacionados en la madre y el hijo. Palabras clave. Obesidad; Gestación; Morbilidad Materna; Morbilidad Perinatal. Abstract Obesity would be the most common health problem for women of reproductive age. Pregnancies complicated with obesity are associated with gestational diabetes, preeclampsia, preterm birth, instrumental delivery and cesarean section, infections and postpartum hemorrhage. And the baby is at higher risk of congenital malformations, macrosomia, shoulder dystocia, and fetal death. The implications related to the management of obesity in pregnancy are not well understood due to lack of evidence-based management options. The management of obesity should start before the woman gets pregnant, following the rule that a woman should be in the best physical and mental conditions if she wants to have a baby. The health provider in charge of the prenatal care needs the support of a dietitian or an endocrinologist. Obese women are more likely to have difficulties during labor and delivery and require both special infrastructure and care by specialized physicians. Future health problems of mother and baby are considered in this review.

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“…6 İyi kalitede kanıt düzeyinde antenatal takiplerde beslenme danışmanlığı verilmesinin, gebelikte aşırı kilo alımını önleyebileceği belirtilmektedir Ota ve ark (2015) tarafından yapılan 9.030 gebenin katıldığı 17 randomize kontrollü araştırma-nın meta analizinde; ebeler tarafından antenatal dö-nemde verilen beslenme eğitiminin etkileri ince lenmiştir. 18 Antenatal beslenme eğitiminin preterm doğum ve düşük doğum ağırlığı riskinin azalmasında, yenidoğan baş çevresinin artmasında, yetersiz beslenen kadınlarda bebek doğum ağırlığının artmasında ve protein alımının artmasında etkili olduğu görülmüştür. 18 Gebelikte kilo alımı kişinin BKI hesaplanarak dikkate alınmalıdır.…”

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“…18 Antenatal beslenme eğitiminin preterm doğum ve düşük doğum ağırlığı riskinin azalmasında, yenidoğan baş çevresinin artmasında, yetersiz beslenen kadınlarda bebek doğum ağırlığının artmasında ve protein alımının artmasında etkili olduğu görülmüştür. 18 Gebelikte kilo alımı kişinin BKI hesaplanarak dikkate alınmalıdır. Uluslararası Tıp Enstitüsü'nün sınıflamasına göre; 19 BKI <18.5 kg/m2 -12.5-18 kg, BKI 18.5-24.9 kg/m2-11.5-16 kg BKI 25-29.9 kg/m2-7-11.5 kg, BKI > 30 kg/m2-5-9 kg.…”

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Evidence-Based Practices During Pregnancy and Midwifery Approach

Kurtoğlu¹,

Yılmaz²

2018

Turkiye Klinikleri J Health Sci

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Ö ÖZ ZE ET T Gebelik dönemi bir kadının hayatındaki en önemli, danışmanlığa en ihtiyaç duyduğu dö-nemlerden biridir. Anne ve yeni doğanın mortalite ve morbiditesini azaltmaya yönelik global stratejiler, gebelik dönemindeki bakımın kalitesine giderek daha fazla ağırlık vermektedir. Günümüzde kanıt temelli yaklaşımla bilimsel bilgiyi oluşturmak ve tüm sağlık profesyonellerinin bu bilgiye ulaşabilmesi ve standart düzeyde uygulayabilmesi amacıyla klinik uygulama rehberleri ve protokoller oluşturulmuştur. Ebelerin gebeye destek olmak ve ebelik bakımının kalitesini artırmaya yönelik bilgi, beceri ve uygulamalarının kanıt temelli olması, gebelik ve doğum ile ilgili hedeflenen sağlık göstergelerine ulaşılmasını sağlayacaktır. Antenatal takiplerde gebelere bakım veren ebelerin, gebeye sunacağı hizmet, danışmanlık ve eğitimin, güncel literatür ışığında yenilenmiş, bilimsel verilere dayalı olması gerekmektedir. Bu derleme, Türkiye de gebeye antenatal bakım hizmeti veren ebeler ve doğum öncesi bakımda yer alan diğer sağlık profesyonellerine katkıda bulunması amacıyla; rutin ultrason izlemi, rutin gebelik izlemi, gestasyonel diyabet taraması ve tanısı, gebelikte beslenme ve egzersiz, gebelikte beslenmeyi etkileyen rahatsızlıklara yönelik uygulamalar, gebelikte vitamin ve minerallerin kullanımına yönelik uygulamalar, gebelikte zararlı alışkanlıklara yönelik uygulamalar, gebelikte psiko-sosyal ve aile içi şiddetin değerlendirilmesi, gebelikte tetanoz aşısı ve ebe liderliğindeki sürekli bakım konularını güncel literatür ve klinik uygulama rehberleri doğrul-tusunda kanıta dayalı olarak irdelemektedir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Gebelik; kanıta dayalı uygulamalar; prenatal bakım; ebe A AB BS S T TR RA AC CT T The pregnancy period is one of the most important periods in a woman's life, the most needed period of counseling. Global strategy to reduce maternal and newborn mortality and morbidity are going to give more weight to the quality of care in pregnancy. Today, clinical practice guides and protocols have been established in order to create scientific knowledge with an evidence-based approach and to enable all health professionals to access this information and apply it at the standard level. Midwives information to improve the quality of midwifery care and support to pregnant women, to have the skills and evidence-based practices will ensure the achievement of the targeted health indicators related to pregnancy and childbirth. The antenatal care, counseling and education that will be delivered to antenatal follow-ups should be based on updated scientific evidence in the light of current literature. This review examines the continuing care of routine ultrasonographic follow-up, routine pregnancy monitoring, gestational diabetes screening and diagnosis, use of vitamins and minerals in pregnancy, nutrition and exercise in pregnancy, applications for discomforts affecting pregnancy, harmful habits in pregnancy, psychosocial and domestic violence assessment, pregnancy tetanus vaccination and midwife-led...

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Antenatal dietary education and supplementation to increase energy and protein intake

Abstract: Antenatal dietary education and supplementation to increase energy and protein intake (Review)

Cited by 215 publications

References 135 publications

Nutritional awareness among pregnant women in Latvia

Nutritional awareness among pregnant women in Latvia

Gestación en la mujer obesa: consideraciones especiales

Evidence-Based Practices During Pregnancy and Midwifery Approach

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