Pre-conception / Inter-conception Care
Training Curriculum 2
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:
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.
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