Omega-3 fatty acids to prevent preterm birth: Australian pregnant women’s preterm birth awareness and intentions to increase omega-3 fatty acid intake
Open accessAbstract
Background: Preterm birth is the leading cause of death in children under five. A recent Cochrane review found a 42% reduction in early preterm birth (< 34 weeks’ gestation) and 11% reduction in preterm birth (< 37 weeks’ gestation) with omega-3 fatty acid supplementation. To assist in the development of implementation strategies to increase pregnant women’s omega-3 fatty acid intake, we assessed the awareness of Australian pregnant women about preterm birth, their nutrition and supplementation behaviours during pregnancy, and intentions to increase omega-3 fatty acid intake. Methods: A ten-minute survey was conducted online to assess the knowledge, attitudes, behaviours, and intentions of Australian pregnant women across three domains: (1) preterm birth; (2) nutrition and supplementation during pregnancy; and (3) omega-3 fatty acid consumption to prevent preterm birth. Participants were recruited from Survey Sampling International’s research panels. Results: Of the 763 women who completed the survey, less than two-thirds had heard of preterm birth. Over 55% of respondents had changed their diet during pregnancy and a prenatal dietary supplement was consumed by 82% of the women surveyed. Respondents’ main source of information about preterm birth and nutrition during pregnancy was from a health professional. When asked about their intentions to increase their omega-3 fatty acid intake following a health professional’s recommendation, the vast majority of participants indicated they would increase their omega-3 fatty acid intake (90%). When a hypothetical scenario was presented of an omega-3 fatty acid supplement being offered from a health service at no cost, the number of respondents who selected they would increase their intake through supplementation increased from 54 to 79%. Conclusions: The main information source for women about preterm birth and dietary supplementation recommendations during pregnancy is their health professional. Therefore, informing women about ways to prevent preterm birth, including the role of omega-3 fatty acids, should occur during antenatal visits. The results from our study are useful for clinicians caring for pregnant women and for the next stage of translation of the Cochrane review findings – the design of implementation strategies to increase the intake of omega-3 fatty acids during pregnancy where needed.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A recent study indicated that the main information source for women about preterm birth and dietary supplementation recommendations during pregnancy is their health professional.
“The authors of the study indicated that the main information source for women about preterm birth and dietary supplementation recommendations during pregnancy is their health professional.”
From Role of n-3 long-chain polyunsaturated fatty acids in human nutrition and health: Review of recent studies and recommendations (2021) · cites this paper as [133]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Liu, L., Oza, S., Hogan, D., Chu, Y., Perin, J., Zhu, J., Lawn, J. E., Cousens, S., Mathers, C., & Black, R. E. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31593-8 · Cited by 3,453 · see citing works
Long-Term Medical and Social Consequences of Preterm Birth
Moster, D., Lie, R. T., & Markestad, T. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0706475 · Cited by 1,402 · see citing works
Selecting, designing, and developing your questionnaire
Boynton, P., & Greenhalgh, T. (2004) · BMJ · doi:10.1136/bmj.328.7451.1312 · Cited by 1,087 · see citing works
Omega-3 fatty acid addition during pregnancy
Middleton, P., Gomersall, J. S., Gould, J. F., Shepherd, E. S., Olsen, S. F., & Makrides, M. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003402.pub3 · Cited by 442 · see citing works
Self-citationThe immune consequences of preterm birth
Melville, J. M., & Moss, T. J. M. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00079 · Cited by 408 · see citing works
Olsen, S. F., Sørensen, T. A., Secher, N., Hansen, H., Jensen, B., Sommer, S., & Knudsen, L. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90055-3 · Cited by 248 · see citing works
Cohort Profile: The Barwon Infant Study
Vuillermin, P., Saffery, R., Allen, K. J., Carlin, J. B., Tang, M. L. K., Ranganathan, S., Burgner, D. P., Dwyer, T., Collier, F., Jachno, K., et al. (2015) · International Journal of Epidemiology · doi:10.1093/ije/dyv026 · Cited by 152 · see citing works
Forster, D. A., Wills, G., Denning, A., & Bolger, M. (2007) · Midwifery · doi:10.1016/j.midw.2007.01.019 · Cited by 85 · see citing works
Taylor, A. L., Collins, C. E., & Patterson, A. J. (2014) · Nutrition & Dietetics · doi:10.1111/1747-0080.12112 · Cited by 13 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Van Dael, P. (2021) · Nutrition Research and Practice · doi:10.4162/nrp.2021.15.2.137 · Cited by 138 · see citing works
ISSFAL statement number 7 – Omega-3 fatty acids during pregnancy to reduce preterm birth
Best, K. P., Gibson, R. A., & Makrides, M. (2022) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2022.102495 · Cited by 57 · see citing works
Self-citationOlatona, F. A., Olowu, O. J., Goodman, O. O., & Amu, E. O. (2021) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_397_21 · Cited by 17 · see citing works
Sun, L., Li, Y., Xie, W., & Xue, X. (2020) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2020.1785423 · Cited by 16 · see citing works
Effects of Dietary Patterns during Pregnancy on Preterm Birth: A Birth Cohort Study in Shanghai
Wang, Z., Zhao, S., Cui, X., Song, Q., Shi, Z., Su, J., & Zang, J. (2021) · Nutrients · doi:10.3390/nu13072367 · Cited by 12 · see citing works
Attia, Y. A., Ebeid, T. A., Shafi, M. E., Zabermawi, N. M., Abdulsalam, N. M., Hijazi, M. A., Hassan, R. A., Shukry, M., Alqurashi, S. I., & Bovera, F. (2025) · Annals of Animal Science · doi:10.2478/aoas-2024-0089 · Cited by 10 · see citing works
Use of vegetables for enhancing oxidative stability of omega-3 oils in the powdered state
Cheng, L. J., Sanguansri, L., Hlaing, M. M., Singh, T. K., Shrestha, P., & Augustin, M. A. (2021) · Food Chemistry · doi:10.1016/j.foodchem.2021.131340 · Cited by 7 · see citing works
How Message Framing and Visual Cues Drive Health-Related Ad Effectiveness
Northcott, C., Middleton, P., Makrides, M., & Simmonds, L. (2024) · Journal of Advertising Research · doi:10.2501/jar-2024-003 · Cited by 1 · see citing works
Self-citationTesha, A. P., Mwanri, A. W., & Nyaruhucha, C. (2022) · African Journal of Food Science · doi:10.5897/ajfs2022.2169 · Cited by 4 · see citing works
Simmonds, L., Middleton, P., & Makrides, M. (2021) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000806 · Cited by 3 · see citing works
Self-citationFatty Acids Profiling of Pigeon Squabs (Columba Livia Domestica) Using Gas-liquid Chromatography
Ali, M. S. M., Abdel-Naeem, H. H. S., Mansour, H. A., & Zaki, H. M. B. A. (2021) · Journal of World s Poultry Research · doi:10.36380/jwpr.2021.25 · Cited by 2 · see citing works
Dutta, S., Boyd, S. S., Carlson, S. E., Christifano, D. N., Lee, G. T., Smith, S., & Gajewski, B. J. (2024) · Statistical Methods in Medical Research · doi:10.1177/09622802241283165 · Cited by 1 · see citing works
ω-3-Fettsäuren in der Schwangerschaft – kein Frühchen und glückliche Mutter
Schmiedel, V. (2020) · Zeitschrift für Orthomolekulare Medizin · doi:10.1055/a-1305-4242 · Cited by 1 · see citing works
Omega-3-Fettsäuren in der Schwangerschaft
Schmiedel, V. (2020) · Journal für Gynäkologische Endokrinologie/Schweiz · doi:10.1007/s41975-020-00129-0
Rahayu, Y. P., Barkinah, T., & Khodarsih, E. (2023) · Jurnal Penelitian Pendidikan IPA · doi:10.29303/jppipa.v9ispecialissue.6647
Rath, W. H. (2026) · Zeitschrift für Geburtshilfe und Neonatologie · doi:10.1055/a-2884-3883
- Authors
- de Seymour, J. V., Simmonds, L. A., Gould, J., Makrides, M., & Middleton, P.
- Affiliations
- South Australian Health and Medical Research Institute (AU)
- Corresponding author
- Middleton, Philippa
- Venue
- Nutrition Journal
- Published
- 2019-11-14
- Volume
- 18
- Issue
- 1
- Pages
- 74-74
- ISSN
- 1475-2891 (ISSN-L)
- PMC
- PMC6857157
- OpenAlex
- W2982717680
- Cited by
- 16
- References
- 9
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 6 · 2020: 3
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nutrition Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion, cc-by)
- Funders
- Medical Research Future Fund (Rapid Applied Research Translation (RART) Impact Grants Round 1)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- omega-3 fatty acids, preterm birth, pregnancy, dietary supplementation, prenatal nutrition, prenatal care, implementation strategies
- MeSH terms
- Adult, Australia, Cross-Sectional Studies, Female, Humans, Health Knowledge, Attitudes, Practice, Pregnancy, Prenatal Care, Fatty Acids, Omega-3, Dietary Supplements, Intention, Premature Birth
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review