{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T01:40:30Z","timestamp":1793324430054,"version":"4.5.0"},"reference-count":46,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the European Union\u2019s Horizon 2020 LifeCycle Project","award":["733206"],"award-info":[{"award-number":["733206"]}]},{"name":"British Heart Foundation","award":["733206"],"award-info":[{"award-number":["733206"]}],"id":[{"id":"https:\/\/ror.org\/02wdwnk04","id-type":"ROR","asserted-by":"crossref"}]},{"name":"the National Institute for Health Research, UK","award":["733206"],"award-info":[{"award-number":["733206"]}],"id":[{"id":"https:\/\/ror.org\/0187kwz08","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Optimum nutrition and weight before and during pregnancy are associated with a lower risk of conditions such as pre-eclampsia and gestational diabetes. There is a lack of user-friendly tools in most clinical settings to support healthcare practitioners (HCPs) in implementing them. This study aimed to evaluate the acceptability of (1) using a nutrition checklist designed by the International Federation of Gynecology and Obstetrics (FIGO) for nutritional screening of women in the preconception and early pregnancy period and (2) routine discussion of nutrition and weight in clinical care. An online cross-sectional survey was conducted with women (aged 18\u201345) and HCPs (e.g., general practitioners, obstetricians, and midwives). Quantitative statistical analysis and qualitative content analysis were performed. The concept and content of the checklist were acceptable to women (n = 251) and HCPs (n = 47) (over 80% in both groups). Several barriers exist to implementation such as lack of time, training for HCPs, and the need for sensitive and non-stigmatizing communication. Routine discussion of nutrition was considered important by both groups; however, results suggest that nutrition is not regularly discussed in perinatal visits in the UK. The FIGO nutrition checklist presents a valuable resource for use in clinical practice, offering long-term and intergenerational benefits for both mother and baby.<\/jats:p>","DOI":"10.3390\/nu14173623","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:19:01Z","timestamp":1662077941000},"page":"3623","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Acceptability of the FIGO Nutrition Checklist in Preconception and Early Pregnancy to Assess Nutritional Status and Prevent Excess Gestational Weight Gain: A Study of Women and Healthcare Practitioners in the UK"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2024-0074","authenticated-orcid":false,"given":"Chandni Maria","family":"Jacob","sequence":"first","affiliation":[{"name":"Institute of Developmental Sciences, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK"},{"name":"NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton SO16 6YD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazel M.","family":"Inskip","sequence":"additional","affiliation":[{"name":"Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Lawrence","sequence":"additional","affiliation":[{"name":"NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton SO16 6YD, UK"},{"name":"Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7777-2904","authenticated-orcid":false,"given":"Carmel","family":"McGrath","sequence":"additional","affiliation":[{"name":"NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton SO16 6YD, UK"},{"name":"School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3477-6494","authenticated-orcid":false,"given":"Fionnuala M.","family":"McAuliffe","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, D02 YH21 Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Louise","family":"Killeen","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, D02 YH21 Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hema","family":"Divakar","sequence":"additional","affiliation":[{"name":"Divakar\u2019s Specialty Hospital, Bengaluru 560078, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hanson","sequence":"additional","affiliation":[{"name":"Institute of Developmental Sciences, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK"},{"name":"NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton SO16 6YD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1016\/S2213-8587(16)30278-9","article-title":"Clinical management of pregnancy in the obese mother: Before conception, during pregnancy, and post partum","volume":"4","author":"Ma","year":"2016","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1111\/ppe.12855","article-title":"Preconception exposures and adverse pregnancy, birth and postpartum outcomes: Umbrella review of systematic reviews","volume":"36","author":"Daly","year":"2022","journal-title":"Paediatr. Perinat. Epidemiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1842","DOI":"10.1016\/S0140-6736(18)30312-X","article-title":"Origins of lifetime health around the time of conception: Causes and consequences","volume":"391","author":"Fleming","year":"2018","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1016\/S0140-6736(18)30311-8","article-title":"Before the beginning: Nutrition and lifestyle in the preconception period and its importance for future health","volume":"391","author":"Stephenson","year":"2018","journal-title":"Lancet"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"S213","DOI":"10.1016\/S0020-7292(15)30023-0","article-title":"The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: \u201cThink Nutrition First\u201d","volume":"131","author":"Hanson","year":"2015","journal-title":"Int. J. Gynaecol. Obstet. Off. Organ Int. Fed. Gynaecol. Obstet."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2262","DOI":"10.1016\/S0140-6736(19)30954-7","article-title":"Preconception health in England: A proposal for annual reporting with core metrics","volume":"393","author":"Stephenson","year":"2019","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"233","DOI":"10.3399\/bjgp21X715733","article-title":"A wake-up call for preconception health: A clinical review","volume":"71","author":"Stephenson","year":"2021","journal-title":"Br. J. Gen. Pract."},{"key":"ref_8","unstructured":"Hanson, M., Godfrey, K., Poston, L., Bustreo, F., and Stephenson, J. (2015). Pre-conception health, Annual Report of the Chief Medical Officer\u2014The Health of the 51% Women."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0140-6736(16)31389-7","article-title":"Early childhood development coming of age: Science through the life course","volume":"389","author":"Black","year":"2017","journal-title":"Lancet"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0140-6736(13)60937-X","article-title":"Maternal and child undernutrition and overweight in low-income and middle-income countries","volume":"382","author":"Black","year":"2013","journal-title":"Lancet"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1002\/ijgo.13319","article-title":"Population estimates, consequences, and risk factors of obesity among pregnant and postpartum women in India: Results from a national survey and policy recommendations","volume":"151","author":"Chopra","year":"2020","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/S2213-8587(15)00227-2","article-title":"Effect of a behavioural intervention in obese pregnant women (the UPBEAT study): A multicentre, randomised controlled trial","volume":"3","author":"Poston","year":"2015","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1002\/ijgo.13334","article-title":"Management of prepregnancy, pregnancy, and postpartum obesity from the FIGO Pregnancy and Non-Communicable Diseases Committee: A FIGO (International Federation of Gynecology and Obstetrics) guideline","volume":"151","author":"McAuliffe","year":"2020","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Mazza, D., Chapman, A., and Michie, S. (2013). Barriers to the implementation of preconception care guidelines as perceived by general practitioners: A qualitative study. BMC Health Serv. Res., 13.","DOI":"10.1186\/1472-6963-13-36"},{"key":"ref_15","unstructured":"International Federation of Gynaecology and Obstetrics (2020). The FIGO Nutrition Checklist, FIGO."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/ijgo.13323","article-title":"Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: Multi-stakeholder feedback to implementation","volume":"151","author":"Killeen","year":"2020","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1002\/ijgo.13324","article-title":"Evaluation of dietary pattern in early pregnancy using the FIGO Nutritional Checklist compared to a Food Frequency Questionnaire (FFQ)","volume":"151","author":"Tsoi","year":"2020","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1002\/ijgo.13322","article-title":"\u201cIt only takes two minutes to ask\u201d\u2014A qualitative study with women on using the FIGO Nutrition Checklist in pregnancy","volume":"151","author":"Killeen","year":"2020","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Parisi, F., Savasi, V.M., di Bartolo, I., Mandia, L., and Cetin, I. (2020). Associations between First Trimester Maternal Nutritional Score, early markers of placental function, and pregnancy outcome. Nutrients, 12.","DOI":"10.3390\/nu12061799"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Sekhon, M., Cartwright, M., and Francis, J.J. (2017). Acceptability of healthcare interventions: An overview of reviews and development of a theoretical framework. BMC Health Serv. Res., 17.","DOI":"10.1186\/s12913-017-2031-8"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1111\/obr.12861","article-title":"Maternal and early-life area-level characteristics and childhood adiposity: A systematic review","volume":"20","author":"Wilding","year":"2019","journal-title":"Obes. Rev."},{"key":"ref_22","unstructured":"Ministry of Housing, Communities & Local Government (2019). National Statistics. English Indices of Deprivation 2019."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Hill, B., Hall, J., Skouteris, H., and Currie, S. (2020). Defining preconception: Exploring the concept of a preconception population. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-020-02973-1"},{"key":"ref_24","first-page":"30","article-title":"The effects of the neutral response option on the extremeness of participant responses","volume":"6","author":"Edwards","year":"2014","journal-title":"J. Undergrad. Scholarsh."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1086\/344431","article-title":"Coping with ambivalence: The effect of removing a neutral option on consumer attitude and preference judgments","volume":"29","author":"Nowlis","year":"2002","journal-title":"J. Consum. Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/j.1365-2648.2007.04569.x","article-title":"The qualitative content analysis process","volume":"62","author":"Elo","year":"2008","journal-title":"J. Adv. Nurs."},{"key":"ref_27","unstructured":"Robson, C. (2002). Real World Research: A Resource for Social Scientists and Practitioner-Researchers, Wiley-Blackwell."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1177\/030802260406701204","article-title":"Writing up rigour: Representing and evaluating good scholarship in qualitative research","volume":"67","author":"Ballinger","year":"2004","journal-title":"Br. J. Occup. Ther."},{"key":"ref_29","unstructured":"Pawson, R., and Tilley, N. (2004). Realist Evaluation (Chapter Introduction), Sage Publications Ltd."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1038\/ijo.2009.250","article-title":"A nationally representative study of maternal obesity in England, UK: Trends in incidence and demographic inequalities in 619,323 births, 1989\u20132007","volume":"34","author":"Heslehurst","year":"2010","journal-title":"Int. J. Obes."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1080\/17437199.2018.1488602","article-title":"Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis","volume":"12","author":"Griffiths","year":"2018","journal-title":"Health Psychol. Rev."},{"key":"ref_32","first-page":"e5197","article-title":"Impact of an mHealth platform for pregnancy on nutrition and lifestyle of the reproductive population: A survey","volume":"4","author":"Huijgen","year":"2016","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e240","DOI":"10.2196\/jmir.7736","article-title":"Listening to communities: Mixed-method study of the engagement of disadvantaged mothers and pregnant women with digital health technologies","volume":"19","author":"Guendelman","year":"2017","journal-title":"J. Med. Internet Res."},{"key":"ref_34","unstructured":"FIGO (2022, June 20). FIGO\u2019s Nutrition Checklist Wins Semi-Final at the HSE-HIHI Spark Ignite Awards. Available online: https:\/\/www.figo.org\/news\/figos-nutrition-checklist-wins-semi-final-hse-hihi-spark-ignite-awards."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1002\/ijgo.13331","article-title":"Prevention of noncommunicable diseases by interventions in the preconception period: A FIGO position paper for action by healthcare practitioners","volume":"151","author":"Jacob","year":"2020","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e12900","DOI":"10.1111\/mcn.12900","article-title":"How can we best use opportunities provided by routine maternity care to engage women in improving their diets and health?","volume":"16","author":"Lawrence","year":"2020","journal-title":"Matern. Child Nutr."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.midw.2012.07.007","article-title":"Midwives perspectives of their training and education requirements in maternal obesity: A qualitative study","volume":"29","author":"Heslehurst","year":"2013","journal-title":"Midwifery"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.midw.2008.10.008","article-title":"Obese women\u2019s experiences of encounters with midwives and physicians during pregnancy and childbirth","volume":"26","author":"Nyman","year":"2010","journal-title":"Midwifery"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1093\/intqhc\/mzz081","article-title":"A patient and public involvement investigation into healthy eating and weight management advice during pregnancy","volume":"32","author":"Abayomi","year":"2020","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Olander, E.K., Berg, M., McCourt, C., Carlstr\u00f6m, E., and Dencker, A. (2015). Person-centred care in interventions to limit weight gain in pregnant women with obesity-a systematic review. BMC Pregnancy Childbirth, 15.","DOI":"10.1186\/s12884-015-0463-x"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.ejcnurse.2011.06.008","article-title":"Person-centered care\u2014ready for prime time","volume":"10","author":"Ekman","year":"2011","journal-title":"Eur. J. Cardiovasc. Nurs."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Morris, T., Str\u00f6mmer, S., Vogel, C., Harvey, N., Cooper, C., Inskip, H., Woods-Townsend, K., Baird, J., Barker, M., and Lawrence, W. (2020). Improving pregnant women\u2019s diet and physical activity behaviours: The emergent role of health identity. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-020-02913-z"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/j.1751-9861.2005.tb00006.x","article-title":"The relationship of self-efficacy and self-identity to long-term maintenance of vigorous physical activity 1","volume":"10","author":"Strachan","year":"2005","journal-title":"J. Appl. Biobehav. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2055102918759691","DOI":"10.1177\/2055102918759691","article-title":"Gender differences in the relationship of weight-based stigmatisation with motivation to exercise and physical activity in overweight individuals","volume":"5","author":"Sattler","year":"2018","journal-title":"Health Psychol. Open"},{"key":"ref_45","unstructured":"Rothbaum, J. (2021). How Does the Pandemic Affect Survey Response: Using Administrative Data to Evaluate Nonresponse in the Current Population Survey Annual Social and Economic Supplement, United States Census Bureau."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"690680","DOI":"10.3389\/fsurg.2021.690680","article-title":"Survey Fatigue During the COVID-19 Pandemic: An Analysis of Neurosurgery Survey Response Rates","volume":"8","author":"Egiz","year":"2021","journal-title":"Front. Surg."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/17\/3623\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:22:05Z","timestamp":1760142125000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/17\/3623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,1]]},"references-count":46,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["nu14173623"],"URL":"https:\/\/doi.org\/10.3390\/nu14173623","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,1]]}}}