Informing maternity service development by surveying new mothers about preferences for nutrition education during their pregnancy in an area of social disadvantage |
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| Authors: | Helen E. Porteous Michelle A. Palmer Shelley A. Wilkinson |
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| Affiliation: | 1. Nutrition and Dietetics, Logan Hospital, Queensland Health, Meadowbrook, QLD 4131, Australia;2. Department of Nutrition and Dietetics, Mater Mothers’ Hospital, QLD 4101, Australia;3. Mater Medical Research Institute, QLD 4101, Australia;1. Department of Nursing, Mid Sweden University, SE-851 70 Sundsvall, Sweden;2. Department of Clinical Science and Education, Karolinska Institutet Södersjukhuset, SE-118 83 Stockholm, Sweden;3. Department of Women''s and Children''s Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden;4. Department of Women''s and Children''s Health, Uppsala University, SE-751 85 Uppsala, Sweden;5. School of Nursing and Midwifery, Maternity and Family Unit, Research Centre for Clinical and Community Practice Innovation (RCCCPI), Griffith Health Institute, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia;6. Gold Coast Hospital, Queensland 4215, Australia;1. School of Nutrition, Laval University, 2425 rue de l‘Agriculture, Quebec City, G1V 0A6, Canada;2. Institute of Nutrition and Functional Foods (INAF), Laval University, 2440 Boulevard Hochelaga, Quebec City, G1V 0A6, Canada;3. Endocrinology and Nephrology Axis, CHU de Québec Research Center, 2705 boulevard Laurier, Quebec City, G1V 4G2, Canada;4. Diabetes Research Unit, Laval University Medical Research Center, 2705 boulevard Laurier, Quebec City, G1V 4G2, Canada;1. School of Agriculture, Food & Wine, University of Adelaide, Australia;2. Discipline of Obstetrics and Gynaecology, and Robinson Research Institute, University of Adelaide, Australia;3. Department of Obstetrics and Gynaecology, Flinders Medical Centre, School of Medicine, Flinders University, Australia;4. The University of Adelaide, School of Public Health, Adelaide, South Australia, Australia;5. Department of Perinatal Medicine, Women’s and Babies Division, Women’s and Children’s Hospital, Australia;6. Monash Centre for Health Research Implementation, School of Public Health and Preventive Medicine, Monash University, Australia |
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| Abstract: | BackgroundA demonstrated link exists between maternal diet and maternal and infant health outcomes during and after pregnancy. A dietetic maternity service (0.6FTE for 3500 births) was introduced in 2012 at our hospital in a socially-disadvantaged area. We needed to develop evidence-based, patient-oriented improvements to nutrition services within resource limitations.AimThis cross-sectional study gathered knowledge, eating behaviours, and nutrition-related needs of our women ante- and postnatally to inform this process.MethodsWomen (≥18 years) admitted to the postnatal ward completed our survey. Data including dietary quality, nutritional knowledge and interest in nutrition education were collected. Analysis included descriptive, chi-squared and t-tests.FindingsThree hundred and nine eligible women responded (28 ± 6 years, 27 ± 7 kg/m2 pre-pregnancy body mass index, 12% gestational diabetes). Two-fifths (42%) self-reported gaining excess weight during pregnancy. One quarter reported knowing their gestational weight gain goals, yet only 1.6% was correct. Half reported interest in receiving nutrition education during pregnancy and post-delivery (45%, n = 134; 43%, n = 123, respectively). Women had poor diet quality (daily serves – fruit: 1.8 ± 1.0; vegetables: 2.0 ± 1.2; dairy: 1.9 ± 1.2), despite identifying healthy eating as a personal priority. Nutrition topics requested included healthy eating for development of baby pre- and post-delivery and maternal weight management.ConclusionWomen attending our hospital have dietary issues and levels of interest in nutrition similar to women in tertiary maternity centres. Service changes planned will explore formats that meet higher and lower education levels; group workshops may be supplemented by formats such as internet and DVD-delivered education to overcome access and literacy issues, respectively. |
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| Keywords: | Maternal health services Nutrition Preferences Dietetics Health planning |
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