Access & Capacity-building Team, Metro South Health, Logan Central, Queensland 4114, Australia.
Nutrition and Dietetics, Logan Hospital, Metro South Health, Meadowbrook, Queensland 4131, Australia.
Women Birth. 2018 Aug;31(4):278-284. doi: 10.1016/j.wombi.2017.11.003. Epub 2017 Nov 12.
Little is reported about the nutrition-related needs and preferences of women seeking maternity services, particularly Maori and Pasifika (M&P) women who have higher chronic disease rates in Queensland.
Nutrition-related knowledge, needs, behaviours and education preferences were compared between women of M&P ancestry and non-Maori and Pasifika women (NMP).
Women (≥18 years) admitted to the postnatal ward were surveyed. Anthropometry, dietary quality, nutrition education preferences, country of birth and ancestry were collected. Analysis included chi-squared and t-tests.
The survey was completed by 399 eligible women. Country of birth data suggested 4% of respondents were Pasifika and failed to separately identify New Zealand Maori, whereas 18% of respondents (n=73) reported M&P ancestry. Descriptors were similar between groups (28±5 years; 91% any breastfeeding; 18% gestational diabetes mellitus; p>0.05). However M&P women were less often university educated (M&P:6(9%); NMP:71(22%), p<0.01) and more likely had >2 children (M&P: 30(54%); NMP:70(30%), p<0.01). M&P women reported heavier weight at conception (M&P:79.0±20.2kg, 29.2±7.5kg/m; NMP:71.3±18.9kg, 26.3±6.5kg/m, p<0.01), and were more likely to report excess gestational weight gain (M&P:30(56%), NMP:96(36%), p<0.05). Most (>75%) women did not know their recommended weight gain. Many respondents reported inadequate intake of vegetables (95%), fruit (29%) and dairy (69%) during pregnancy. Two-fifths (38-41%) reported interest in perinatal nutrition education, with topics including healthy eating postpartum.
Findings enable targeted service delivery according to women's preferences.
Collecting ancestral and maternal data to facilitate the provision of appropriate nutrition education may be critical for achieving optimal maternal outcomes in Maori and Pasifika women.
很少有报道涉及寻求产科服务的女性的营养相关需求和偏好，尤其是在昆士兰州慢性病发病率较高的毛利人和太平洋岛民（M＆P）女性。
比较具有 M＆P 血统的女性和非毛利人和太平洋岛民（NMP）女性的营养相关知识、需求、行为和教育偏好。
对入住产后病房的女性进行了调查。收集了人体测量学、饮食质量、营养教育偏好、出生国家和祖籍。分析包括卡方检验和 t 检验。
共有 399 名符合条件的女性完成了调查。出生国家的数据表明，4%的受访者为太平洋岛民，未能单独确定新西兰毛利人，而 18%的受访者（n=73）报告具有 M＆P 血统。两组人群的描述符相似（28±5 岁；91%的人进行任何形式的母乳喂养；18%患有妊娠糖尿病，p>0.05）。然而，M＆P 女性接受大学教育的比例较低（M＆P：6（9%）；NMP：71（22%），p<0.01），并且更有可能有超过 2 个孩子（M＆P：30（54%）；NMP：70（30%），p<0.01）。M＆P 女性报告受孕时体重较重（M＆P：79.0±20.2kg，29.2±7.5kg/m；NMP：71.3±18.9kg，26.3±6.5kg/m，p<0.01），并且更有可能报告妊娠体重增加过多（M＆P：30（56%）；NMP：96（36%），p<0.05）。大多数（>75%）女性不知道自己的体重增加建议。许多受访者报告在怀孕期间蔬菜（95%）、水果（29%）和乳制品（69%）摄入量不足。五分之二（38-41%）的受访者表示对围产期营养教育感兴趣，包括产后健康饮食等主题。
调查结果使根据女性的喜好进行有针对性的服务成为可能。
收集祖先和产妇数据，以促进提供适当的营养教育，对于实现毛利人和太平洋岛民女性的最佳产妇结局可能至关重要。
