Nutrition Advice During Pregnancy: Do Women Receive it and Can Health Professionals Provide it?
Nutrition Advice During Pregnancy: Do Women Receive it and Can Health Professionals Provide it?
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DOI：
10.1007/s10995-014-1485-0
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发表时间：
2014-12-01
影响因子：
2.3
通讯作者：
Yeatman, Heather
中科院分区：
文献类型：
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作者：
Lucas, Catherine;Charlton, Karen E.;Yeatman, Heather
怀孕期间健康的饮食对胎儿的正常生长发育至关重要。孕妇可以从许多来源获得营养信息，但关于这些信息的充分性和范围的证据很少。本研究进行了系统的文献综述，以确定孕妇获取营养信息的来源、她们对营养教育的感知需求、医疗保健提供者对孕期营养教育的感知，并评估旨在改善营养实践的公共卫生计划的有效性。2013年1月和2014年2月对Scopus数据库进行了检索，以获取2002年至2014年期间发表的定性和定量研究，这些研究的重点是发达国家健康孕妇及其保健提供者。如果文章关注的是患有肥胖症、妊娠糖尿病或营养不良等疾病的妇女的需求，则不纳入研究。在由检索词确定的506篇文章中，有25篇文章被认为符合纳入条件。一般来说，妇女在怀孕期间没有接受足够的营养教育。尽管保健从业人员认为营养教育很重要，但向客户提供教育的障碍包括缺乏时间、缺乏资源和缺乏相关培训。需要进一步精心设计的研究，以确定最有效的营养教育战略，以改善产前保健期间妇女的营养知识和饮食行为。
A healthy diet during pregnancy is essential for normal growth and development of the foetus. Pregnant women may obtain nutrition information from a number of sources but evidence regarding the adequacy and extent of this information is sparse. A systematic literature review was conducted to identify sources of nutrition information accessed by pregnant women, their perceived needs for nutrition education, the perceptions of healthcare providers about nutrition education in pregnancy, and to assess the effectiveness of public health programs that aim to improve nutritional practices. The Scopus data base was searched during January, 2013 and in February 2014 to access both qualitative and quantitative studies published between 2002 and 2014 which focused on healthy pregnant women and their healthcare providers in developed countries. Articles were excluded if they focused on the needs of women with medical conditions, including obesity, gestational diabetes or malnutrition. Of 506 articles identified by the search terms, 25 articles were deemed to be eligible for inclusion. Generally, women were not receiving adequate nutrition education during pregnancy. Although healthcare practitioners perceived nutrition education to be important, barriers to providing education to clients included lack of time, lack of resources and lack of relevant training. Further well designed studies are needed to identify the most effective nutrition education strategies to improve nutrition knowledge and dietary behaviours for women during antenatal care.