Nutrition Services in Perinatal Care Second Edition (1992) / Chapter Skim
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1 Introduction
1 Introduction
Pages 5-14
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From page 5... ...
This view is supported and expanded by the attention given to the nutrition of mothers and newborn infants in Guidelines for Pennatal Caret a joint publication of the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. The goal of this document is to help those responsible for the health care of women and infants to understand the rationale for nutrition services and to incorporate appropriate nutrition services into their care delivery system.
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. r - - ~ Postpartum participation in WIC may reduce the risk of low birth weight in subsequent pregnancies.~7 · Home health visits with a nutrition component may contribute to earlier discharge of very-low-birth-weight infants.ig In some situations, the reduction in the number of low-birth-weight infants requiring expensive care in the hospital may offset the costs of prenatal nutrition counselin~.~9 Other studies20~23 suggest that comprehensive carob improves~regnangy outcomes such as birth weight, especially for high-risk women 3 and for primiparous women,22 and that it reduces complications for women with preexisting diabetes mellitus and their infants.24 It is not clear, however, to what extent the nutrition services that were part of such care contributed to the improved outcomes.
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From page 7... ...
Some of these changes have resulted from the growth of the Special Supplemental Food Program for Women, Infants, and Children,C the increase in the number of dietitiansd available to provide nutrition counseling services upon referral, numerous technological developments in caring for very premature infants, increased immigration of Hispanics and Southeast Asians to the United States, and, most recently, the development of mechanisms for the reimbursement of nutrition services through Medicaid.3941 Moreover, the challenge of providing adequate nutrition services for Pregnant migrant workers and homeless women is of growing concern. ~ CIn 1990, WIC served approximately 2,447,000 women and infants under the age of 1 year-2.4 times as many as it did in 1981 (J.
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After deliberating and making revisions, the committee sought additional assistance and comments from health care providers and government agencies. Iwo of the publications on which this book is based—Nutrition During Pregnancys and Nutrition Dunking Lactaiion6—make it clear that optimal nutritional care of women before, during, and after pregnancy is assessment based.
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. Basic Special Provider Primary care providers A multidisciplinary such as physicians, team that includes midwives, nurse an experienced practitioners dietitian or other nutrition-related specialists Recipients All women receiving Women or infants preconceptional care with health All expectant mothers conditions that All infants affect dietary intake, digestion, or the absorption, utilization, or excretion of nutrients Elements of Early identification of Basic care plus care nutritional risk factors intensive nutrition Core provision of services (e.g., health maintenance detailed assess activities, such as meets, complex diet education about modifications, diet pregnancy weight gain counseling, close or breastfeeding monitoring, ex Implementation of tended follow-up)
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From page 10... ...
The committee takes the position that the physician or midwifee is responsible for ensuring that nutrition services are provided as an integral aspect of health care and that various team members, with proper training, can provide basic nutrition services. The dietitian may serve either as a team member or as a resource person (i.e., to pronde training and consultation to the health care providers, as well as direct nutritional services to women requiring special nutritional care)
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91-50212. Public Health Service, Office of the Assistant Secretary for Health, Washington, D.C 4.
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A Report of the Public Health Service Expert Panel on the Content of Prenatal Care. Public Health Seduce, Washington, D.C.
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HAS-D-MC 84-2. Health Resources and Services Administration, Public Health Service, Rockville, Md.
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