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Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: multistakeholder feedback to implementation

Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: multistakeholder feedback to implementation
Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: multistakeholder feedback to implementation
Objective
To gain insights from pregnant women and obstetricians on the utility of the FIGO Nutrition Checklist in antenatal practice.

Methods
Women were recruited from the antenatal department of a large tertiary‐level university maternity hospital in Dublin, Ireland, between October and December 2019. Participants completed the FIGO Nutrition Checklist before their routine antenatal appointment. Obstetricians and women were encouraged to discuss the FIGO Nutrition Checklist during the clinical visit. Completed FIGO Nutrition Checklists were collected after appointments. Acceptability was assessed through questionnaires.

Results
The majority (80.0%) of women answered “No” to at least one diet quality question, indicating a potential nutritional risk. While none of the participating obstetricians routinely discussed nutrition with women, all agreed that using the Checklist encouraged them to address nutrition with pregnant women. Nearly every woman (99.0%) found the Checklist quick to complete; however, all participating obstetricians felt there was not enough time to discuss it in routine practice. Despite this, most obstetricians and pregnant women recommended the FIGO Nutrition Checklist for use.

Conclusion
The FIGO Nutrition Checklist is acceptable for use in routine antenatal practice in tertiary care settings. It helped identify potentially at‐risk women during early pregnancy and facilitated conversations related to optimum diet.
Acceptability study, Antenatal care, FIGO Nutrition Checklist, Feasibility study, Gestational weight gain, Nutrition, Obesity, Pregnancy, Screening tool
1879-3479
51-56
Killeen, Sarah Louise
de21cc0f-7735-43c8-9960-c6ad70d333b9
Callaghan, Shauna L.
1c018267-68c6-4e1b-b02f-781e338e487b
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
McAuliffe, Fionnuala M.
4338a5d7-8afc-4565-8edc-6c9928311c47
Killeen, Sarah Louise
de21cc0f-7735-43c8-9960-c6ad70d333b9
Callaghan, Shauna L.
1c018267-68c6-4e1b-b02f-781e338e487b
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
McAuliffe, Fionnuala M.
4338a5d7-8afc-4565-8edc-6c9928311c47

Killeen, Sarah Louise, Callaghan, Shauna L., Jacob, Chandni Maria, Hanson, Mark and McAuliffe, Fionnuala M. (2020) Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: multistakeholder feedback to implementation. International Journal of Gynecology & Obstetrics, 151 (S1), 51-56. (doi:10.1002/ijgo.13323).

Record type: Article

Abstract

Objective
To gain insights from pregnant women and obstetricians on the utility of the FIGO Nutrition Checklist in antenatal practice.

Methods
Women were recruited from the antenatal department of a large tertiary‐level university maternity hospital in Dublin, Ireland, between October and December 2019. Participants completed the FIGO Nutrition Checklist before their routine antenatal appointment. Obstetricians and women were encouraged to discuss the FIGO Nutrition Checklist during the clinical visit. Completed FIGO Nutrition Checklists were collected after appointments. Acceptability was assessed through questionnaires.

Results
The majority (80.0%) of women answered “No” to at least one diet quality question, indicating a potential nutritional risk. While none of the participating obstetricians routinely discussed nutrition with women, all agreed that using the Checklist encouraged them to address nutrition with pregnant women. Nearly every woman (99.0%) found the Checklist quick to complete; however, all participating obstetricians felt there was not enough time to discuss it in routine practice. Despite this, most obstetricians and pregnant women recommended the FIGO Nutrition Checklist for use.

Conclusion
The FIGO Nutrition Checklist is acceptable for use in routine antenatal practice in tertiary care settings. It helped identify potentially at‐risk women during early pregnancy and facilitated conversations related to optimum diet.

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More information

Accepted/In Press date: 30 June 2020
e-pub ahead of print date: 7 September 2020
Published date: 2020
Additional Information: Funding Information: The FIGO Nutrition Checklist was developed in 2015 by members of the FIGO Initiative on Adolescent, Preconception, and Maternal Nutrition. We are grateful to the members of that committee and to the FIGO Pregnancy and Non‐Communicable Diseases Committee for their ongoing support of the work of the Pregnancy Obesity and Nutrition Initiative. MAH is supported by the British Heart Foundation and CMJ by the NIHR Southampton Biomedical Research Centre. Publisher Copyright: © 2020 The Authors. International Journal of Gynecology and Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics © 2020 The Authors. International Journal of Gynecology and Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
Keywords: Acceptability study, Antenatal care, FIGO Nutrition Checklist, Feasibility study, Gestational weight gain, Nutrition, Obesity, Pregnancy, Screening tool

Identifiers

Local EPrints ID: 443913
URI: http://eprints.soton.ac.uk/id/eprint/443913
ISSN: 1879-3479
PURE UUID: b7771650-7423-45c7-8989-47648133b356
ORCID for Chandni Maria Jacob: ORCID iD orcid.org/0000-0002-2024-0074
ORCID for Mark Hanson: ORCID iD orcid.org/0000-0002-6907-613X

Catalogue record

Date deposited: 16 Sep 2020 16:35
Last modified: 17 Mar 2024 03:44

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Contributors

Author: Sarah Louise Killeen
Author: Shauna L. Callaghan
Author: Mark Hanson ORCID iD
Author: Fionnuala M. McAuliffe

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