Provider and Patient Knowledge and Views of Office Practices on Weight Gain and Exercise during Pregnancy

Delgado, Arlin; Stark, Lauren; Macri, Charles J.; Power, Michael L.; Schulkin, Jay

doi:10.1055/s-0037-1606582

Cited by 9 publications

(32 citation statements)

References 14 publications

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“…A small but noteworthy group of our respondents reported confusion over what exercise practices were safe to pursue during pregnancy, which is consistent with previous studies of demographically similar populations [44]. Practitioners should use counseling practices that outline personal GWG goals and safe options for exercise in a format, such as pamphlets/brochures, preferred by patients [31]. Exercise regimes individualized for each patient would be the optimal practice, as unsupervised and general exercise plans are less effective in helping achieve appropriate GWG [37].…”

Section: Discussionsupporting

confidence: 82%

“…Once consistency of provider counseling is demonstrated, we can then focus on the tools available to patients to allow them successful achievement of GWG and fitness goals. Delgado et al reported differences in physician versus patient perceptions of counseling, as well as utility of various methods of patient education including posters, hand-outs, and phone applications [31]. Seventy seven percent of patients found information regarding local fitness resources useful as compared to half of providers perceiving them as helpful[31].…”

Section: Discussionmentioning

confidence: 99%

“…Delgado et al reported differences in physician versus patient perceptions of counseling, as well as utility of various methods of patient education including posters, hand-outs, and phone applications [31]. Seventy seven percent of patients found information regarding local fitness resources useful as compared to half of providers perceiving them as helpful[31]. Provider counseling must be grounded in both medical science and patient preferences and behavior.…”

Section: Discussionmentioning

confidence: 99%

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Patient Attitudes toward Gestational Weight Gain and Exercise during Pregnancy

Lott

Power

Reed

et al. 2019

Journal of Pregnancy

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Body mass index (BMI) and gestational weight gain (GWG) are important factors for neonatal and maternal health. Exercise helps women moderate their BMI and GWG, and provides health benefits to mother and child. This survey study assessed patients’ perceptions of counseling they received during pregnancy, their sources of information about GWG, and their attitudes toward exercise during pregnancy. We distributed an anonymous survey to 200 pregnant women over the age of 18 at a tertiary care center in Danville, Pennsylvania. Survey questions included demographics, discussions with medical providers regarding GWG and exercise, and their exercise habits before and during pregnancy. 182 women (91%) responded. Most reported their provider discussed weight and diet (78.8%), expected GWG (81.6%), and exercise during pregnancy (79.8%); however, 28% of obese women and 25% of women who did not plan to exercise during pregnancy reported not receiving exercise counseling. Approximately 20% of women did not plan to exercise during pregnancy. Women decreased the number of days per week they exercised (40.6% with 3 or more days prepregnancy versus 30.7% during pregnancy, P=0.002). Some patients who did not exercise prior to pregnancy (12%) expressed interest in a personal training session. Among women in the eight month or later, 42.4% were above GWG recommendations. Our study found barriers to adequate activity during pregnancy; 20% of pregnant women not receiving/remembering counseling regarding exercise. Interest in personal training from patients that did not exercise suggests they would benefit from increased efforts to encourage physical activity. Exercise and GWG counseling based in medical science as well as patient psychological needs will help efforts to reduce GWG and improve pregnancy outcomes.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Patient Attitudes toward Gestational Weight Gain and Exercise during Pregnancy

Lott

Power

Reed

et al. 2019

Journal of Pregnancy

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“…25 A small, single-clinic study in 2016 found that obstetricians/ gynecologists', nurse practitioners', and nurse midwives' knowledge of IOM-consistent weight gain ranges varied by prepregnancy BMI category, from 42% identifying the IOMconsistent range for obese women to 83% for normal weight women. 26 Variability in healthcare providers' knowledge of the recommended weight gain ranges, and the observation that most are familiar with the recommended range for normal weight women, may partially explain our finding that 25-35 pounds was the most frequently reported advised weight gain range for all but obese women. In addition to limited awareness or knowledge around the 2009 IOM recommendations, healthcare providers may experience barriers that hinder counseling about gestational weight gain.…”

Section: Discussionmentioning

confidence: 84%

Achieving Appropriate Gestational Weight Gain: The Role of Healthcare Provider Advice

Sharma

Kim

Olson

2018

Journal of Women's Health

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“…15,16 Maternity health care professionals, including midwives and obstetricians, therefore, are uniquely positioned to positively influence maternal, infant, and family health, 17 and to provide support and guidance for women relating to healthy weight gain and overall weight in pregnancy. 18 The role of midwives and obstetricians in health education and promotion for women in pregnancy is being increasingly recognized as an important component of their care provision, and the majority of midwives and obstetricians believe healthy lifestyle promotion to be an important part of their clinical role. [19][20][21][22] However, there are several important factors influencing the provision of health and well-being promotion advice in clinical practice which also need to be considered, such as professional knowledge, time, attitudes, and acceptance of the role among health care professionals.…”

Section: Introductionmentioning

confidence: 99%

Midwives’ and obstetricians’ level of knowledge of appropriate gestational weight gain recommendations for pregnancy: A systematic review

Callaghan

O’Brien

Coughlan

2020

Birth

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Background: Excessive gestational weight gain (GWG) is a modifiable risk factor associated with maternal and infant health, and pregnancy outcomes. However, several factors influence the provision of health promotion advice including professional knowledge. This review aims to summarize published evidence relating to midwives' and obstetricians' knowledge of GWG guidelines. Methods: Electronic database searches were carried out using EMBASE, CINAHL, PubMed, Web of Science, and Cochrane Database. English-language studies and quantitative results were included. Identified studies were screened by two authors independently. Disagreements were discussed with a third reviewer. A review protocol was submitted for registration with PROSPERO in May 2019. Results: From 10 960 records identified in preliminary searches, 12 studies reporting on 2652 midwives and obstetricians collectively were included. All studies were conducted in high-income countries. Synthesis of data was difficult as guidelines and methods for assessing knowledge varied. Midwives were mainly reported as the leading participant, with limited data available on obstetrician knowledge. Both groups demonstrated insufficient knowledge of GWG guidelines. Self-reported knowledge was significantly higher than those assessed by direct knowledge. Conclusions: This review highlights a substantial gap in health care professionals' knowledge of GWG guideline content which needs to be addressed. Differences between professionals' direct knowledge and self-reported knowledge are important for clinical practice as it may inhibit the provision of evidence-based advice. It is important to accurately assess knowledge in this area to develop further training for midwives and obstetricians to improve health promotion during pregnancy.

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Provider and Patient Knowledge and Views of Office Practices on Weight Gain and Exercise during Pregnancy

Abstract: Our findings suggest a gap between provider-patient perceptions regarding counseling and provision of informational materials. Future research should study whether implementing various educational tools might increase the efficacy of current practices.

Cited by 9 publications

References 14 publications

Patient Attitudes toward Gestational Weight Gain and Exercise during Pregnancy

Patient Attitudes toward Gestational Weight Gain and Exercise during Pregnancy

Achieving Appropriate Gestational Weight Gain: The Role of Healthcare Provider Advice

Midwives’ and obstetricians’ level of knowledge of appropriate gestational weight gain recommendations for pregnancy: A systematic review

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