Adapted from The Oregon WIC Program Goals amp Objectives Goals Increase knowledge of WIC staff regarding the importance of iodine supplementation for pregnant and breastfeeding women WIC staff can assign Risk 427D correctly and discuss iodine supplementation with participants ID: 926893
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Slide1
Iodine
What’s in your supplement?
Adapted from The Oregon WIC Program
Slide2Goals & ObjectivesGoals:
Increase knowledge of WIC staff regarding the importance of iodine supplementation for pregnant and breastfeeding women.
WIC staff can assign Risk 427D correctly and discuss iodine supplementation with participants.
Objectives:
Upon completion of this in-service, staff will be able to:
Explain the reasons for iodine supplementation for pregnant and breastfeeding women.
Demonstrate their knowledge of iodine supplementation by reading nutrition labels and identifying iodine-containing prenatal vitamins.
Slide3Essential trace mineral
Helps with thyroid function
Prevents goiter in women
Prevents certain birth defects in infant, including:
Mental retardation
Speech and hearing deficitsMotor skill impairments ADHD
Iodine: What do you know about it?
Slide4Table salt – iodized since the 1920’s
Seafood and seaweed
Naturally found in soil
Small amounts found in:
Grains
DairyMeat
Where is it?
Slide5Added to salt in the 1920’s
Among first foods fortified to prevent a common health issue (goiter)
Later found iodine prevented certain birth defects (cretinism)
Iodine and Public Health
Slide6Why are we worried about iodine?
Slide7Deficiency is rare in U.S.
Iodine Deficiency Disorders (IDDs)
Increased number of miscarriages,
stillbirths, and birth defects
Depends on developmental
stage and severity of deficiency
What can happen if you don’t get enough?
Slide8Adults & adolescents:
150 micrograms /day (Micrograms is abbreviated mcg or µg
)
Pregnant or Breastfeeding Women:
250-500 mcg/day
How much do we need?
Slide9Increased need during pregnancy and breastfeeding because mothers are the sole source of iodine for their babies
Pregnancy & breastfeeding
Slide10One teaspoon of iodized salt contains 400 mcg of iodine
Americans get lots of sodium, primarily from processed foods,
not
iodized salt.
Don’t encourage moms to eat more salt, rather encourage them to consider buying iodized salt when they shop.
How much iodine is in salt?
Slide11The American Thyroid Association recommends that pregnant and breastfeeding women take prenatal vitamins with 150 mcg of iodine per day.
Recommendations for Iodine
Slide12Prenatal Vitamins
Take before or early in pregnancy
First half of pregnancy
especially
critical
Recommend a vitamin that contains 150 mcg of iodine during pregnancy and breastfeedingNot all prenatal multivitamins contain iodineReview labels before making recommendations
Slide13DO NOT increase salt intake
When adding salt to food, consider using iodized forms
Vitamins should
supplement
food
About 150 mcg from supplements
Combine with foods to reach 250-500 mcg/day
What does this mean?
Slide14Risk 427D is Inadequate Vitamin/Mineral Supplementation .
In
HuBERT
the question about
supplemention
for women reads “What type of vitamins, minerals, herbal supplements or teas are you taking?”When assessing the supplement for iodine:If none – assign the risk
If yes – ask if it contains iron, folic acid and iodine
If they
don’t know
–
do not assign
risk and refer to their health care provider.
If it
does not contain
any of the 3 nutrients
– assign
risk
If it
contains all 3
nutrients –
do not
assign risk
Assigning Risk 427D
Slide15Questions?