scholarly journals Association of Gestational Weight Gain with Prenatal Care Model

2018 ◽  
Vol 63 (3) ◽  
pp. 283-288
Author(s):  
Michelle A. Kominiarek ◽  
Elizabeth Lucio Gray ◽  
Heidi Vyhmeister ◽  
William Grobman ◽  
Melissa Simon
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Care Model ◽  
Gestational Weight

Pregnancy Outcomes Associated with Introduction of Early Diabetes Screening Guidelines

2020 ◽  
Author(s):  
Rebecca E. Weiss ◽  
Nevert Badreldin ◽  
Kathleen Drexler ◽  
Charlotte Niznik ◽  
Lynn M. Yee
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Multivariable Analysis ◽  
Neonatal Outcomes ◽  
Diabetes Screening ◽  
Early Diabetes ◽  
Screening Criteria ◽  
Screening Guidelines ◽  
Gestational Weight

Objective The study aimed to evaluate perinatal outcomes associated with introduction of and adherence to early diabetes screening guidelines. Study Design Retrospective cohort study of all women who received prenatal care at a single, high-volume tertiary care center before (“preguidelines”) and after (“postguidelines”) American College of Obstetrics and Gynecology guidelines for early pregnancy diabetes screening for women at high risk for diabetes. Women with known pregestational diabetes, late entry to prenatal care, a fetus with a known anomaly, or multiple gestation were excluded. Multivariable linear and logistic regression models were constructed to compare maternal and neonatal outcomes between women in the preguidelines cohort to those in the postguidelines cohort. Similarly, adherence to screening guidelines was assessed, and among all women who were eligible for early diabetes screening, multivariable linear, and logistic models were created to compare outcomes between those women who were screened early to those who were not. Results Of the 2,069 women eligible for analysis, 64.6% (n = 1,337) were in the postguideline cohort. Women in the postguideline cohort were older, less likely to have a history of smoking, and more likely to be non-Hispanic white. On multivariable analysis, women in the postguideline cohort had significantly less gestational weight gain (aβ = −2.3; 95% confidence interval [CI]: −3.4 to −1.1), but a higher odds of 5-minute Apgar's score of <7 (adjusted odds ratio: 2.51; 95% CI: 1.11–5.66). Of 461 women who met ACOG early diabetes screening criteria, 58.7% (n = 270) were screened appropriately. Adherence to screening was associated with parity, race, insurance, and BMI. On multivariable analysis, there were no significant differences in neonatal outcomes between women meeting early screening criteria who were screened early and those who were not. Conclusion Introduction of early diabetes screening guidelines was associated with a significant decrease in gestational weight gain, but did not improve neonatal outcomes. Key Points

scholarly journals Gestational weight gain in women receiving prenatal care in rural midwifery clinics (LB313)

2014 ◽  
Vol 28 (S1) ◽  
Author(s):  
Diana Gonzales‐Pacheco ◽  
Kim Cox ◽  
Cristina Murray‐Krezan
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Gestational Weight

scholarly journals Adequacy of Prenatal Care and Gestational Weight Gain

2016 ◽  
Vol 25 (2) ◽  
pp. 117-123 ◽  
Author(s):  
SeonAe Yeo ◽  
Jamie L. Crandell ◽  
Kathleen Jones-Vessey
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
Adequacy Of Prenatal Care

scholarly journals Gestational weight gain and group prenatal care: a systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Michelle A. Kominiarek ◽  
Adam K. Lewkowitz ◽  
Ebony Carter ◽  
Susan A. Fowler ◽  
Melissa Simon
Keyword(s):  
Systematic Review ◽  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Meta Analysis ◽  
Group Prenatal Care ◽  
Gestational Weight

Patient Report of Guideline-Congruent Gestational Weight Gain Advice From Prenatal Care Providers: Differences by Prepregnancy BMI

Birth ◽  
2014 ◽  
Vol 41 (4) ◽  
pp. 353-359 ◽  
Author(s):  
Molly E. Waring ◽  
Tiffany A. Moore Simas ◽  
Katharine C. Barnes ◽  
Daniel Terk ◽  
Inna Baran ◽  
...  
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Care Providers ◽  
Patient Report ◽  
Gestational Weight ◽  
Prepregnancy Bmi ◽  
Prenatal Care Providers

scholarly journals Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil

2016 ◽  
Vol 29 (4) ◽  
pp. 445-455 ◽  
Author(s):  
Luana Patricia MARMITT ◽  
Carla Vitola GONÇALVES ◽  
Juraci Almeida CESAR
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Rio Grande ◽  
Population Based ◽  
Institute Of Medicine ◽  
Healthy Weight ◽  
Gestational Weight ◽  
Maternity Hospitals ◽  
Weight Gain During Pregnancy

ABSTRACT Objective To measure and identify the factors associated with healthy weight gain during pregnancy in the municipality of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a population-based, cross-sectional study that included all parturient women from the municipality who gave birth at its maternity hospitals in 2013. Information was collected by interview with the mothers in the first 48 hours following parturition and from the prenatal care cards. Healthy weight gain was evaluated according to the Institute of Medicine guidelines. Data analysis used Poisson regression with robust variance using previous hierarchical model. Results Among the 1,784 pregnant participants, 89% attended at least six prenatal care visits, and 32% had healthy weight gain during pregnancy. Higher education level and fewer children resulted in a higher prevalence ratio for healthy weight gain (p=0.003 and p=0.029, respectively). Underweight women at conception had a higher proportion of healthy weight gain (p<0.001). Despite extensive coverage, prenatal care did not affect healthy weight gain during pregnancy (p=0.104). Conclusion The low proportion of women with healthy gestational weight gain suggests a need of better prenatal care services. Women who are overweight, have lower education levels, and had had multiple pregnancies at conception need special attention.

Gestational Weight Gain and Breastfeeding Outcomes in Group Prenatal Care

2016 ◽  
Vol 61 (5) ◽  
pp. 557-562 ◽  
Author(s):  
Jessica Brumley ◽  
M. Ashley Cain ◽  
Marilyn Stern ◽  
Judette M. Louis
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Group Prenatal Care ◽  
Gestational Weight

scholarly journals Comparative Effectiveness of Group and Individual Prenatal Care on Gestational Weight Gain

2013 ◽  
Vol 18 (7) ◽  
pp. 1711-1720 ◽  
Author(s):  
Emily E. Tanner-Smith ◽  
Katarzyna T. Steinka-Fry ◽  
Sabina B. Gesell
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Comparative Effectiveness ◽  
Gestational Weight

Social Determinants of Gestational Weight Gain in an Obese, Low-Income Population

2019 ◽  
Vol 37 (03) ◽  
pp. 296-303
Author(s):  
Bani Maheshwari Ratan ◽  
Abigail Hook Garbarino ◽  
Allison Archer Sellner ◽  
Di Miao ◽  
Lisa Marie Hollier
Keyword(s):  
Social Support ◽  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Low Income ◽  
Relationship Status ◽  
Minority Population ◽  
Group Prenatal Care ◽  
Nutritional Education ◽  
Gestational Weight

Objective To examine how social support factors affect compliance with gestational weight gain (GWG) recommendations in an obese, low-income, predominantly minority population. Study Design A retrospective cohort of 772 pregnant women with body mass index > 30 was reviewed. Univariate and multinomial logistic regression analyses were used to compare GWG with pregnancy planning, relationship status, participation in group prenatal care, nutritional education, and demographic factors. Subgroup analysis was performed to determine if differences existed in entry into prenatal care. Results Planned nature of pregnancy, relationship status, nutritional education, and group prenatal care did not significantly affect GWG. Women with planned pregnancies and in group prenatal care had their first appointment during the first trimester at a higher rate than those with unplanned pregnancy and in traditional care, respectively. Regardless of timing of nutrition consult, GWG was not affected. Nulliparous patients and Class 1 obese patients were more likely to have excessive GWG. Conclusion Social support factors in this study did not individually affect compliance with GWG recommendations in a low-income, obese pregnant population, although some factors were associated with earlier entry to prenatal care. Multimodal, longitudinal programs are likely necessary to achieve increased compliance with GWG recommendations in this population.

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