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dc.contributor.authorWaring, Molly E.
dc.contributor.authorMoore Simas, Tiffany A.
dc.contributor.authorBarnes, Katharine C.
dc.contributor.authorTerk, Daniel
dc.contributor.authorBaran, Inna
dc.contributor.authorPagoto, Sherry L.
dc.contributor.authorRosal, Milagros C.
dc.date2022-08-11T08:08:32.000
dc.date.accessioned2022-08-23T15:58:15Z
dc.date.available2022-08-23T15:58:15Z
dc.date.issued2014-12-01
dc.date.submitted2015-07-15
dc.identifier.citationBirth. 2014 Dec;41(4):353-9. doi: 10.1111/birt.12131. Epub 2014 Sep 3. <a href="http://dx.doi.org/10.1111/birt.12131">Link to article on publisher's site</a>
dc.identifier.issn0730-7659 (Linking)
dc.identifier.doi10.1111/birt.12131
dc.identifier.pmid25187296
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30391
dc.description<p>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.</p>
dc.description.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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=25187296&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1111/birt.12131
dc.subjectAdult
dc.subjectBody Mass Index
dc.subjectCohort Studies
dc.subjectCounseling
dc.subjectFemale
dc.subjectGuideline Adherence
dc.subjectHumans
dc.subject*Obesity
dc.subjectOverweight
dc.subjectPregnancy
dc.subject*Pregnancy Complications
dc.subjectPrenatal Care
dc.subjectProspective Studies
dc.subject*Self Report
dc.subject*Weight Gain
dc.subjectYoung Adult
dc.subjectMaternal and Child Health
dc.subjectObstetrics and Gynecology
dc.subjectPreventive Medicine
dc.subjectWomen's Health
dc.titlePatient report of guideline-congruent gestational weight gain advice from prenatal care providers: differences by prepregnancy BMI
dc.typeJournal Article
dc.source.journaltitleBirth (Berkeley, Calif.)
dc.source.volume41
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/665
dc.identifier.contextkey7328443
html.description.abstract<p>BACKGROUND: 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).</p> <p>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.</p> <p>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.</p> <p>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.</p>
dc.identifier.submissionpathfaculty_pubs/665
dc.contributor.departmentPrevention Research Center
dc.contributor.departmentSenior Scholars Program
dc.contributor.departmentDepartment of Medicine, Division of Behavioral and Preventive Medicine
dc.contributor.departmentDepartment of Obstetrics and Gynecology
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages353-9


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