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Importance of Vitamin D and fish rarely mentioned during midwife-led prenatal booking visits – July 2017

Health behaviour information provided to clients during midwife-led prenatal booking visits: Findings from video analyses.

Midwifery. 2017 Jul 10;54:7-17. doi: 10.1016/j.midw.2017.07.007. [Epub ahead of print]
Baron R1, Martin L2, Gitsels-van der Wal JT2, Noordman J3, Heymans MW4, Spelten ER5, Brug J6, Hutton EK7.

VitaminDWiki

No indication if these topics were discussed in later visits

Pregnancy and infants healthier with Omega-3 supplementation (fish)

Healthy pregnancies need lots of vitamin D has the following summary

Problem
ReducesEvidence
0. Chance of not conceiving3.4 times Observe
1. Miscarriage 2.5 times Observe
2. Pre-eclampsia 3.6 timesRCT
3. Gestational Diabetes 3 times RCT
4. Good 2nd trimester sleep quality 3.5 times Observe
5. Premature birth 2 times RCT
6. C-section - unplanned 1.6 timesObserve
     Stillbirth - OMEGA-3 4 timesRCT - Omega-3
7. Depression AFTER pregnancy 1.4 times RCT
8. Small for Gestational Age 1.6 times meta-analysis
9. Infant height, weight, head size
     within normal limits
RCT
10. Childhood Wheezing 1.3 times RCT
11. Additional child is Autistic 4 times Intervention
12.Young adult Multiple Sclerosis 1.9 timesObserve
13. Preeclampsia in young adult 3.5 timesRCT
14. Good motor skills @ age 31.4 times Observe
15. Childhood Mite allergy 5 times RCT
16. Childhood Respiratory Tract visits 2.5 times RCT

RCT = Randomized Controlled Trial


OBJECTIVE:
to quantify to what extent evidence-based health behaviour topics relevant for pregnancy are discussed with clients during midwife-led prenatal booking visits and to assess the association of client characteristics with the extent of information provided.

DESIGN: quantitative video analyses.

SETTING AND PARTICIPANTS: 173 video recordings of prenatal booking visits with primary care midwives and clients in the Netherlands taking place between August 2010 and April 2011.

MEASUREMENTS:
thirteen topics regarding toxic substances, nutrition, maternal weight, supplements, and health promoting activities were categorized as either 'never mentioned', 'briefly mentioned', 'basically explained' or 'extensively explained'. Rates on the extent of information provided were calculated for each topic and relationships between client characteristics and dichotomous outcomes of the extent of information provided were assessed using Generalized Linear Mixed Modelling.

FINDINGS:
our findings showed that women who did not take folic acid supplementation, who smoked, or had a partner who smoked, were usually provided basic and occasionally extensive explanations about these topics.
The majority of clients were provided with no information on

  • recommended weight gain (91.9%),
  • fish promotion (90.8%),
  • caffeine limitation (89.6%),
  • vitamin D supplementation (87.3%),
  • physical activity promotion (81.5%) and
  • antenatal class attendance (75.7%)

and only brief mention of

  • alcohol (91.3%),
  • smoking (81.5%),
  • folic acid (58.4) and
  • weight at the start of pregnancy (52.0%).

The importance of a nutritious diet was generally either never mentioned (38.2%) or briefly mentioned (45.1%). Nulliparous women were typically given more information on most topics than multiparous women.

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:
although additional information was generally provided about folic acid and smoking, when relevant for their clients, the majority of women were provided with little or no information about the other health behaviours examined in this study. Midwives may be able to improve prenatal health promotion by providing more extensive health behaviour information to their clients during booking visits.

PMID: 28780476 DOI: 10.1016/j.midw.2017.07.007

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Created by admin. Last Modification: Monday August 7, 2017 19:01:09 GMT-0000 by admin. (Version 1)
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