Healthy eating in pregnancy, education for midwives: A pre-post intervention study
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Obstetrics and Gynaecology Nursing Department, Faculty of Nursing, South Valley University, Luxor, Egypt
UniSA Clinical and Health Sciences, University of South Australia, Adelaide, Australia
Shwikar M. E. Othman   

UniSA Clinical and Health Sciences, University of South Australia, Centenary building 4-39, City East Campus, GPO Box 2471, Adelaide, SA 5000, Australia
Publication date: 2020-05-20
Submission date: 2020-02-10
Final revision date: 2020-03-25
Acceptance date: 2020-04-01
Eur J Midwifery 2020;4(May):20
Midwives have an important role in providing education in healthy eating to pregnant women, which is essential for maternal and foetal health and wellbeing. Importantly, midwives require continual professional development to ensure they provide up-to-date education.

A pre-post intervention study utilised a purpose-designed questionnaire to collect data at three time points. Forty-four midwives completed the pre education questionnaire, 29 of these midwives attended the education intervention (workshop/ webinar) and completed the immediately after questionnaire. Nineteen midwives then completed a questionnaire at 6–8 weeks follow-up. The study aimed to evaluate midwives’ knowledge and level of confidence to discuss healthy eating in pregnancy.

Education in healthy eating improved midwives’ knowledge and level of confidence, which were maintained for six to eight weeks. The mean difference of total scores on knowledge and confidence between pre and immediately after education questionnaires showed a statistically significant improvement in nutrition knowledge (4.93 ± 1.62 vs 7.55 ± 1.55; p<0.001) and confidence level (22.05 ± 6.87 vs 31.48 ± 7.47; p<0.001). In terms of the mode of education, there was a significant increase in total knowledge scores for midwives who attended a workshop compared to a webinar.

Overall, healthy eating education improved midwives’ knowledge and confidence immediately after receiving education and also at 6–8 weeks follow-up. This study is unique as it evaluated midwives’ knowledge and level of confidence at 6–8 weeks post education. This study concludes that midwives benefited from receiving further knowledge on cultural food choices, eating behaviours, and dental care.

Authors acknowledge the midwives who participated in this research and the biostatisticians for their help and support in data analysis.
The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. S. M. E. Othman reports a scholarship from The Cultural Affairs and Mission Sector, Ministry of Higher Education of the Egyptian government during the conduct of the study.
Support for this fully funded scholarship for a PhD study at the University of South Australia has been provided by the Cultural Affairs and Mission Sector, Ministry of Higher Education of the Egyptian government. The funder did not have any role or restrictions in the publication process.
SMEO held the idea for the development and the evaluation of the study. All authors contributed to collecting the data and writing the article. The final version of the article was reviewed and approved by all authors.
Not commissioned; externally peer reviewed.
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