Nutrition Department, Royal Women's Hospital, Parkville, Victoria 3052, Australia; School of Allied Health, La Trobe University, Bundoora, Victoria 3086, Australia.
School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria 3086, Australia.
Women Birth. 2018 Aug;31(4):269-277. doi: 10.1016/j.wombi.2017.10.010. Epub 2017 Nov 7.
Dietary intake of pregnant women do not appear to meet the dietary recommendations. Nutrition knowledge and practices of pregnant women and their antenatal care clinicians are factors that may be influential on dietary intakes of pregnant women.
To assess and compare pregnancy nutrition recommendation knowledge and to explore how nutrition knowledge impacts on food choices in pregnant women and nutrition education practices of antenatal care providers.
An explanatory sequential research mixed methods study design was applied. All participants were recruited from a metropolitan maternity hospital in Melbourne, Australia. The first phase assessed pregnancy nutrition knowledge and sources of nutrition information using a questionnaire (n=202) then followed semi-structured interviews with women and clinicians (n=31).
The clinicians obtained significantly higher nutrition scores than compared to women, however, nutrition knowledge gaps were highlighted for both women and clinicians. Women reported receiving limited nutrition advice, a reflection of the clinicians reporting they provided limited nutrition advice.
A key challenge for women adhering to dietary recommendations was having inadequate knowledge of the dietary recommendations and receiving limited information from their care providers. Similarly, as well as time constraints, limited nutrition knowledge and a lack of nutrition training impacted on the capacity of clinicians to provide adequate nutrition education.
孕妇的饮食摄入量似乎不符合饮食建议。孕妇的营养知识和实践及其产前保健临床医生是可能影响孕妇饮食摄入的因素。
评估和比较妊娠营养建议知识，并探讨营养知识如何影响孕妇的食物选择以及产前保健提供者的营养教育实践。
采用解释性顺序研究混合方法设计。所有参与者均来自澳大利亚墨尔本的一家大都市妇产医院。第一阶段使用问卷评估了孕妇的营养知识和营养信息来源（n=202），然后对妇女和临床医生（n=31）进行了半结构化访谈。
与妇女相比，临床医生的营养得分明显更高，但妇女和临床医生都存在营养知识差距。妇女报告接受的营养建议有限，这反映了临床医生报告他们提供的营养建议有限。
妇女坚持饮食建议的一个主要挑战是对饮食建议的知识不足，并且从其护理提供者那里获得的信息有限。同样，除了时间限制外，营养知识有限和缺乏营养培训也影响了临床医生提供足够营养教育的能力。
