Objective data should include:

Pre-conception / Inter-conception Care
Training Curriculum 2

Objective data should include:

  • Height, weight, normal weight, percentile for height, weight, weight/height, desirable body weight.; desirable body weight, body frame,
  • Fuctuations in weight gain vs weight loss.
  • Age, race
  • Significant laboratory data pertinent to nutritional status.
  • Medications which may influence nutritional status.
  • Dietary supplements, e.g. vitamins, calcium
  • 24-Hour Diet Recall Results: Calculate the nutrient intake utilizing USDA Handbook 456, Food Values of Portions Commonly Used and/or other appropriate methods. Determine the appropriateness of the diet using the Recommended Dietary Allowances as a standard. Record the amounts of each nutrient, vitamin or mineral as appropriate for the specific diet requirements and/or nutritional status.
  • Fluid Intake: the amount in cubic centimeters (cc.) and types of fluids.
  • Drug/Nutrient Interactions: interactions that may increase/decrease absorption of the nutrient/drug, and increase/decrease toxicity of medication, and decrease effect of drugs.
  • Environmental assessment related to nutrition include factors that affect nutritional status, e.g., no working refrigerator, no indoor plumbing, etc.
  • Level of Understanding of Diet: Understanding of dietary needs of patient/significant other.

Patient Education

Patient education in pregnancy is very important in helping women, particularly women at risk to learn appropriate compliance behaviors aimed at appropriate outcomes. Patient education provides the following:

  • Anticipatory guidance for expectations of pregnancy
  • Clear directions for compliance with regimens aimed at delivering quality care, with assurance of positive outcomes
  • Assessment of patient's knowledge base before discussing the following issues:

Nutrition Education

Over the past quarter century, there has been an increased awareness of the positive relationship between maternal weight gain during pregnancy and birth weight of the newborn. This awareness is compounded by the recognition of socioeconomic differences in dietary quality and the pregnancy performance which has heightened concern about the nutritional status of the pregnant woman. The woman's body mass index should be determined at the initial prenatal visit to allow for preconceptional intervention recommendations if her status is under- or overweight. An individualized goal for weight gain during pregnancy should be set, and any major or potential nutritional risk factors should be identified. The woman should be asked about her food intake, and, if necessary, she may be referred to a registered dietitian or nutritionist for dietary counseling. A woman's nutrition before pregnancy may have profound effects on reproductive outcome Underweight women who gain little weight during pregnancy are at particularly high risk. Educational materials on nutrition that are available from the American College of obstetricians and Gynecologists, the U.S. Public Health Service, and the March of Dimes may be given to the patient. All patients should be referred or to the Women, Infants, and Children (WIC) program for assistance.