Othman Shwikar M E, Steen Mary, Fleet Julie-Anne, Jayasekara Rasika
Obstetrics and Gynaecology Nursing Department, Faculty of Nursing, South Valley University, Luxor, Egypt.
UniSA Clinical and Health Sciences, University of South Australia, Adelaide, Australia.
Eur J Midwifery. 2020 May 20;4:20. doi: 10.18332/ejm/120004. eCollection 2020.
Midwives have an important role in providing education in healthy eating to pregnant women, which is essential for maternal and foetal health and wellbeing. Importantly, midwives require continual professional development to ensure they provide up-to-date education.
A pre-post intervention study utilised a purpose-designed questionnaire to collect data at three time points. Forty-four midwives completed the pre education questionnaire, 29 of these midwives attended the education intervention (workshop/webinar) and completed the immediately after questionnaire. Nineteen midwives then completed a questionnaire at 6-8 weeks follow-up. The study aimed to evaluate midwives' knowledge and level of confidence to discuss healthy eating in pregnancy.
Education in healthy eating improved midwives' knowledge and level of confidence, which were maintained for six to eight weeks. The mean difference of total scores on knowledge and confidence between pre and immediately after education questionnaires showed a statistically significant improvement in nutrition knowledge (4.93 ± 1.62 vs 7.55 ± 1.55; p<0.001) and confidence level (22.05 ± 6.87 vs 31.48 ± 7.47; p<0.001). In terms of the mode of education, there was a significant increase in total knowledge scores for midwives who attended a workshop compared to a webinar.
Overall, healthy eating education improved midwives' knowledge and confidence immediately after receiving education and also at 6-8 weeks follow-up. This study is unique as it evaluated midwives' knowledge and level of confidence at 6-8 weeks post education. This study concludes that midwives benefited from receiving further knowledge on cultural food choices, eating behaviours, and dental care.
助产士在为孕妇提供健康饮食教育方面发挥着重要作用，这对母婴健康和幸福至关重要。重要的是，助产士需要持续的专业发展，以确保他们提供最新的教育。
一项干预前后研究使用了专门设计的问卷，在三个时间点收集数据。44名助产士完成了教育前问卷，其中29名助产士参加了教育干预（研讨会/网络研讨会）并完成了教育后立即进行的问卷。然后，19名助产士在6-8周的随访中完成了一份问卷。该研究旨在评估助产士讨论孕期健康饮食的知识和信心水平。
健康饮食教育提高了助产士的知识和信心水平，并在6至8周内保持。教育前和教育后立即进行的问卷在知识和信心总分上的平均差异显示，营养知识（4.93±1.62对7.55±1.55；p<0.001）和信心水平（22.05±6.87对31.48±7.47；p<0.001）有统计学上的显著改善。在教育方式方面，参加研讨会的助产士的总知识得分相比网络研讨会有显著提高。
总体而言，健康饮食教育在助产士接受教育后立即以及在6-8周的随访中提高了他们的知识和信心。这项研究很独特，因为它评估了助产士在教育后6-8周的知识和信心水平。本研究得出结论，助产士从获得关于文化食物选择、饮食行为和牙齿护理的更多知识中受益。
