Nutrition care during and after pregnancy by general practitioners

Monday, Jan 21, 2019

Reference:

Ball L, Wilkinson S. Nutrition care by general practitioners: Enhancing women's health during and after pregnancy. Aust Fam Physician. 2016 Aug;45(8):542-7. Link to Pubmed
 

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Background:

  • Healthy dietary habits before, during and after pregnancy help reduce the risk of undesirable health outcomes for both mothers and infants
  • Most pregnant women have ongoing and regular contact with general practitioners (GPs) and they are receptive to health-related messages
     

Objective:

  • To provide an overview of latest information on nutrition requirement during and after pregnancy
  • To portray simple ways that GPs can add effective and brief nutrition care to their standard consultation
     

Summary:

  • A balanced diet plus a supplement with folic acid and iodine is critical for good maternal health as well as offspring growth and development
  • GPs have high potential to give nutrition care that can improve the dietary habits and health outcomes of patients. Examples of improvements include:
    • An increase in fruit and vegetable intake
    • An increase in fish intake
    • A reduction in energy consumption
  • Ways to support GPs in providing nutrition care,
    • GPs need to be confident in raising topics related to nutrition (i.e. weight management) during standard consultation
    • The use of laminated desktop quotes with proposed questions to ask patients
    • Being equipped with simple and practical messages consistent with latest evidence that can be added into standard consultation (i.e. recent evidence for healthy eating during pregnancy, examples in Table 1)
       

Table 1 – Simple and evidence-based messages suitable for clinical practice

You can eat well during pregnancy and breastfeeding by:

  • Enjoying a wide variety of fruits and vegetables, of different types and colours
  • Increasing your intake of grain and cereal foods
    • Choose mostly wholegrain and high-fibre options
  • Choosing foods that are high in iron, such as lean red meat or tofu
    • Iron-rich foods are important for pregnant women
  • Making a habit of drinking milk, and eating hard cheese and yoghurt, or calcium-enriched alternatives
    • Reduced-fat varieties are best
  • Drinking plenty of water
  • Avoiding foods and drinks that are high in saturated fat, added sugar and salt

 

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WNSC Bulletin is written by the Medical Affairs Department and offers you a glance of updated nutritional information, including newly released international guidelines about nutrition, recently published clinical trial reports and also expert written articles that you may be interested in.

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WNSC Publications

WNSC Hong Kong Bulletin 2019 Issue 2

  • Bovine milk oligosaccharides (BMOs) – An upcoming novel functional ingredient
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Hu X, et al. Targeting gut microbiota as a possible therapy for mastitis. Eur J Clin Microbiol Infect Dis. 2019 May 11. doi: 10.1007/s10096-019-03549-4.
 

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A meta-analysis on 10 randomized controlled trials demonstrated that probiotic supplementation during pregnancy helps reduce fasting blood glucose level, serum insulin levels as well as insulin resistance. Total cholesterol and triglyceride levels were also decreased after probiotic supplementation.

Reference:

Han MM, et al. Probiotics improve glucose and lipid metabolism in pregnant women: a meta-analysis. Ann Transl Med. 2019;7(5):99.
 

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Link to Publication: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462661/


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This in vitro study found that specific BMOs could inhibit intestinal cell proliferation and have effects on gut differential processes, indicating BMOs may play a role in gastrointetinal development and maturation.

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Kuntz S, et al. Milk oligosaccharides from different cattle breeds influence growth-related characteristics of intestinal cells. Front Nutr. 2019;6:31.
 

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WNSC HK Bulletin 2019 Issue 2 – Bovine milk oligosaccharides (BMOs) – An upcoming novel functional ingredient

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Kang DW, et al. Long-term benefit of Microbiota Transfer Therapy on autism symptoms and gut microbiota. Nature. 2019;9:5821.
 

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Cesarean delivery has been known to cause gut microbiota dysbiosis in infants. Recently, a cross-sectional study in China revealed that such disturbance could be partially restored by exclusive breastfeeding.

Reference:

Liu Y et al. The perturbation of infant gut microbiota caused by cesarean delivery is partially restored by exclusive breastfeeding. Front. Microbiol. 2019;10:598. doi:10.3389/fmicb.2019.00598.
 

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WNSC Hong Kong Info Card 2017 Issue 2 – Gut Microbiota Fact Sheet

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