Despite 2009 guidelines, few women report being counseled correctly about weight gain during pregnancy

McDonald, Sarah D.; Pullenayegum, Eleanor; Taylor, Valerie H.; Lutsiv, Olha; Bracken, Keyna; Good, Catherine; Hutton, Eileen K.; Sword, Wendy

doi:10.1016/j.ajog.2011.05.039

Cited by 92 publications

(124 citation statements)

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“…Although better informed, midwives lacked confidence in counselling pregnant women on appropriate nutrition. Considering the limitations of counselling by health workers in HIC, a feeling of inadequacy among local midwives is not surprising in this low-resource context with a rapidly changing burden of diet-related disease [27,28,32]. …”

Section: Discussionmentioning

confidence: 99%

“…This requires developing the capacity of local health workers in effective counselling and should make use of older women equipped with appropriate information when possible [57]. Continued research on pregnant women nutrition along the border could produce easy-to-understand, culturally and contextually specific information materials to counsel women presenting to ANC about healthy GWG [26,27,58]. However, recent analyses suggest that such lifestyle measures are of modest benefit during pregnancy [34,59,60] and change will likely require policy interventions to improve access to healthy foods along the border to influence pre-conception maternal nutrition [61].…”

Section: Discussionmentioning

confidence: 99%

“…Despite the 2009 Institute of Medicine (USA) guidelines on GWG, health workers in high-income countries (HIC) report difficulties in antenatal nutrition counselling [27–29]. These challenges are exacerbated in LMIC settings where poverty and poorly resourced health systems can perpetuate a lack of awareness about the importance of nutrition and physical activity amongst health workers and local communities [30–33].…”

Section: Introductionmentioning

confidence: 99%

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‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

Hashmi

Paw

Nosten

et al. 2018

Global Health Action

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Background: Under- and over-nutrition during pregnancy are known risk factors for pregnancy complications and adverse pregnancy and infant outcomes. Understanding perceptions around nutrition in pregnancy can create culturally appropriate interventions for improved health outcomes. Objective: A mixed-methods study was performed to explore local perceptions and practices of diet and physical activity in pregnancy in a marginalised population along the Myanmar–Thailand border. Methods: From April to July 2017, a cross-sectional survey and focus group discussions were conducted with pregnant women reporting to antenatal care; in-depth interviews were conducted with senior midwives at participating organisations along the Myanmar–Thailand border. Results: A total of 388 pregnant women were interviewed at two clinic sites along the Myanmar–Thailand border. A high proportion of women had limited knowledge of and poor dietary practices. Consuming a sweetened drink in the last 24 hours as well as being a non-teenage, multigravida woman was significantly associated with high body mass index (BMI) compared to normal BMI. Qualitative analysis combined focus group discussions (n = 66) and in-depth interviews (n = 4) summarising emergent themes: common foods eaten or avoided and rationale; benefits of nutrition; perceptions of overweight and weight gain during pregnancy; barriers to a healthy diet; and sources of diet information. Conclusions: There is limited awareness about healthy diets and lifestyle in these marginalised, migrant communities along the Myanmar–Thailand border. This study suggests that simple, culturally appropriate messaging should be provided to women and communities with low health literacy to generate awareness about healthy lifestyles and their effects on pregnancy outcomes as an important element of a broader strategy to address maternal nutrition in this population. However, more studies to determine the effectiveness of a broad range of interventions in low- and middle-income countries (LMIC) are needed, especially in marginalised migrant populations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

Hashmi

Paw

Nosten

et al. 2018

Global Health Action

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“…Unfortunately, knowledge of what should be done has not necessarily translated into action. McDonald et al 9 found that despite recent publication of gestational weight gain guidelines, only 12% of women reported being counseled correctly.…”

mentioning

confidence: 99%

Are we attacking the wrong targets in the fight against obesity?: the importance of intervention in women of childbearing age

et al. 2012

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“…K Ke ey y W Wo or rd ds s: : Pregnancy; weight gain; body mass index; guideline; obesity; counseling T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J G Gy yn ne ec co ol l O 1,6,11,12 Güncel IOM rehberine göre gestasyonel kilo alım (GKA) oranları Tablo 1'de gö-rülmektedir.…”

Section: A Ab Bs S T Tr Ra Ac Ct T Ounclassified

Weight Gain in Pregnancy: Do Pregnant Women Receive Correct Weight Gain Recommendation in Prenatal Care? (Ödemiş / İzmir)

Daşikan¹

2015

Turkiye Klinikleri J Gynecol Obst

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Ö ÖZ ZE ET T AAm ma aç ç: : Araştırmanın amacı, gebe kadınların prenatal sağlık bakımında gestasyonel kilo alım önerisi alma durumu ve aldıkları kilo alım önerisinin 2009 yılı Tıp Enstitüsü [Institute of Medicine (IOM)] gestasyonel kilo alım rehber öneri-lerine uygunluk durumunu saptamaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırma 01 Ocak-30 Haziran 2013 tarihleri arasında, İzmir ili Ödemiş ilçesi aile sağlığı merkezlerine kayıtlı 26-36 gebelik haftasında olan, katılımcı kriterlerine uyan kadın-larda tanımlayıcı olarak yapılmıştır. Verilerin toplanmasında soru formu kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel metotlardan frekans, yüzde, ortalama, standart sapma; istatistiksel analizde ise varyans analizi ve ki-kare testi kullanılmıştır. B Bu ul lg gu ul la ar r: : Araştırmaya katılan 18-44 yaş arası 405 gebe kadının yaş ortalaması 27,26±4,51 yıl, gebelik başlangıç beden kitle indeksi (BKİ) ortalaması 25,99±4,74'tür. Kadınların %56,5'i ilköğretim mezunu, %84,7'si çalışmayan, %45,2'si düşük gelirli ve %45,2'si primipardır. Araştırmaya katılan kadınların yarısının gebelik başlangıç BKİ fazla kilolu (%30,9) ve obez (%18,3) olarak belirlenmiştir. Gebe kadınların %48,4'ü prenatal sağlık bakım personelinden gestasyonel kilo alım önerisi almıştır. Prenatal sağlık bakım personelinden gestasyonel kilo alım önerisi alan kadınların 2009 yılı IOM kilo alım rehberine göre; %19,3'ü uygun, %17,8'i yetersiz, %11,4'ü aşırı gestasyonel kilo alım önerisi almıştır. Prenatal bakımda kadınların %84,2'si beslenme, %58,8'i fiziksel aktivite önerisi almıştır. Gelir durumu iyi, gebelik haftası yüksek olan gebe kadınların gestasyonel kilo alım önerisi alma durumu yüksek bulunmuş ve aralarında anlamlı ilişki saptanmıştır (p<0,05). Gebelik başlangıç BKİ fazla kilolu ve obez grubundaki kadınlara aşırı gestasyonel kilo alım öne-risi yapılmış ve aralarında anlamlı fark saptanmıştır (p<0,001). S So on nu uç ç: : Kadınların yaklaşık yarısı prenatal bakımda gestasyonel kilo alımı konusunda konuşmuş, fakat her beş kadından biri 2009 yılı IOM rehber önerileri sınırları içinde doğru kilo alım önerisi almıştır. Aşırı gestasyonel kilo alımını ve maternal obeziteyi önlemek için prenatal sağlık bakım personeli tarafından gebe kadınlara doğru kilo alım önerisi ve kilo yönetim danışmanlığı yapılmalıdır.A An na ah h t ta ar r K Ke e l li i m me e l le

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Despite 2009 guidelines, few women report being counseled correctly about weight gain during pregnancy

Cited by 92 publications

References 19 publications

‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

Are we attacking the wrong targets in the fight against obesity?: the importance of intervention in women of childbearing age

Weight Gain in Pregnancy: Do Pregnant Women Receive Correct Weight Gain Recommendation in Prenatal Care? (Ödemiş / İzmir)

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