Patient report of guideline-congruent gestational weight gain advice from prenatal care providers: differences by prepregnancy BMI
AuthorsWaring, Molly E.
Moore Simas, Tiffany A.
Barnes, Katharine C.
Pagoto, Sherry L.
Rosal, Milagros C.
UMass Chan AffiliationsUMass Worcester Prevention Research Center
Senior Scholars Program
Department of Medicine, Division of Behavioral and Preventive Medicine
Department of Obstetrics and Gynecology
Department of Quantitative Health Sciences
Body Mass Index
Maternal and Child Health
Obstetrics and Gynecology
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AbstractBACKGROUND: Prenatal care provider weight gain advice consistent with the Institute of Medicine recommendations is related to guideline-adherent gestational weight gain (GWG), yet many women may not receive guideline-congruent advice. We examined pregnant women's recall of prenatal care provider GWG advice in relation to prepregnancy body mass index (BMI). METHODS: We conducted a prospective cohort study of women (n = 149) receiving prenatal care for a singleton pregnancy at a large academic medical center in 2010. Data were collected via a survey during late pregnancy and medical record abstraction. RESULTS: Thirty-three percent of women did not recall receiving the provider GWG advice; 33 percent recalled advice consistent with 2009 Institute of Medicine recommendations. Recalled advice differed by prepregnancy BMI; 29 percent of normal weight, 26 percent of overweight, and 45 percent of obese women reported not receiving advice, and 6, 37, and 39 percent, respectively, recalled advice exceeding Institute of Medicine recommendations. Among the 62 percent who recalled that their provider had labeled their prepregnancy BMI, 100 percent of normal weight, 32 percent of overweight, and 23 percent of obese women recalled the labels "normal weight," "overweight," and "obese," respectively. CONCLUSIONS: Helping providers give their patients memorable and guideline-consistent GWG advice is an actionable step toward preventing excessive GWG and associated maternal and child health consequences.
SourceBirth. 2014 Dec;41(4):353-9. doi: 10.1111/birt.12131. Epub 2014 Sep 3. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/30391
Katharine Barnes participated in this study as a medical student as part of the Senior Scholars research program at the University of Massachusetts Medical School.
Related ResourcesLink to Article in PubMed