Association of Gestational Weight Gain Expectations and Advice on Actual Weight Gain

Krukowski, Rebecca A.; West, Delia Smith; DiCarlo, Marisha; Cleves, Mario A.; Saylors, Marie E.; Andres, Aline

doi:10.1097/aog.0000000000001780

Cited by 12 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although 46% of women reported knowing how much gestational weight to gain during pregnancy, only 24% of the total sample knew the appropriate amount of gestational weight to gain for their pre-pregnancy BMI. These findings are similar to those in previous studies (Brooten et al 2012; de Jersey et al 2012; Krukowski et al 2017) and indicate that most women with pre-pregnancy overweight/obesity have either limited or incorrect knowledge of GWG recommendations. Consistent with extant literature (Stotland et al 2005; Phelan et al 2011), women were particularly likely to have an incorrect knowledge of GWG recommendations if they had pre-pregnancy obesity, were of a minority race, were less educated, or had a lower income, indicating that women comprising these demographic groups could benefit from additional education on GWG recommendations.…”

Section: Discussionsupporting

confidence: 90%

Healthcare provider advice on gestational weight gain: uncovering a need for more effective weight counselling

Emery

Benno

Salk

et al. 2018

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

Limited research has examined the factors related to knowledge of gestational weight gain (GWG) recommendations and the receipt of advice from healthcare providers regarding GWG recommendations among women with pre-pregnancy overweight/obesity. Women with pre-pregnancy overweight/obesity (N = 191) reported the amount of gestational weight they believed they should gain and that healthcare providers advised them to gain. Only 24% (n = 46) of women had a correct knowledge of GWG recommendations. Women were less likely to have a correct knowledge of GWG recommendations if they had pre-pregnancy obesity, were of a minority race, or were socioeconomically disadvantaged. Meanwhile, only 17% (n = 32) of women reported being correctly advised about GWG recommendations by healthcare providers. There were no differences between women who did and did not report being correctly advised about GWG recommendations from healthcare providers. These findings indicate that women with pre-pregnancy overweight/obesity lack knowledge of GWG recommendations and report being incorrectly advised about GWG recommendations from healthcare providers. Impact statement What is already known on this subject? Extant literature indicates that women's knowledge of gestational weight gain (GWG) recommendations and women's receipt of information from their healthcare providers regarding GWG recommendations are predictive of meeting the Institute of Medicine guidelines for GWG. What do the results of this study add? Findings from the present study indicate that the majority of women with pre-pregnancy overweight/obesity lack knowledge of GWG recommendations and report that education on GWG recommendations from healthcare providers is an aspect of their prenatal care that is largely insufficient. Although there were no differences between women who did and did not report being correctly advised about GWG recommendations by healthcare providers, women were less likely to have a correct knowledge of GWG recommendations if they had pre-pregnancy obesity, were of a minority race, or were socioeconomically disadvantaged. What are the implications of these findings for clinical practise and/or further research? These findings highlight a need for more effective tailoring of prenatal care to ensure that women receive accurate advice from healthcare providers regarding GWG recommendations.

show abstract

Section: Discussionsupporting

confidence: 90%

Healthcare provider advice on gestational weight gain: uncovering a need for more effective weight counselling

Emery

Benno

Salk

et al. 2018

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

show abstract

“…In addition, their results suggest that only 40% of participants received health care provider advice about GWG during the first trimester. 47 A recent randomized clinical trial (RCT) conducted among 66 overweight or obese African American women in the United States demonstrated that a technology-based, behavioral intervention could decrease the proportion of women who exceeded IOM guidelines for GWG. 48 Wang et al reported that a RCTof regular cycling exercise initiated early in pregnancy was associated with a significant reduction in the frequency of gestational diabetes mellitus and less GWG in overweight and obese pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Association between Gestational Weight Gain Adequacy and Adverse Maternal and Neonatal Outcomes

Chen

Chauhan

2018

Amer J Perinatol

View full text Add to dashboard Cite

Objectives To estimate the prevalence of gestational weight gain (GWG) adequacy according to the 2009 guidelines, and to examine the association between GWG adequacy and the adverse outcomes, stratified by prepregnancy body mass index (BMI). Study Design A retrospective cohort study, using the 2011 to 2013 U.S. linked birth/infant death datasets, restricted to nonanomalous singleton live births at 37 to 41 weeks. The adverse outcomes included composite maternal morbidity (CMM), composite neonatal morbidity (CNM), and neonatal and infant mortalities. We used multivariable Poisson's regression models with robust error variance to examine the association between GWG adequacy and adverse outcomes. Results Of 8,656,791 singleton live births, 20, 32, and 48% had inadequate, adequate, and excessive GWG, respectively. After multivariable regression adjustment, compared with adequate GWG, excessive GWG had 1.10 (1.08–1.13) and 1.12 (1.10–1.14) times higher risk of CMM and CNM, respectively; similar findings were observed in BMI subgroups. Compared with adequate GWG, inadequate GWG had 1.14 (1.03–1.26) and 1.12 (1.07–1.18) times higher risk of neonatal and infant mortalities, respectively. Similar results were noted among women with normal weight. Conclusion Excessive GWG was associated with an increased risk of CMM and CNM, while inadequate GWG was associated with a higher risk of neonatal and infant mortalities.

show abstract

“…All rights reserved Knowledge of GWG recommendations has been shown to be associated with lower GWG in pregnant women 6 . Previous research has shown that expectations to gain more gestational weight are associated with higher GWG 7 . A potential mechanism to explain the links between GWG advice, expectations and weight gain is that knowledge about GWG influences the formation of beliefs.…”

Section: Author Manuscriptmentioning

confidence: 92%

“…6 Previous research has shown that expectations to gain more gestational weight are associated with higher GWG. 7 A potential mechanism to explain the links between GWG advice, expectations and weight gain is that knowledge about GWG influences the formation of beliefs. The Theory of Planned Behaviour explores behaviour change in relation to the development of beliefs and attitudes toward behaviours, where these beliefs are acquired through a range of factors, including knowledge about the behaviour.…”

Section: Introductionmentioning

confidence: 99%

Preconception and antenatal knowledge and beliefs about gestational weight gain

Hill

Hayden

McPhie

et al. 2019

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

show abstract

Association of Gestational Weight Gain Expectations and Advice on Actual Weight Gain

Abstract: ClinicalTrials.gov, https://clinicaltrials.gov, NCT01131117.

Cited by 12 publications

References 10 publications

Healthcare provider advice on gestational weight gain: uncovering a need for more effective weight counselling

Healthcare provider advice on gestational weight gain: uncovering a need for more effective weight counselling

Association between Gestational Weight Gain Adequacy and Adverse Maternal and Neonatal Outcomes

Preconception and antenatal knowledge and beliefs about gestational weight gain

Contact Info

Product

Resources

About