Discussing nutrition during antenatal care: a qualitative study of midwives' experiences in Nigeria

Background/Aims Maternal nutrition is important for pregnancy outcomes and
midwives are responsible for advising women about nutrition during antenatal care.
This study’s aim was to explore Nigerian midwives’ perspectives of the importance of
maternal nutrition and their experiences of their role in advising about nutrition during
antenatal care.
Methods This qualitative study collected data from 10 purposively selected midwives
working in healthcare facilities in Rivers State, Nigeria. Semi-structured online interviews
were transcribed verbatim and the data were thematically analysed.
Results The four themes were: nutrition messages are important; the impact of
poor nutrition; current training in nutrition; and multidisciplinary working. Midwives
acknowledged the importance of maternal nutrition and demonstrated sound knowledge
of maternal nutrition and the risks associated with poor nutrition.
Conclusions Nigerian midwives wanted further training about nutrition, particularly
related to pregnancy complications such as pica and gestational diabetes mellitus.
Further collaboration and teamwork between midwives and dietitians would enhance the
provision and acceptance of important nutrition messages during antenatal care.
Implications for practice Healthcare professionals need to signpost women to
resources that will improve their access to nutritious food during pregnancy. Dietitians
with expertise in maternal nutrition should be involved with undergraduate training of
student midwives and the continuing professional development of qualified midwives.