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Updated: Jul 7, 2026

Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes
03:19

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Published on: June 28, 2024

Development of Power 4 a Healthy Pregnancy: reflective insights on cocreating an effective dietary program for

Renske M van Lonkhuijzen1,2, Jeanne H M de Vries2, Edith J M Feskens2

  • 1Health and Society, Department of Social Sciences, Wageningen University & Research, Wageningen, The Netherlands.

TSG : Tijdschrift Voor Gezondheidswetenschappen
|July 6, 2026
PubMed

While pregnancy is recognized as a "teachable moment" for lifestyle changes, many pregnant women struggle to meet dietary guidelines due to multiple barriers including limited nutritional support in antenatal care and challenges such as physical discomfort, food aversions, and conflicting information. Power 4 a Healthy Pregnancy (P4HP), a program that flexibly integrates four consultations into routine antenatal care, has demonstrated significant improvements in the quality of pregnant women's diets. This article reflects on the program's participatory development process, and examines how stakeholder engagement and empowerment principles shaped an effective program. We claim that the program's success is rooted in its cocreation with midwives, dietitians, and pregnant women. The P4HP program offers valuable insights for developing other sustainable health promotion initiatives in antenatal care.

Keywords:
Antenatal careEmpowermentImplementation scienceNutritionPregnancy

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