Rating the seriousness of maternal and child health outcomes linked with pregnancy weight gain

2020 ◽  
Author(s):  
Lisa M. Bodnar ◽  
Dmitry Khodyakov ◽  
Sara M. Parisi ◽  
Katherine P. Himes ◽  
Jessica G. Burke ◽  
...  
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Pregnancy Weight Gain ◽  
Child Health Outcomes ◽  
Pregnancy Weight ◽  
And Child Health

scholarly journals Engaging Patients and Professionals to Evaluate the Seriousness of Maternal and Child Health Outcomes: Protocol for a Modified Delphi Study (Preprint)

2019 ◽  
Author(s):  
Lisa M Bodnar ◽  
Dmitry Khodyakov ◽  
Katherine P Himes ◽  
Jessica G Burke ◽  
Sara Parisi ◽  
...  
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Care Providers ◽  
Pregnancy Weight Gain ◽  
Child Health Outcomes ◽  
Modified Delphi ◽  
Pregnancy Weight ◽  
And Child Health

BACKGROUND Maternal weight gain during pregnancy is one of the few potentially modifiable risk factors for many adverse maternal and child health outcomes. Defining the optimal pregnancy weight gain range is difficult because, while lower weight gain may prevent some outcomes, such as maternal and child obesity, it may increase the risk of others such as fetal growth restriction and infant death. These health outcomes vary in their seriousness to mothers and their health care providers, and these differences in seriousness should be taken into account when determining optimal weight gain ranges. However, the relative seriousness that women and their care providers place on different health outcomes is unknown. OBJECTIVE We will determine the seriousness of 11 maternal and child health outcomes that have been consistently associated with pregnancy weight gain. We will achieve this by engaging patients and maternal and child health professionals using an online modified Delphi panel process. METHODS We aim to recruit a racially/ethnically and geographically diverse group of 90 US maternal and child health professionals and 90 women who are pregnant or less than 2 years postpartum. We will conduct 3 concurrent panels using the ExpertLens system, a previously evaluated online modified Delphi system that combines 2 rounds of rating with 1 round of feedback and moderated online discussion. In Round 1, panelists are asked to rate the seriousness of each health outcome on a scale of 0-100 and to provide a rationale for their scores. In Round 2, panelists will review their responses relative to those of other panelists. They will discuss their seriousness ratings anonymously using a moderated online discussion board. In Round 3, participants will revise their Round 1 responses based on group feedback and discussion. Each round will be open for 1-2 weeks. RESULTS The study protocol was reviewed by our ethics boards and did not require approval as human research. A pilot study of 6 professionals and 7 patients was completed in December 2019. CONCLUSIONS Our numeric estimates of the seriousness of maternal and child health outcomes will enable future studies to determine pregnancy weight gain ranges that balance the risks of low and high weight gain for mothers and children. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/16478

scholarly journals Pregnancy weight gain in twin gestations and maternal and child health outcomes at 5 years

2021 ◽  
Author(s):  
Lisa M. Bodnar ◽  
Abigail R. Cartus ◽  
Sara M. Parisi ◽  
Barbara Abrams ◽  
Katherine P. Himes ◽  
...  
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Pregnancy Weight Gain ◽  
Child Health Outcomes ◽  
Pregnancy Weight ◽  
And Child Health

scholarly journals Engaging Patients and Professionals to Evaluate the Seriousness of Maternal and Child Health Outcomes: Protocol for a Modified Delphi Study

10.2196/16478 ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. e16478 ◽  
Author(s):  
Lisa M Bodnar ◽  
Dmitry Khodyakov ◽  
Katherine P Himes ◽  
Jessica G Burke ◽  
Sara Parisi ◽  
...  
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Care Providers ◽  
Pregnancy Weight Gain ◽  
Child Health Outcomes ◽  
Modified Delphi ◽  
Pregnancy Weight ◽  
And Child Health

Background Maternal weight gain during pregnancy is one of the few potentially modifiable risk factors for many adverse maternal and child health outcomes. Defining the optimal pregnancy weight gain range is difficult because, while lower weight gain may prevent some outcomes, such as maternal and child obesity, it may increase the risk of others such as fetal growth restriction and infant death. These health outcomes vary in their seriousness to mothers and their health care providers, and these differences in seriousness should be taken into account when determining optimal weight gain ranges. However, the relative seriousness that women and their care providers place on different health outcomes is unknown. Objective We will determine the seriousness of 11 maternal and child health outcomes that have been consistently associated with pregnancy weight gain. We will achieve this by engaging patients and maternal and child health professionals using an online modified Delphi panel process. Methods We aim to recruit a racially/ethnically and geographically diverse group of 90 US maternal and child health professionals and 90 women who are pregnant or less than 2 years postpartum. We will conduct 3 concurrent panels using the ExpertLens system, a previously evaluated online modified Delphi system that combines 2 rounds of rating with 1 round of feedback and moderated online discussion. In Round 1, panelists are asked to rate the seriousness of each health outcome on a scale of 0-100 and to provide a rationale for their scores. In Round 2, panelists will review their responses relative to those of other panelists. They will discuss their seriousness ratings anonymously using a moderated online discussion board. In Round 3, participants will revise their Round 1 responses based on group feedback and discussion. Each round will be open for 1-2 weeks. Results The study protocol was reviewed by our ethics boards and did not require approval as human research. A pilot study of 6 professionals and 7 patients was completed in December 2019. Conclusions Our numeric estimates of the seriousness of maternal and child health outcomes will enable future studies to determine pregnancy weight gain ranges that balance the risks of low and high weight gain for mothers and children. International Registered Report Identifier (IRRID) DERR1-10.2196/16478

Associations of Gestational Weight Gain With Short- and Longer-Term Maternal and Child Health Outcomes

2009 ◽  
Vol 64 (12) ◽  
pp. 785-787
Author(s):  
Emily Oken ◽  
Ken P. Kleinman ◽  
Mandy B. Belfort ◽  
James K. Hammitt ◽  
Matthew W. Gillman
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Gestational Weight Gain ◽  
Maternal And Child Health ◽  
Child Health Outcomes ◽  
Gestational Weight ◽  
And Child Health
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