Re-evaluation of women's nutritional needs, knowledge and behaviours in a tertiary maternity service: are we meeting women's needs yet?

Wilkinson, Shelley A., Walker, Alice and Tolcher, Debbie (2013) Re-evaluation of women's nutritional needs, knowledge and behaviours in a tertiary maternity service: are we meeting women's needs yet?. Nutrition and Dietetics, 70 3: 181-187. doi:10.1111/1747-0080.12010


Author Wilkinson, Shelley A.
Walker, Alice
Tolcher, Debbie
Title Re-evaluation of women's nutritional needs, knowledge and behaviours in a tertiary maternity service: are we meeting women's needs yet?
Journal name Nutrition and Dietetics   Check publisher's open access policy
ISSN 1446-6368
1747-0080
Publication date 2013-09-01
Sub-type Article (original research)
DOI 10.1111/1747-0080.12010
Volume 70
Issue 3
Start page 181
End page 187
Total pages 7
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Aim The aim of the present study was to assess changes in nutritional awareness, knowledge and behaviours of women following nutrition service changes, implemented after a 2008 survey, in a Queensland Maternal Health Hospital.

Methods In 2011, 356 antenatal and 138 postnatal women were surveyed for seven weeks. Results were compared with those from a previous survey in 2008 of a similar cohort of 309 antenatal and 102 postnatal women.

Results The cohorts were similar on most demographic, anthropometric and pregnancy characteristics. Approximately half were primiparous and over one-third had a body mass index of >25 kg/m2. Similar proportions of women accessed the nutrition services both years (4.9%, 9.6%) and felt the service met their needs (94–100%). In both survey years, women had poor diet quality, despite identifying healthy eating as a high priority. While similar proportions reported receiving written information (63.8% vs 69.6%), women surveyed in 2011 rated its appearance more favourably (3.7 ± 0.9 vs 3.9 ± 0.8; P < 0.001), found it useful (3.7 ± 0.9 vs 3.9 ± 0.8; P = 0.003) and knew of nutrition services available (10.5% vs 27.5%; P < 0.001), compared with the 2008 cohort. In 2011, women had lower gestational weight gain (12.8 ± 5.2 kg vs 14.5 ± 6.3 kg; P = 0.04) and more knew correct gestational weight gain guidelines (P = 0.005) compared with the 2008 cohort.

Conclusion Evidence-based service changes at the Maternal Health Hospital have effected positive change in women's gestational weight gain and service awareness and ratings. However, targeted, intensive interventions may be required to improve diet quality and manage gestational weight gain to ensure optimal pregnancy outcomes.
Keyword Antenatal
Gestational weight gain
Health service
Maternal health
Postnatal
Pregnancy
Gestationalweight-gain
Pregnancy
Obesity
Health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Pharmacy Publications
 
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Created: Mon, 18 Nov 2013, 00:32:39 EST by Shelley Wilkinson on behalf of School of Pharmacy