Download Antenatal by Helen Baston; Jennifer Hall PDF

By Helen Baston; Jennifer Hall

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Sample text

Women should also ensure that their diet is rich in iron, which is necessary for the production of red blood cells. Iron rich foods include red meat, fortified cereals, grains and pulses and leafy green vegetables (Food Standards Agency 2008a). There is no evidence that routine iron supplementation has any benefit on the health outcomes of either mother or baby (Pena-Rosas & Viteri 2006) and they are not recommended as part of routine antenatal care (NICE 2008). 1 lists changes occurring during pregnancy which have an effect on dietary intake.

Haberg S, Stigum H, Nystad W, et al: Effects of pre- and postnatal exposure to parental smoking on early childhood respiratory health, American Journal of Epidemiology 166(6):679–686, 2007. McCourt C: Supporting choice and control? Communication and interaction between midwives and women at the antenatal booking visit, Social Science & Medicine 62:1307–1318, 2006. Hajek P, West R, Lee A, et al: Randomised controlled trial of a midwife-delivered brief: smoking cessation intervention in pregnancy, Addiction 96(3):485–494, 2001.

The booking visit is an ideal opportunity to raise the issue, to let the woman know that she has a choice, but not necessarily the right time to seek a definitive decision. In some services, for example the Albany Group Practice (Reid 2002) women are not asked to make a decision until they go into labour. 6% of women had a planned home birth (The Information Centre 2007). The government are committed to ensuring that, by the end of 2009, ‘all women will have a choice in where and how they have their baby’ (Department of Health 2007:09).

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