PDF(Pubmed)
Abstract：
BACKGROUND: Maternal body mass index and gestational weight gain (GWG) are important factors for maternal and neonatal health. The objective of this study was to assess women\'s knowledge and examine adherence to the Institute of Medicine (IOM) criteria for weight gain during pregnancy by evaluating the information received from obstetricians and women\'s knowledge about GWG.
METHODS: This is an analytical semi-longitudinal observational study. Weight data from a nonconsecutive convenience sample of 389 women who gave birth at the Hannover Medical School in the period from August 2020 to July 2021 were taken from their maternal records. Immediately after giving birth, the whole collective (n = 389) was asked to participate in a questionnaire study including questions that were taken from the EMat Health Survey inquiring about their knowledge and received information about GWG and about their eating behavior. Here, a subset of 202 women participated.
RESULTS: Sixty-five percent of the participants who answered the questionnaire reported that they had not been informed by their obstetrician about GWG recommendations. Additionally, a minority of women knew the correct IOM GWG category based on their pre-pregnancy weight. Meeting the IOM GWG guidelines did not depend on whether or not women received GWG recommendations or knew about the correct GWG category. The majority of women were not concerned about gaining too much weight during pregnancy. 20.7% of all women participating in the study were affected by obesity pre-pregnancy. According to the IOM criteria for GWG, 50.4% gained too much weight. The proportion of women exceeding IOM recommendations was highest in women with pre-pregnancy overweight and obesity (67%).
CONCLUSIONS: Weight gain outside of the IOM recommendations is widespread in our survey. Information received and knowledge about GWG recommendations were inadequate in our sample. Considering the fact that GWG outside recommended ranges can contribute to short- and long-term health complications, especially when a woman enters pregnancy already with overweight or obesity, identifying ways of achieving a healthier GWG is warranted.
METHODS: This is an analytical semi-longitudinal observational study. Weight data from a nonconsecutive convenience sample of 389 women who gave birth at the Hannover Medical School in the period from August 2020 to July 2021 were taken from their maternal records. Immediately after giving birth, the whole collective (n = 389) was asked to participate in a questionnaire study including questions that were taken from the EMat Health Survey inquiring about their knowledge and received information about GWG and about their eating behavior. Here, a subset of 202 women participated.
RESULTS: Sixty-five percent of the participants who answered the questionnaire reported that they had not been informed by their obstetrician about GWG recommendations. Additionally, a minority of women knew the correct IOM GWG category based on their pre-pregnancy weight. Meeting the IOM GWG guidelines did not depend on whether or not women received GWG recommendations or knew about the correct GWG category. The majority of women were not concerned about gaining too much weight during pregnancy. 20.7% of all women participating in the study were affected by obesity pre-pregnancy. According to the IOM criteria for GWG, 50.4% gained too much weight. The proportion of women exceeding IOM recommendations was highest in women with pre-pregnancy overweight and obesity (67%).
CONCLUSIONS: Weight gain outside of the IOM recommendations is widespread in our survey. Information received and knowledge about GWG recommendations were inadequate in our sample. Considering the fact that GWG outside recommended ranges can contribute to short- and long-term health complications, especially when a woman enters pregnancy already with overweight or obesity, identifying ways of achieving a healthier GWG is warranted.
摘要：
背景：母体体重指数和妊娠期体重增加（GWG）是影响母体和新生儿健康的重要因素。本研究的目的是通过评估从产科医生获得的信息和妇女对GWG的知识来评估妇女的知识并检查对医学研究所（IOM）妊娠期体重增加标准的依从性。
方法：这是一项分析性半纵向观察研究。2020年08月至2021年07月在汉诺威医学院分娩的389名妇女的非连续便利样本的体重数据取自其产妇记录。分娩后立即要求整个集体（n=389）参加问卷调查，其中包括来自EMAt健康调查的问题，询问他们的知识，并获得有关GWG及其饮食行为的信息。这里有202名妇女参加。
结果：65%回答问卷的参与者报告说他们没有被产科医生告知GWG建议。此外,少数女性根据孕前体重知道正确的IOMGWG类别.符合IOMGWG准则并不取决于妇女是否收到GWG建议或了解正确的GWG类别。大多数女性并不担心怀孕期间体重增加过多。参与这项研究的所有女性中有20.7%在怀孕前受到肥胖的影响。根据IOM的GWG标准，50.4％的体重增加过多。超过国际移民组织建议的女性比例在孕前超重和肥胖的女性中最高(67%)。
结论：在我们的调查中，国际移民组织建议之外的体重增加很普遍。在我们的样本中，有关GWG建议的信息和知识不足。考虑到GWG超出推荐范围会导致短期和长期健康并发症，尤其是当一个已经超重或肥胖的女人怀孕时，确定实现更健康的GWG的方法是有必要的。
方法：这是一项分析性半纵向观察研究。2020年08月至2021年07月在汉诺威医学院分娩的389名妇女的非连续便利样本的体重数据取自其产妇记录。分娩后立即要求整个集体（n=389）参加问卷调查，其中包括来自EMAt健康调查的问题，询问他们的知识，并获得有关GWG及其饮食行为的信息。这里有202名妇女参加。
结果：65%回答问卷的参与者报告说他们没有被产科医生告知GWG建议。此外,少数女性根据孕前体重知道正确的IOMGWG类别.符合IOMGWG准则并不取决于妇女是否收到GWG建议或了解正确的GWG类别。大多数女性并不担心怀孕期间体重增加过多。参与这项研究的所有女性中有20.7%在怀孕前受到肥胖的影响。根据IOM的GWG标准，50.4％的体重增加过多。超过国际移民组织建议的女性比例在孕前超重和肥胖的女性中最高(67%)。
结论：在我们的调查中，国际移民组织建议之外的体重增加很普遍。在我们的样本中，有关GWG建议的信息和知识不足。考虑到GWG超出推荐范围会导致短期和长期健康并发症，尤其是当一个已经超重或肥胖的女人怀孕时，确定实现更健康的GWG的方法是有必要的。
