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Bernier E, Simoneau C, Desroches S, Morisset AS, Robitaille J. Implementation of Postpartum Nutritional Interventions in Healthcare, Community and eHealth: A Systematic Review. Matern Child Health J 2024:10.1007/s10995-024-03985-5. [PMID: 39292385 DOI: 10.1007/s10995-024-03985-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2024] [Indexed: 09/19/2024]
Abstract
OBJECTIVES The efficacy of interventions targeting lifestyle habits, particularly dietary habits, among postpartum women is well established. However, whether these results can be translated into tangible changes in the care and services provided to this population remains unclear. Therefore, the aim is to examine the implementation outcomes of postpartum nutritional interventions delivered in healthcare, community, or eHealth settings. METHODS A search was conducted in the MEDLINE, EMBASE, Web of Science, CINAHL, and Cochrane Library databases in July 2024, to identify all relevant studies. Included studies had to report at least 1 of the 8 implementation outcomes studied: acceptability, adoption, appropriateness, implementation cost, feasibility, fidelity, penetration, and sustainability. Study selection and data extraction were performed by two independent reviewers. Descriptive analysis of reported outcomes was performed. PROSPERO ID CRD42022351411. RESULTS Of the 8907 unique studies identified, 26 interventions (24 publications) were included.There was a great heterogeneity among interventions studied and implementation outcomes reported. Acceptability, feasibility, and fidelity were the most studied implementation outcomes. Overall, postpartum nutritional interventions were found to be acceptable and useful, but improvements were suggested by participants, such as more frequent contacts and longer programs. Recruitment, retention, participation, and penetration rates widely varied across studies. Challenges hindering the delivery of nutritional interventions were reported by participants, such as lack of time and the presence of medical conditions following delivery. CONCLUSIONS FOR PRACTICE: This review demonstrates the potential for the delivery and implementation of nutritional interventions in real-world settings during the postpartum period.
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Affiliation(s)
- Emilie Bernier
- École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada
- Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada
- Axe Endocrinologie et Néphrologie, Centre de recherche du CHU de Québec-Université Laval, Québec, Canada
| | - Charlotte Simoneau
- École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada
- Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada
| | - Sophie Desroches
- École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada
- Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada
| | - Anne-Sophie Morisset
- École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada
- Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada
- Axe Endocrinologie et Néphrologie, Centre de recherche du CHU de Québec-Université Laval, Québec, Canada
| | - Julie Robitaille
- École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada.
- Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada.
- Axe Endocrinologie et Néphrologie, Centre de recherche du CHU de Québec-Université Laval, Québec, Canada.
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Matsuda K, Shiraishi M, Hori N, Horiguchi H, Matsuzaki M. Psychosocial Experiences Related to Dietary Behavior of Japanese Lactating Women: A Qualitative Study. Nutrients 2023; 15:nu15030789. [PMID: 36771501 PMCID: PMC9920491 DOI: 10.3390/nu15030789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 01/19/2023] [Accepted: 02/01/2023] [Indexed: 02/08/2023] Open
Abstract
Adequate dietary intake during the lactation period is important for breast milk components, postpartum recovery, and physical and mental health. This study aimed to clarify the psychosocial experiences related to dietary behavior around one month postpartum among Japanese lactating women. Semi-structured interviews were conducted with 18 women between February and June 2022 in Osaka, Japan. The data were analyzed using qualitative descriptive approaches. Four core categories were identified. All participants had a [desire to have healthy meals for themselves or their families] to improve their postpartum health, regain their pre-pregnancy body shape, produce sufficient and good-quality breast milk, and keep their families healthy. Some participants, who had [subjective difficulties in getting information on diet and preparing meals] due to insufficient or complicated information and viewing meal preparation as a burden, used [services and support regarding their postpartum diet] to alleviate these difficulties. They had [postpartum-specific appetite and dietary views], including an increased appetite triggered by breastfeeding and postpartum stress and the effects of the dietary changes during pregnancy. Some of these psychosocial experiences were influenced by Japanese traditional customs in the postpartum period and familiar food preferences in the Japanese. Healthcare professionals should consider these experiences when providing tailored dietary guidance.
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Tayyem R, Al-Bayyari N, Al-Awwad N, Abuhijleh H, Hoteit R, Qasrawi R, Badran E, Basha A, Allehdan S, Boukari K, Arrish J, Seir RA, Hoteit M. Dietary intake and lifestyle practices of eastern mediterranean postpartum women before and during COVID-19 pandemic: An internet-based cross-sectional survey. Front Nutr 2022; 9:932418. [PMID: 36034906 PMCID: PMC9400898 DOI: 10.3389/fnut.2022.932418] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 07/06/2022] [Indexed: 11/18/2022] Open
Abstract
Background During the lockdown period, a substantial group of these women reported lifestyle changes. Aim The aim of the study is to characterize the dietary patterns, intake and the adherence to the United States Department of Agriculture (USDA) pregnancy guidelines before and during the COVID-19 pandemic in Eastern Mediterranean postartum women. Methods An internet-based cross-sectional survey was used to collect the data. The survey was carried out among 1,939 postpartum women from five countries from the Eastern Mediterranean region. Change in dietary intake from the five food groups and the adherence to USDA's daily recommendations were assessed. Findings There was a significant increase in the mean (SD) consumption of all the food groups, including bread, rice, and other cereals, fruits, vegetables, milk and milk products, white and red meat, and nuts during the pandemic. Around 84% of participants reported no/low adherence (0–2) to USDA guidelines, whereas only 15% reported moderate or high adherence (3–5) to the guidelines before the pandemic. However, there was an increase in the proportion of subjects reporting moderate/high adherence (22%) during the pandemic. Discussion and conclusions A substantial proportion of our study participants reported a lower dietary intake than the recommended amounts, and low adherence to the five food groups. Reasonable and applicable actions should be taken to protect postpartum women and their children from the effects of low dietary intake, particularly during pandemics and lockdowns. More researches are needed to identify the modifiable factors which could improve the nutritional status of the postpartum women during the pandemic.
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Affiliation(s)
- Reema Tayyem
- Department of Human Nutrition, College of Health Sciences, QU-Health, Qatar University, Doha, Qatar.,School of Agriculture, The University of Jordan, Amman, Jordan
| | - Nahla Al-Bayyari
- Department of Nutrition and Food Technology, Faculty of Al-Huson University College, Al-Balqa Applied University, Al-Salt, Jordan
| | - Narmeen Al-Awwad
- Department of Clinical Nutrition and Dietetics, Faculty of Allied Health Sciences, The Hashemite University, Zarqa, Jordan
| | - Haya Abuhijleh
- Department of Human Nutrition, College of Health Sciences, QU-Health, Qatar University, Doha, Qatar
| | - Reem Hoteit
- Hariri School of Nursing, American University of Beirut, Beirut, Lebanon
| | - Radwan Qasrawi
- Department of Computer Science, Al-Quds University, Jerusalem, Palestine.,Department of Computer Engineering, Istinye University, Istanbul, Turkey
| | - Eman Badran
- School of Medicine, The University of Jordan, Amman, Jordan
| | - Asma Basha
- School of Medicine, The University of Jordan, Amman, Jordan
| | - Sabika Allehdan
- Department of Biology, College of Science, University of Bahrain, Bahrain
| | - Khlood Boukari
- Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Taibah University, Medina, Saudi Arabia.,National Nutrition Committee (NNC), Saudi Food and Drug Authority (Saudi FDA), Riyadh, Saudi Arabia
| | - Jamila Arrish
- National Nutrition Committee (NNC), Saudi Food and Drug Authority (Saudi FDA), Riyadh, Saudi Arabia
| | - Rania Abu Seir
- Department of Biomedical Technology, Al-Quds University, Jerusalem, Palestine
| | - Maha Hoteit
- Faculty of Public Health, Lebanese University, Beirut, Lebanon.,PHENOL Research Group (Public Health Nutrition program-Lebanon), Faculty of Public Health, Lebanese University, Beirut, Lebanon
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