Nutrition During Pregnancy and Lactation: An Implementation Guide

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Nutrition During Pregnancy and Lactation: An Implementation Guide (1992)
Institute of Medicine (IOM)

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. "Part I: New Tools and Clinical Care Outlines, Introduction." Nutrition During Pregnancy and Lactation: An Implementation Guide. Washington, DC: The National Academies Press, 1992.

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About how much did you use this past week?
Is this more or less than before?
Do you want to stop?

16. For women who ever drink alcoholic beverages, ask the next four questions.

How many drinks does it take to make you feel high?
Have people annoyed you by criticizing your drinking?
Have you felt you ought to cut down on your drinking?
Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover?

A response to Question 16a of more than two drinks indicates tolerance to alcohol and is given 2 points. Score 1 point for each additional "Yes" answer. A score of 2 or more indicates an at-risk drinker.¹⁰

17. See follow-up material under Tab 2, pages 25 and 26, or Tab 3, page 42.

Charts for Assessing Weight

Body Mass Index

Use the chart on page 14 to estimate the woman's prepregnancy body mass index (BMI) category. Find the number that is closest to her height (inches are at the bottom margin, centimeters at the top). Then find the number closest to her weight (pounds are on the left, kilograms on the right). Now, find the point where the height and weight intersect. For example, a woman who is 65 inches tall and weighed 145 lb had a normal prepregnancy BMI—slightly higher than 24.

The chart below also gives the weight classifications and BMI ranges.¹