Skip to main content

Advertisement

Log in

Nutrition Advice During Pregnancy: Do Women Receive it and Can Health Professionals Provide it?

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. American Dietetic Association. (2008). Position of the American dietetic association: Nutrition and lifestyle for a healthy pregnancy outcome. Journal of the American Dietetic Association, 108(3), 553–561.

    Article  Google Scholar 

  2. Hibbeln, J. R., Davis, J. M., Steer, C., Emmett, P., Rogers, I., Williams, C., et al. (2007). Maternal seafood consumption in pregnancy and neurodevelopmental outcomes in childhood (ALSPAC study): An observational cohort study. The Lancet, 369(9561), 578–585.

    Article  Google Scholar 

  3. Al, M. D. M., van Houwelingen, A. C., & Hornstra, G. (2000). Long-chain polyunsaturated fatty acids, pregnancy and pregnancy outcome. The American journal of clinical nutrition, 71, 285–291.

    Google Scholar 

  4. World Health Organisation & United Nations Children’s Fund. (2007). Reaching optimal iodine nutrition in pregnant and lactating women and young children. Geneva: World Health Organisation.

    Google Scholar 

  5. National Health and Medical Research Council. (2010). Iodine supplementation for pregnant and breastfeeding women. Canberra: N.H.M.R.C, Editor.

    Google Scholar 

  6. World Health Organisation. (2007). Standards for maternal and neonatal care. Geneva: World Health Organisation.

    Google Scholar 

  7. Australian Health Ministers’ Advisory Council. (2012). Clinical practice guidelines: Antenatal care-module 1. Canberra: Australian Government Department of Health and Ageing, Editor. http://www.health.gov.au/antenatal.

  8. British Columbia Perinatal Health Program. (2010). BCPHP obstetric guideline 19: Maternity care pathway. Vancouver: British Columbia Perinatal Health Program.

    Google Scholar 

  9. National Institute for Health and Clinical Excellence. (2008). Antenatal care: NICE clinical guideline 62. London: NHS.

    Google Scholar 

  10. Department of Health and Ageing. (2012). Indigenous early childhood development. New directions: Mothers and babies services. Canberra: Australian National Audit Office, Editor.

    Google Scholar 

  11. Elias, S., & Green, T. (2007). Nutrition knowledge and attitudes of New Zealand midwives. Nutrition and Dietetics, 64, 290–294.

    Article  Google Scholar 

  12. Arrish, J., Yeatman, H., & Williamson, M. (2013). Midwives and nutrition education during pregnancy: A literature review. Women and Birth, 27, 2–8.

    Google Scholar 

  13. Charlton, K. E., Yeatman, H., Brock, E., Lucas, C., Gemming, L., Goodfellow, A., et al. (2013). Improvement in iodine status of pregnant Australian women 3 years after introduction of a mandatory iodine fortification programme. Preventive Medicine, 57(1), 26–30.

    Article  PubMed  Google Scholar 

  14. El-mani, S., Charlton, K. E., Flood, V. M., & Mullan, J. Supplementation use in pregnant women is high despite limited knowledge about folic acid and iodine nutrition. Nutrition & Dietetics (in press).

  15. Sinikovic, D. S., Yeatman, H. R., Cameron, D., & Meyer, B. J. (2008). Women’s awareness of the importance of long chain omega-3 polyunsaturated fatty acid intake during pregnancy: Knowledge of risks, benefits and information accessibility. Public Health Nutrition, 12(4), 562–571.

    Article  PubMed  Google Scholar 

  16. Charlton, K. E., Gemming, L., Yeatman, H., & Ma, G. (2010). Suboptimal iodine status of Australian pregnant women reflects poor knowledge and practices related to iodine nutrition. Nutrition, 26, 963–968.

    Article  PubMed  Google Scholar 

  17. Barbour, R. S., Macleod, M., Mires, G., & Anderson, A. S. (2012). Uptake of folic acid supplements before and during pregnancy: Focus group analysis of women’s views and experiences. Journal of Human Nutrition and Dietetics: The Official Journal of the British Dietetic Association, 25(2), 140–147.

    Article  CAS  Google Scholar 

  18. Preventative, U. S. (2009). Services task force, folic acid for the prevention of neural tube defects: U.S. preventative services task force recommendation statement. Annals of Internal Medicine, 150, 626–631.

    Article  Google Scholar 

  19. Szwajcer, E. M., Hiddink, G. J., Koelen, M. A., & van Woerkum, C. M. (2009). Written nutrition communication in midwifery practice: What purpose does it serve? Midwifery, 25(5), 509–517.

    Article  PubMed  Google Scholar 

  20. Bloomingdale, A., Guthrie, L. B., Price, S., Wright, R. O., Platek, D., Haines, J., et al. (2010). A qualitative study of fish consumption during pregnancy. American Journal of Clinical Nutrition, 92(5), 1234–1240.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. House, E., & Coveney, J. (2013). ‘I mean I expect that it’s pretty safe’: Perceptions of food trust in pregnancy—implications for primary health care practice. The Australasian medical journal, 6(7), 358–366.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Graham, J. E., Mayan, M., McCargar, L. J., & Bell, R. C. (2013). Making compromises: A qualitative study of sugar consumption behaviors during pregnancy. Journal of Nutrition Education and Behavior, 45(6), 578–585.

    Article  PubMed  Google Scholar 

  23. Athearn, P. M., Kendall, P. A., Hillers, V., Schroeder, M., Bergmann, V., Chen, G., et al. (2004). Awareness and acceptance of current food safety recommendations during pregnancy. Maternal and Child Health Journal, 8(3), 149–162.

    Article  PubMed  Google Scholar 

  24. de Jersey, S. J., Nicholson, J. M., Callaway, L. K., & Daniels, L.A. (2013). An observational study of nutrition and physical activity behaviours, knowledge and advice in pregnancy. BMC Pregnancy and Childbirth, 13(115). doi:10.1186/1471-2393-13-115.

  25. Wise, N. J., & Arcamone, A. A. (2011). A survey of adolescent views of healthy eating during pregnancy. The American Journal of Maternal and Child Nursing, 36(6), 381–386.

    Article  Google Scholar 

  26. Ferrari, R. M., Siega-Riz, A. M., Evenson, K. R., Moos, M. K., & Carrier, K. S. (2013). A qualitative study of women’s perceptions of provider advice about diet and physical activity during pregnancy. Patient Education and Counseling, 91(3), 372–377.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Wulf, M., & Ekstrom, E. C. (2003). Iron supplementation during pregnancy in Sweden: To what extent is the national recommendation followed? Acta Obstetricia Gynocologica Scandinavica, 82, 628–635.

    Article  Google Scholar 

  28. Hughes, R., Maher, J., Ballie, E., & Shelton, D. (2011). Nutrition and physical activity guidance for women in the pre-and post-natal period: A continuing education needs assessment in primary healthcare. Australian Journal of Primary Health, 17, 135–141.

    Article  PubMed  Google Scholar 

  29. Heyes, T., Long, S., & Mathers, N. (2004). Preconception care: Practice and beliefs of primary care workers. Family Practice, 21(1), 253–263.

    Article  Google Scholar 

  30. Morales, S., Kendall, P. A., Medeiros, L. C., Hillers, V., & Schroeder, M. (2004). Healthcare providers attitudes towards current food safety recommendation for pregnant women. Journal of Applied Nursing, 17(3), 178–186.

    Article  Google Scholar 

  31. Hearn, L., Miller, M., & Fletcher, A. (2013). Online healthy lifestyle support in the perinatal period: What do women want and do they use it? Australian journal of primary health, 19(4), 313–318.

    Article  PubMed  Google Scholar 

  32. Boyd, N. R., & Windsor, R. A. (2003). A formative evaluation in maternal and child health practices: The partners for life nutrition education program for pregnant women. Maternal and Child Health Journal, 7(2), 137–143.

    Article  PubMed  Google Scholar 

  33. Piirainen, T., Isolauri, E., Lagstrom, H., & Laitinen, K. (2006). Impact of dietary counselling on nutrient intake during pregnancy: A prospective cohort study. British Journal of Nutrition, 96, 1095–1104.

    Article  CAS  PubMed  Google Scholar 

  34. Tough, S. C., Johnston, D. W., Siever, J. E., Jorgenson, G., Slocombe, L., Lane, C., et al. (2006). Does supplementary prenatal nursing and home visitation support improve resource use in a universal healthcare system? A randomised control trial in Canada. Birth, 33(3), 183–194.

    Article  PubMed  Google Scholar 

  35. Hautero, U., Laakso, P., Linderborg, K., Niinivirta, K., Poussa, T., Isolauri, E., et al. (2013). Proportions and concentrations of serum n-3 fatty acids can be increased by dietary counseling during pregnancy. European Journal of Clinical Nutrition, 67(11), 1163–1168.

    Article  CAS  PubMed  Google Scholar 

  36. Oken, E., Guthrie, L. B., Bloomingdale, A., Platek, D. N., Price, S., Haines, J., et al. (2013). A pilot randomized controlled trial to promote healthful fish consumption during pregnancy: The food for thought study. Nutrition Journal, 12, 33.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  37. Destephano, C. C., Flynn, P. M., & Brost, B. C. (2010). Somali prenatal education video use in a United States obstetric clinic: A formative evaluation of acceptability. Patient Education and Councelling, 81, 137–141.

    Article  Google Scholar 

  38. Jackson, R. A., Stotland, N. E., Caughey, A. B., & Gerbert, B. (2011). Improving diet and exercise in pregnancy with video doctor counseling: A randomized trial. Patient Education and Counseling, 83(2), 203–209.

    Article  PubMed  Google Scholar 

  39. Emmett, R., Akkersdyk, S., Yeatman, H., & Meyer, B. J. (2013). Expanding awareness of docosahexaenoic acid during pregnancy. Nutrients, 5(4), 1098–1109.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  40. Wilkinson, S. A., Miller, Y. D., & Watson, B. (2010). The effects of a woman-focused, woman-held, resource on preventative health behaviours during pregnancy: The pregnancy pocketbook. Women and Health, 50(4), 342–358.

    Article  PubMed  Google Scholar 

  41. Wilkinson, S. A., & McIntyre, H. D. (2012). Evaluation of the ‘Healthy Start to Pregnancy’ early antenatal health promotion workshop: A randomised control trial. BMC Pregnancy and Childbirth, 12, 131–143.

    Article  PubMed Central  PubMed  Google Scholar 

  42. National Health and Medical Research Council. (2005). Additional levels of evidence and grades for recommendations for developers of guidelines, PILOT PROGRAM 2005–2007. Canberra: National Health and Medical Research Council.

    Google Scholar 

  43. Wilkinson, S. A., & McIntyre, D. (2012). Evaluation of the ‘healthy start to pregnancy’ early antenatal health promotion workshop: A randomised controlled trial. BMC Pregnancy and Childbirth, 12(131).

  44. Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., et al. (2011). The Cochrane collaboration’s tool for assessing risk of bias in randomised trials. British Medical Journal, 343, d5928. doi:10.1136/bmj.d5928.

    Article  Google Scholar 

  45. Hamrosi, M. A., Wallace, E. M., & Riley, M. D. (2005). Iodine status in pregnant women living in Melbourne differs by ethnic group. Asia Pacific Journal of Clinical Nutrition, 14(1), 27–31.

    CAS  PubMed  Google Scholar 

  46. Panaretto, K. S., Muller, R., Patole, S., Watson, D., & Whitehall, J. S. (2002). Is being aboriginal or Torres Strait Islander a risk factor for poor neonatal outcome in a tertiary referral unit in North Queensland. Journal of Paediatric and Child Health, 38, 16–22.

    Article  CAS  Google Scholar 

  47. Troxell, H., Anderson, J., Auld, G., Marx, N., Harris, M., Reece, M., et al. (2005). Omega-3 for baby and me: Material development for a WIC intervention to increase DHA intake during pregnancy. Maternal and Child Health Journal, 9(2), 189–197.

    Article  PubMed  Google Scholar 

  48. Australian Ministers Health Advisory Council. (2012). Clinical practice guidelines: Antenatal care—module 1. Canberra: Department of Health and Ageing, Editor.

    Google Scholar 

  49. Bernosky de Flores, C. H. (2014). Human capital, resources, and healthy childbearing for Mexican women in a new destination immigrant community. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society/Transcultural Nursing Society, 21(4), 332–341.

    Article  Google Scholar 

  50. Szwajcer, E. M., Hiddink, G. J., Maas, L., Koelen, M. A., & van Woerkum, C. M. (2008). Nutrition-related information-seeking behaviours of women trying to conceive and pregnant women: Evidence for the life course perspective. Family Practice, 25(Suppl 1), i99–i104.

    Article  PubMed  Google Scholar 

  51. Tuffery, O. (2005). Factors influencing antenatal and postnatal diets of primigravid women. The Journal of the Royal Society for the Promotion of Health, 125(5), 227–231.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karen E. Charlton.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lucas, C., Charlton, K.E. & Yeatman, H. Nutrition Advice During Pregnancy: Do Women Receive it and Can Health Professionals Provide it?. Matern Child Health J 18, 2465–2478 (2014). https://doi.org/10.1007/s10995-014-1485-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-014-1485-0

Keywords

Navigation