Nursing Research and Practice

Nursing Research and Practice / 2019 / Article

Letter to the Editor | Open Access

Volume 2019 |Article ID 4307214 |

Angeliki Antonakou, "Comment on “Midwives’ Role in Providing Nutrition Advice during Pregnancy: Meeting the Challenges? A Qualitative Study”", Nursing Research and Practice, vol. 2019, Article ID 4307214, 1 page, 2019.

Comment on “Midwives’ Role in Providing Nutrition Advice during Pregnancy: Meeting the Challenges? A Qualitative Study”

Academic Editor: Maria Horne
Received06 Nov 2018
Accepted29 Jan 2019
Published01 Apr 2019

Arrish et al. [1] reported some very interesting results in their qualitative study which are highly relevant to midwifery services throughout other countries in the world. It is true that midwives, despite their struggle and sincere intention to provide the best possible nutrition advice to women during pregnancy, do not manage to completely meet all the challenges. Arrish et al. reported that the role of midwives was felt to be constrained by many factors mostly out of the midwives’ control. They suggested changes in the policy of maternity services such as allowing more time for antenatal visits, creating permanent positions for dietitians in antenatal clinics, and developing free online nutrition models and training packages for practising midwives by the professional organisations.

What was equally interesting in this study, however, was the fact that there were fifty-two midwives who initially expressed their interest in participating in this study, but in the end only sixteen were finally recruited (62.9% nonparticipation). This high drop-out rate might potentially reflect a lack of interest in the specific theme of this study in the younger age group of midwives as all but one final participant were over 35 years of age. It would be interesting to have known the demographics of this subgroup of midwives who declined to participate despite their initial interest so we could make further assumptions. Finally, in support of the findings of Arrish et al. we would like to add that the National Institute for Health and Care Excellence in 2015 issued a quality statement that lays the framework of nutritional advice provision in pregnancy [2]. It reports that all midwives should ensure that they give advice to pregnant women on how to eat healthily during pregnancy at their antenatal booking appointment. Moreover, pregnant women should receive this advice and support from a service that is evidence-based when informing them of the benefits of a healthy diet.

Conflicts of Interest

The author declares that they have no conflicts of interest.


  1. J. Arrish, H. Yeatman, and M. Williamson, “Midwives’ role in providing nutrition advice during pregnancy: meeting the challenges? a qualitative study,” Nursing Research and Practice, vol. 2017, Article ID 7698510, 11 pages, 2017. View at: Publisher Site | Google Scholar
  2. National Institute for Health and Care Excellence, Maternal and Child Nutrition. A Quality Statement, QS98, 2015.

Copyright © 2019 Angeliki Antonakou. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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