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Nutrition education and counseling during pregnancy: a systematic review
Author(s) -
Girard Amy Webb,
Olude Oluwafunke Abigail,
ImhoffKunsch Beth,
Ramakrishnan Usha,
Martorell Reynaldo
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.989.28
Subject(s) - medicine , pregnancy , psychosocial , nutrition education , grading (engineering) , family medicine , low birth weight , pediatrics , environmental health , gerontology , genetics , civil engineering , psychiatry , engineering , biology
Nutrition education and counseling (NEC) is a common strategy used to improve maternal nutrition during pregnancy. Using modified GRADE (Grading of Recommendations Assessment, Development and Evaluation) and CHERG (Child Health Epidemiology Reference Group) approaches, we systematically reviewed the scientific evidence of the impact of NEC delivered during pregnancy on maternal diet, nutritional status, and pregnancy outcomes. Of 3877 titles identified through databases and hand searching, 52 were abstracted. Of these, 25 met final inclusion criteria and were included in this review. Three categories of NEC delivery emerged, namely 1) only NEC (n=14); 2) NEC with enhanced education or psychosocial support (n=3); and 3) NEC with nutrition support (n=9). In developed countries (n=17 studies), consistent and positive impacts of NEC on dietary intakes (n=12) were observed regardless of delivery category. In developing countries (n=9), NEC either alone or with nutrition support improved anemia outcomes (n=5). However for weight gain (n=2) and birth weight (n=2) consistent and positive impacts were only observed when NEC was provided with nutrition support. Substantial variation in exposure and outcome variables precluded meta‐analysis. Funded by the Bill and Melinda Gates Foundation