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Association of Provider Advice and Pregnancy Weight Gain in a Predominantly Hispanic Population
Journal article   Open access   Peer reviewed

Association of Provider Advice and Pregnancy Weight Gain in a Predominantly Hispanic Population

Jihong Liu, Kara M Whitaker, Stella M Yu, Shin M Chao and Michael C Lu
Women's health issues, Vol.26(3), pp.321-328
05/2016
DOI: 10.1016/j.whi.2016.01.004
PMID: 26922386
url
https://doi.org/10.1016/j.whi.2016.01.004View
Published (Version of record) Open Access

Abstract

This study sought to determine whether women's report of gestational weight gain (GWG) advice from a health care provider is consistent with the Institute of Medicine (IOM) guidelines and the association between provider advice and women's weight gain during pregnancy. Data came from the 2007 Los Angeles Mommy and Baby study (n = 3,402). The 1990 IOM GWG guidelines were used to define whether the provider's advice on weight gain and women's weight gain were below, within, or above the guidelines. Approximately 4 months after delivery, 18.8% of the women reported having not discussed weight gain with any health care providers during pregnancy. Among those who reported such discussions, 42% reported receiving weight gain advice from a health care provider within IOM guidelines, 16.5% below guidelines, and 10% above. An additional 13.5% reported the discussion but did not report the recommended weight gain amount. Compared with women who reported provider advice on weight gain within guidelines, women who reported advice below guidelines were 1.7 times (95% confidence interval [CI], 1.3-2.2) more likely to gain less than the IOM recommended amount. Women who reported provider advice above IOM guidelines were 2.0 times (95% CI, 1.4-2.9) more likely to exceed guidelines. There is a need for more women to receive advice consistent with the IOM GWG guidelines from their prenatal care providers. Intervention strategies are needed to educate providers about IOM guidelines and how to counsel on GWG.
 Pregnant Women - psychology Humans Hispanic Americans Socioeconomic Factors Young Adult Health Personnel Adult Female Interviews as Topic Surveys and Questionnaires Weight Gain Communication Patient Education as Topic Prenatal Care - methods Cross-Sectional Studies Obesity - complications Obesity - ethnology Physician-Patient Relations California Health Knowledge, Attitudes, Practice Pregnancy Pregnancy Complications - psychology Guideline Adherence Obesity - prevention & control Pregnant Women - ethnology Counseling - methods Qualitative Research Health Care Surveys

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