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A Workshop on Obesity and Pregnancy A Dietary History in TWO Minutes! (Can it be done?). Susan van Maanen Dietitian, Diabetes in Pregnancy Nutrition Services Auckland City Hospital August 2011. What do Pregnant Women Eat in NZ?. Eat more than recommended:
Susan van Maanen
Dietitian, Diabetes in Pregnancy
Auckland City Hospital
Eat more than recommended:
Eat less than recommended:
504 pregnant women, 1x24hr diet recall, 3x1 day food records, 2 day activity record, Ht, Wt, skinfolds, blood sample at mth 5, demographic, medical and lifestyle details
Nutrition in Pregnancy- Report to MoH.Watson P. 1999
50 overweight and obese pregnant women, diet history at 12, 28, 36 wks, food frequency questionnaire, Ht, Wt – prepregnancy, 12, 28, 36 wks and 6 weeks P/N
Nutrition and Dietetics. De Jersey et al. Vol. 68, No 1,P 53-59
Food frequency questionnaire
24 hour dietary recallThe Challenge: How to give personally relevant advice?
Compared to giving out a generic pamphlet, personally relevant advice has been shown to:
food/ nutrient intake
To gain enough information to advise the woman on achieving:
Nutritionally adequate diet
Appropriate weight gain in pregnancy
Encourage weight loss post-natally & future disease prevention - Diabetes, Cardiovascular Disease
Positive attitude to health - now & for the future.
A Dietitian’s Request to Midwives:Please weigh women every visit if you can (including out of pregnancy if appropriate), so they know how they are progressingFailing to receive any weight gain advice during pregnancy favours excessive weight gain! Remember PREVENTION is easier than CURE
Food for a Healthy Mother and Baby:Lean Meat, Chicken, Fish etc- 2 servings/dayBread & Cereals - 6 servings/dayVegetables & Fruit - 6 servings/dayMilk & Milk Products - 3 servings/dayDrink plenty of fluids every day - 9 cupsChoose & prepare foods low in Fat, Salt & SugarKeep ActiveFood SafetyEating for Healthy Pregnant Women. MoH. August 2010.
you can do a
Dietary History in TWO minutes
Handbook for Lead Maternity Caregivers. Canterbury District Health Board. 2004
Time Well Spent:Whatever method you use,I recommend spending as much time as you can, getting information on the woman’s usual eating habits and giving sensible nutrition advice.Your time will never be wasted!
Websites/ Resources Available:www.dietitians.org.nzwww.moh.govt.nzwww.healthpoint.co.nzEating for Healthy Pregnant WomenHealthy Eating for South Asian People