与怀孕营养咨询有关的助产士和产科医生的实践:一个范围广泛的审查
Katherine Erbe1, Kylea Liese2, Lisa Tussing-Humphreys2
1Yvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, Boston, Massachusetts.
Journal of midwifery & women's health
|July 10, 2024
概括
医疗保健提供者认识到怀孕营养营养.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 营养 公共卫生 营养
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 孕妇和胎儿的健康结果受到怀孕期间饮食摄入量的显著影响.
- 个体化的饮食习惯是由健康的环境和社会决定因素所塑造的.
- 产前保健提供者对于促进产前营养讨论和干预至关重要.
研究的目的:
- 综合现有的关于围产期护理提供者关于产前营养咨询的态度和做法的文献.
- 确定影响怀孕期间营养建议质量和全面性的障碍和促进因素.
主要方法:
- 1990年至2023年在高收入国家出版的英语文学综合范围审查.
- 纳入标准侧重于提供者在教育孕妇患者的营养方面的做法;排除标准针对干预研究和患者的观点.
- 采用主题分析来识别妊娠营养咨询的提供者视角中反复出现的主题.
主要成果:
- 提供者承认营养的重要性,但由于时间限制和缺乏培训,很少提供深入的咨询.
- 产前营养咨询通常是普遍的,缺乏针对患者特定饮食需求,偏好或资源获取的个性化.
- 主要障碍包括提供者培训不足,预约期间时间有限,以及明确指导方针的缺乏.
结论:
- 目前的产前营养咨询存在重大差距,重要方面经常被忽视.
- 在提供者和患者层面的障碍阻碍了旨在改善怀孕期间饮食习惯的干预措施的有效性.
- 解决这些障碍对于通过更好的营养改善孕产妇和胎儿健康至关重要.
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