General Resources: Nutrition and Pregnancy

Trainings
Resource Information
Nutrition Assessment
Use of herbs
Recommendations around Fish
Recommendations around Food-borne Illness
Use of Medications

Trainings

WIC Nutritionist training for WIC/MSS staff
http://www.doh.wa.gov/cfh/WIC/clinic/training.htm

Regional WIC Breastfeeding Trainings
http://www.doh.wa.gov/cfh/WIC/clinic/training.htm#WIC_Breastfeeding_Trainings or http://www.walwica.org/bfeeding/index.html

Breastfeeding trainings at Evergreen Hospital, Kirkland, WA

National Maternal Nutrition Intensive Course – University of Minnesota
http://www.epi.umn.edu/let/contedu/

First Steps Trainings
First Steps offers regular training about the following topics:

• tobacco (face-to-face training; watch for email announcements)
• family planning (Online training through the Smart Ph system https://fortress.wa.gov/doh/smartph, available Winter 2007)

Other trainings (e.g.,cultural differences, ethics, and motivational interviewing) are suggested and often available through other resources. Watch for announcements from your agency.

ABC of First Steps
Online training through the Smart Ph system
https://fortress.wa.gov/doh/smartph

Resource information

State Websites
First Steps: www.fortress.wa.gov/dshs/maa/firststeps

Washington State Dietetics Association: www.nutritionwsda.org

Children with Special Health Care Needs: www.doh.wa.gov/cfh/mch/cshcnhome2.htm

WithinReach (formerly Healthy Mothers Healthy Babies): www.hmhbwa.org

Washington State WIC Program: www.doh.wa.gov/cfh/WIC/default.htm

National Websites
WIC: www.walwica.org and www.nal.usda.gov/wicworks

American Dietetic Association: www.eatright.org

Bright Futures: www.brightfutures.org

Institute of Medicine: www.iom.edu

La Leche League: www.lalecheleague.org

Books and Articles
American Dietetic Association. Manual of Clinical Dietetics, 6e. American Dietetic Association, 2000. Available from ADA: http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/shop_1282_ENU_HTML.htm.

Institute of Medicine. Nutrition During Lactation. Washington DC: National Academy Press. 1991. Available for order from http://ask.hrsa.gov/detail.cfm?PubID=MCHD081, or online at http://www.iom.edu/CMS/3788/18255.aspx.

Institute of Medicine. Nutrition During Pregnancy: Part I: Weight Gain, Part II: Nutrient Supplements. Washington DC: National Academy Press. 1990. Online at http://www.iom.edu/CMS/3788/18257.aspx.

Institute of Medicine. Nutrition Services in Perinatal Care, 2nd edition. Washington DC: National Academy Press. 1992. Online at: http://www.iom.edu/CMS/3788/18247.aspx.

Kaiser LL, Allen L. Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy outcome. J Am Diet Assoc 2002; 102(10): 1479-1490. Online: http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/advocacy_adar1002b_ENU_HTML.htm

Mohrbacher N, Stock J, LaLeche League International. The Breastfeeding Answer Book, third revised edition. 1997.

Nevin-Follino N, ed. Pediatric Manual of Clinical Dietetics, 2e. American Dietetic Association. 1998. Available from ADA: http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/shop_1278_ENU_HTML.htm.

Story M, Holt K, Sofka D, eds. 2002. Bright Futures in Practice: Nutrition, Second edition. Arlington, VA: National Center for Education in Maternal and Child Health. Available, with supporting resources, at http://www.brightfutures.org.

US Department of Agriculture. Dietary Guidelines for Americans, 2005, 6th Edition. http://www.healthierus.gov/dietaryguidelines/. Accessed 25 May 2006.

Nutrition Assessment

Pregnancy Risk Factors
The nutrition-related risk factors discussed in this module are summarized in a table.

WIC Works Resource System: Prenatal Weight Gain
This website is a compilation of resources related to prenatal weight gain, including links to MCHB Work Group Report, Institute of Medicine Guidelines, and state-developed educational materials. http://www.nal.usda.gov/wicworks/Topics/prenatal_weight.html

Weight Gain Charts
To order copies of weight gain charts, visit http://www.ask.hrsa.gov/detail.cfm?PubID=MCHF034

MyPyramid – Food Intake Patterns
The suggested amounts of foods to consume from the basic food groups, subgroups and oils to meet recommended nutrient intakes at 12 different energy levels are summarized in this table, available from the US Department of Agriculture. http://www.pyramid.gov/downloads/MyPyramid_Food_Intake_Patterns.pdf

ABCs of Folic Acid Counseling
This continuing education tutorial is designed to help health care professionals learn how to quickly counsel women about folic acid and help them reduce their risk of having a child with spina bifida. The tutorial is available at http://sba-resource.org/sbaacd.

Nutrition Care Process
American Dietetic Association. Nutrition Diagnosis: A Critical Step in the Nutrition Care Process. American Dietetic Association. 2006.

Vegetarian Food Guide
This is a companion paper to the American Dietetic Association's and Dietitians of Canada's Position Paper, http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/governance_5105_ENU_HTML.htm.

Vegetarian Nutrition Dietetic Practice Group of the American Dietetic Association
http://www.vegetariannutrition.net

Vegetarian Resource Group
http://www.vrg.org.

he Dietitian’s Guide to Vegetarian Diets
Messina V, Mangels R, Messina M. The Dietitian’s Guide to Vegetarian Diets, 2nd ed. Boston, MA: Jones and Bartlett Publishers, 2004.

ANRED (Anorexia Nervosa and Related Eating Disorders, Inc.) website with information about pica http://www.anred.com/pica.html

Eating Disorder: Pica (emedicine article)
http://www.emedicine.com/ped/topic1798.htm

Use of Herbs

Using Natural Herbs During Pregnancy: American Pregnancy Association
http://www.americanpregnancy.org/pregnancyhealth/naturalherbsvitamins.html

Medline Plus index of herbs and other supplements
http://www.nlm.nih.gov/medlineplus/druginfo/herb_All.html

Resources related to recommendations around fish:

• http://www.epa.gov/waterscience/fish/MethylmercuryBrochure.pdf
• http://www.fda.gov/bbs/topics/NEWS/2006/NEW01382.html
• http://www.doh.wa.gov/fish/Fishadvmercury.htm - Washington State Fish Advisory for Mercury
• http://www3.doh.wa.gov/here/materials/CRA_Detail.aspx?ID=287 - Fish Facts for Good Health

Resources related to foodborne illness:

• http://www.ext.colostate.edu/PUBS/FOODNUT/09372.html
• http://www.ific.org/publications/brochures/listeriosisbroch.cfm
• http://www.fsis.usda.gov/Fact_Sheets/Listeriosis_and_Pregnancy_What_is_Your_Risk/index.asp
• http://www.cdc.gov/ncidod/dpd/parasites/toxoplasmosis/ToxoWomen.pdf

Medication Use During Pregnancy

DART/ETIC
The Developmental and Reproductive Toxicology and Environmental Teratology Information Center (DART/ETIC) is a database maintained by the National Library of Medicine. It contains information about developmental and reproductive toxicology, including medications. More information is at: http://www.nlm.nih.gov/pubs/factsheets/dartfs.html. The actual database can be found here: http://toxnet.nlm.nih.gov/. This site also includes LactMed, which provides information about medication use during lactation.

Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention (CDC) website includes resources related to medication use during pregnancy and lactation.http://www.cdc.gov/ncbddd/meds/.

Organization of Teratology Information Specialists Fact Sheets
To educate the public, the Organization of Teratology Information Specialists has compiled "fact sheets" on various exposures of concern. Fact Sheets answer frequently asked questions about exposures during pregnancy, and have been designed to print on a single double-sided page. http://otispregnancy.org/otis_fact_sheets.asp