Institute of Developmental Sciences, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK.
NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton SO16 6YD, UK.
Nutrients. 2022 Sep 1;14(17):3623. doi: 10.3390/nu14173623.
Optimum nutrition and weight before and during pregnancy are associated with a lower risk of conditions such as pre-eclampsia and gestational diabetes. There is a lack of user-friendly tools in most clinical settings to support healthcare practitioners (HCPs) in implementing them. This study aimed to evaluate the acceptability of (1) using a nutrition checklist designed by the International Federation of Gynecology and Obstetrics (FIGO) for nutritional screening of women in the preconception and early pregnancy period and (2) routine discussion of nutrition and weight in clinical care. An online cross-sectional survey was conducted with women (aged 18-45) and HCPs (e.g., general practitioners, obstetricians, and midwives). Quantitative statistical analysis and qualitative content analysis were performed. The concept and content of the checklist were acceptable to women ( = 251) and HCPs ( = 47) (over 80% in both groups). Several barriers exist to implementation such as lack of time, training for HCPs, and the need for sensitive and non-stigmatizing communication. Routine discussion of nutrition was considered important by both groups; however, results suggest that nutrition is not regularly discussed in perinatal visits in the UK. The FIGO nutrition checklist presents a valuable resource for use in clinical practice, offering long-term and intergenerational benefits for both mother and baby.
在怀孕前后获得最佳营养和控制体重与子痫前期和妊娠期糖尿病等疾病的风险降低有关。在大多数临床环境中,缺乏便于用户使用的工具来支持医疗保健从业者(HCP)实施这些建议。本研究旨在评估以下两点的可接受性:(1)使用国际妇产科联合会(FIGO)设计的营养检查表对备孕和孕早期的女性进行营养筛查;(2)在临床护理中常规讨论营养和体重问题。本研究采用在线横断面调查的方法,调查对象为女性(年龄 18-45 岁)和 HCP(如全科医生、妇产科医生和助产士)。对数据进行了定量统计分析和定性内容分析。检查表的概念和内容得到了女性(n=251)和 HCP(n=47)的认可(两组均超过 80%)。实施过程中存在一些障碍,例如缺乏时间、HCP 培训以及需要进行敏感且无污名化的沟通。两组都认为常规讨论营养问题很重要;然而,结果表明,在英国的围产期就诊中,营养问题并没有定期讨论。FIGO 营养检查表为临床实践提供了有价值的资源,为母婴双方带来了长期和代际的益处。