Impact of maternal knowledge of recommended weight gain in pregnancy on gestational weight gain

Shulman, Rachel; Kottke, Melissa

doi:10.1016/j.ajog.2016.03.021

Cited by 35 publications

(33 citation statements)

References 23 publications

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“…to visually identify excess weight in patients, and pregnant women may be surprised and upset when labelled 'high risk' after being weighed (Furber & McGowan 2011;Atkinson et al 2013). A cross-sectional study of 338 pregnant women from the US found that 48% underestimated their weight and only one-third were able to identify how much weight they should gain during pregnancy (Shulman & Kottke 2016). Similar results have been reported elsewhere (McPhie et al 2015;Bookari et al 2016).…”

Section: Meet Our Marketsupporting

confidence: 60%

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Maternal nutrition and weight management in pregnancy: A nudge in the right direction

et al. 2018

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Suboptimal maternal nutrition and excessive gestational weight gain (GWG) establish in mothers and their offspring a weight gain trajectory towards overweight and obesity. Therefore, pregnancy may be the best opportunity to disrupt the generational cycle of obesity. More than half of women in the UK now enter pregnancy overweight or obese, highlighting that if interventions are not targeted towards women in higher weight categories before conception they are likely to ‘miss the mark’. To address issues of suboptimal maternal nutrition and excessive GWG in antenatal care, health professionals need to consider how women's requirements and expectations may have changed in recent years and the impact of weight stigma on the care of women who are obese. This paper aims to drive changes in clinical practice guidelines, medical curricula, the language used by health professionals, and ultimately promote maternal nutrition and weight management in pregnancy as key priorities during antenatal care. Evidence indicates that women want non‐judgemental, simple and encouraging guidance in these areas. Small changes to health professionals’ practice can improve how advice regarding nutrition and weight management in pregnancy is delivered, and has the potential to reduce overweight and obesity prevalence in women and their children in the years to come. Surely that goal is worth pursuing.

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Section: Meet Our Marketsupporting

confidence: 60%

“…). A cross‐sectional study of 338 pregnant women from the US found that 48% underestimated their weight and only one‐third were able to identify how much weight they should gain during pregnancy (Shulman & Kottke ). Similar results have been reported elsewhere (McPhie et al .…”

Section: Meet Our Marketmentioning

confidence: 99%

Maternal nutrition and weight management in pregnancy: A nudge in the right direction

et al. 2018

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“…5,33 As a recent example, Herring et al 34 found in a pilot randomized clinical trial that socioeconomically disadvantaged, African-American women who received a behavioral intervention were half as likely to gain weight above the IOM guidelines as women who received usual prenatal care. In a similar study population, Schulman and Kottke 35 reported that a pregnant woman's accurate knowledge of her recommended range of weight gain was associated with appropriate weight gain, but only 27% of women were aware of their recommended gain. Provider advice about gestational weight gain has been strongly associated with actual weight gain, but the majority of pregnant women – particularly those with a low BMI – do not receive accurate advice on weight gain.…”

Section: Discussionmentioning

confidence: 94%

“…Provider advice about gestational weight gain has been strongly associated with actual weight gain, but the majority of pregnant women – particularly those with a low BMI – do not receive accurate advice on weight gain. 35-36 Moreover, the built and social environments in which women live and work are likely contributors to their ability to gain a healthy amount of weight in pregnancy. 6,37,38 Our study findings highlight the need for continued research to determine how moderate weight gain during pregnancy can best be promoted at individual, community, and policy levels.…”

Section: Discussionmentioning

confidence: 99%

Weight gain during pregnancy and the black-white disparity in preterm birth

Leonard

Petito

Stephansson

et al. 2017

Annals of Epidemiology

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Purpose To quantify the relationship between pregnancy weight gain with early and late preterm birth and evaluate whether associations differed between non-Hispanic (NH) black and NH white women. Methods We analyzed a retrospective cohort of all live births to NH black and NH white women in the U.S. 2011-2015 (n = 10,714,983). We used weight gain z-scores in multiple logistic regression models stratified by prepregnancy body mass index (BMI) and race to calculate population attributable risk (PAR) percentages for the contribution of high and low pregnancy weight gain to early and late preterm birth. Results Pregnancy weight gain was related to early and late preterm birth, but associations varied by BMI and race. For early preterm birth, the PAR percentage for high pregnancy weight gain ranged from 8-10% in NH black women and from 6-8% in NH white women. There was little evidence of racial differences in late preterm birth: PAR percentages ranged from 2-7% in NH black women and from 3-7% in NH white women. Conclusions Moderate gestational weight gain is associated with lower rate of preterm birth, with greatest reductions for early preterm birth in NH black women.

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“…Also, studies report that due to the sensitivity of the topic, healthcare professionals find it difficult to communicate about weight (Anderson et al, 2015;Duthie et al, 2013;Hasted et al, 2016;Heslehurst et al, 2013;Willcox et al, 2012), and correspondingly pregnant women perceive healthcare professionals as unconcerned when they tone down risks with excessive gestational weight gain or avoid addressing the issue at all (Callaway et al, 2009;Christenson et al, 2016;Duthie et al, 2013). This is unfortunate since women who are aware of their own BMI and individual weight gain recommendations are more likely to gain adequate gestational weight (Shulman and Kottke, 2016;Whitaker et al, 2016). In some previous studies, pregnant women were positive to healthcare professionals bringing up weight (Atkinson et al, 2016;Dinsdale et al, 2016) and to being weighed (Brownfoot et al, 2016b;Heslehurst et al, 2017), while other studies showed that women with obesity wished that weight should not be in focus for caregivers, and perceived weight controls as uncomfortable (Nyman et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Shame and avoidance as barriers in midwives’ communication about body weight with pregnant women: A qualitative interview study

et al. 2018

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Midwives' empathy and awareness of weight stigma strongly affects communication about weight with pregnant women, and midwives' use of avoidant behaviours constitutes salient information barriers. More research is needed on whether gestational weight guidelines and weighing routines for all women, resources for extra visits, training in specific communication skills and backup access to other professions can facilitate for midwives to initiate and communicate about healthy gestational weight development, enabling more pregnant women to make well-informed lifestyle choices.

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Impact of maternal knowledge of recommended weight gain in pregnancy on gestational weight gain

Cited by 35 publications

References 23 publications

Maternal nutrition and weight management in pregnancy: A nudge in the right direction

Maternal nutrition and weight management in pregnancy: A nudge in the right direction

Weight gain during pregnancy and the black-white disparity in preterm birth

Shame and avoidance as barriers in midwives’ communication about body weight with pregnant women: A qualitative interview study

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