licated activities, a clear progression of care as the woman moves from the preconceptional period through pregnancy and breastfeeding, and building on previous nutritional care if the woman changes providers for any reason. It is assumed that efforts to promote continuity of nutritional care will enhance its quality.


Throughout this book, distinctions are made between basic and special nutrition services. Chapter 2 provides the rationale for both kinds of nutrition services in the preconceptional, prenatal, and postpartum periods; it also provides a brief review of changes in maternal nutrient needs during those periods. The preconceptional and postpartum periods receive more detailed coverage than in the first edition. Chapter 3 describes the basic and special services that should be available to women in the preconceptional, prenatal, and postpartum periods; the respective personnel requirements; and the knowledge base and clinical skills required for both levels of care. Chapter 4 addresses the basic nutrition services needed for healthy neonates, for older infants who have been discharged from special care, and for mothers or other caregivers responsible for feeding such infants. Chapter 5 deals with the special nutrition services required by high-risk neonates and those responsible for their care. Chapter 6 summarizes three approaches that hold promise for improved continuity of nutritional care for mothers and their infants. Finally, Chapter 7 presents further comments and the committee's recommendations.


1. Institute of Medicine. 1985. Preventing Low Birth weight. Report of the Committee to Study the Prevention of Low Birth weight, Division of Health Promotion and Disease Prevention. National Academy Press, Washington, D.C.

2. Department of Health and Human Services. 1998. The Surgeon General's Report on Nutrition and Health. DHHS (PHS) Publ. No. 88-50210. Public Health Service. U.S. Government Printing Office, Washington, D.C.

3. Department of Health and Human Services. 1990. Healthy People 2000: National Health Promotion and Disease Prevention Objectives. DHHS (PHS) Publ. No. 91-50212. Public Health Service, Office of the Assistant Secretary for Health, Washington, D.C.

4. Farthing, M.A.C., and M. Kaufman. 1990. Serving women, infants, and children. Pp. 139–171 in M. Kaufman, ed. Nutrition in Public Health. Aspen Publishers, Inc., Rockville, Md.

5. Institute of Medicine. 1990. Nutrition During Pregnancy. Weight Gain and Nutrient Supplements. Report of the Subcommittee on Nutritional Status and Weight Gain During Pregnancy and the Subcommittee on Dietary Intake and Nutrient Supplements During

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