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Nutrition Services in Perinatal Care: Second Edition (1992)
Institute of Medicine (IOM)

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. "3 Basic and Special Nutrition Services for Women in the Preconceptional, Prenatal, and Postpartum Periods." Nutrition Services in Perinatal Care: Second Edition. Washington, DC: The National Academies Press, 1992.

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Nutrition Services in Perinatal Care
  • Monitor and interpret weight changes during pregnancy and post partum.

Health Maintenance Skills
  • Provide basic nutrition education about pregnancy and lactation to individuals and groups.

  • Assist women to set realistic goals and behavioral objectives targeted toward improving or maintaining their nutritional status.

  • Effectively communicate the benefits of breastfeeding, techniques for establishing and maintaining breastfeeding, and strategies for overcoming common obstacles to successful lactation.

  • Provide guidance concerning appropriate weight management.

  • Educate or counsel women concerning the appropriate use of supplements.

Intervention Skills
  • Following established guidelines or protocols, provide basic individualized diet counseling for improving nutrient intake, managing common dietary problems, and addressing inadequate or excessive weight gain.

  • Advise on the appropriate use of nutrient supplements for special circumstances.

  • Assist the woman to arrange for adequate access to food and other needed resources.

  • Arrange for appropriate referral to a dietitian for more thorough assessment and intervention.

  • Work with translators, interpreters, or peer counselors as needed for effective care delivery.

Management of the Organization and Delivery of Nutritional Care
  • Provide organized in-service education to the health care team (including community outreach workers and peer counselors) concerning the rationale for and the effective delivery of basic nutrition services.

  • Participate in evaluation of the overall quality of nutrition services and in identification of appropriate adjustments in care delivery.

  • Develop strategies for achieving consistent educational messages and nutritional care practices by various health team members and for triggering appropriate follow-up when there is a change in providers.

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