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Association of provider advice and gestational weight gain in twin pregnancies: a cross-sectional electronic survey
Journal article   Open access   Peer reviewed

Association of provider advice and gestational weight gain in twin pregnancies: a cross-sectional electronic survey

Kara M Whitaker, Meghan Baruth, Rebecca A Schlaff, Christopher P Connolly, Jihong Liu and Sara Wilcox
BMC pregnancy and childbirth, Vol.20(1), pp.417-417
07/23/2020
DOI: 10.1186/s12884-020-03107-3
PMCID: PMC7376962
PMID: 32703169
url
https://doi.org/10.1186/s12884-020-03107-3View
Published (Version of record) Open Access

Abstract

Little is known about patient-provider communication on gestational weight gain among women pregnant with twins, a growing population at high risk for adverse maternal and neonatal outcomes. We examined if women's report of provider advice on gestational weight gain was consistent with the Institute of Medicine (IOM) weight gain guidelines for twin pregnancies, and the association of provider advice on weight gain with women's weight gain during their twin pregnancy. We conducted a cross-sectional survey of 276 women who delivered twins and received prenatal care in the United States. The 2009 IOM provisional weight gain guidelines for twin pregnancies defined whether provider advice on weight gain and women's weight gain were below, within, or above guidelines. Multinomial logistic regression examined associations between provider advice on weight gain with women's weight gain, after adjustment for maternal age, gestational age at delivery, education, parity, twin type, use of assisted reproductive technologies and pre-pregnancy BMI category. Approximately 30% of women described provider advice on weight gain below the IOM guidelines, 60% within, and 10% above guidelines. Compared to women who reported weight gain advice within guidelines, women who reported advice below guidelines or who reported no advice were 7.1 (95% CI: 3.2, 16.0) and 2.7 (95% CI: 1.3, 5.6) times more likely to gain less than recommended, respectively. Women who reported provider advice above guidelines were 4.6 (95% CI: 1.5, 14.2) times more likely to exceed guidelines. Provider advice on gestational weight gain may be an important predictor of women's weight gain during twin pregnancies, highlighting the critical need for accurate provider counseling to optimize health outcomes.
 Body Mass Index Counseling Cross-Sectional Studies Female Gestational Weight Gain Humans Physician-Patient Relations Pregnancy Pregnancy, Twin - physiology Prenatal Care Surveys and Questionnaires United States Young Adult

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