Presentation on theme: "Maternal and child nutrition Implementing NICE guidance 2008 NICE public health guidance 11."— Presentation transcript:
Maternal and child nutrition Implementing NICE guidance 2008 NICE public health guidance 11
What this presentation covers Scope Key priorities for implementation Costs and savings Discussion Find out more
Scope Maternal diet and nutrition – pre-pregnancy, during and post-pregnancy Infant feeding – infant formula and breastfeeding Diet and nutrition for babies from 6 months old and pre-school children – including weaning, weight monitoring, allergy prevention and oral health Addresses disparities in low-income and other disadvantaged groups
Key priorities for implementation Promote the Healthy Start scheme Train staff in maternal and child nutrition Advise women to take folic acid and vitamin D supplements, as appropriate Promote and support breastfeeding
Encourage all those who may be eligible to apply: ensure forms and vitamin supplements are available Offer Healthy Start vitamin supplements to all women and children who are eligible Offer eligible parents tailored support and advice on using Healthy Start vouchers, on breastfeeding and on how to introduce infants to solid foods Audit local uptake
Training Caring for women who may become (or who are) pregnant and children under 5 requires training in: their nutritional needs the rationale for recommending supplements how to provide dietary advice breastfeeding management (BFI minimum standard) practical ways of changing eating behaviour
Vitamin D for pregnant and breastfeeding mothers Ensure health professionals know about the importance of vitamin D supplements Offer pregnant women information and advice at first booking appointment, on the benefits of taking a suitable daily 10 mcg supplement – such as Healthy Start Ensure those at greatest risk of a deficiency are taking vitamin D
Breastfeeding promotion Use a multi-faceted approach or coordinated programme of interventions across different settings Use the Baby Friendly Initiative (BFI) as a minimum standard Develop a written, audited and well-publicised breastfeeding policy that includes support for staff who are breastfeeding Identify a health professional responsible for implementing this policy
Breastfeeding support Peer supporters should: receive externally accredited training be part of a multidisciplinary team and receive ongoing support contact new mothers within 48 hours of their transfer home (or 48 hours of a home birth) offer mothers ongoing support according to need
Folic acid Advise women who may become pregnant and those up to 12 weeks pregnant to follow a folate rich diet and take a 400 mcg folic acid supplement daily Prescribe 5 mg a day if they have a family history of neural tube defect (NTD), have given birth to a baby with NTD or have diabetes Ensure local initiatives stress the importance of folic acid and the availability of suitable supplements
Costs This guidance is unlikely to have a significant impact on costs, based on national assumptions Locally this may vary and additional resources may be required for: breastfeeding peer support training the provision of Healthy Start vitamins link workers family nutrition programmes
Savings Implementing this guidance may reduce: some childhood illnesses the rate of obesity among adults and children the risk of some cancers among mothers neural tube defects
Discussion: breastfeeding To what extent have we implemented the BFI standard or its equivalent? How do we train our peer supporters? How well are peer supporters working as part of a multi-disciplinary team?
Discussion: diet and nutrition How do we encourage healthy eating among women who are (or who may become) pregnant and pre-school children? How can we improve uptake of Healthy Start? How can we improve awareness of the importance of vitamin D and folic acid supplements? How can we improve uptake of vitamin D/folic acid?
Find out more Visit for:www.nice.org.uk/PH011 Other guidance formats Costing statement Audit support