Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?

Objective: To evaluate the prevalence of unhealthy gestational weight gain and analyze the role of women ́s knowledge about the recommendations, expectations, beliefs, counseling, and information pro- vided by midwives as potential factors contributing to failure to meet recommendations. Research de...

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Detalles Bibliográficos
Autores: Arnedillo-Sánchez, Socorro, Morilla Romero de la Osa, Rubén, Arnedillo Sánchez, Inmculada
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/137734
Acceso en línea:https://hdl.handle.net/11441/137734
https://doi.org/10.1016/j.midw.2022.103277
Access Level:acceso abierto
Palabra clave:Midwifery
Prenatal care
Gestational weight gain
Knowledge
Health belief
Health care professionals
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spelling Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?Arnedillo-Sánchez, SocorroMorilla Romero de la Osa, RubénArnedillo Sánchez, InmculadaMidwiferyPrenatal careGestational weight gainKnowledgeHealth beliefHealth care professionalsObjective: To evaluate the prevalence of unhealthy gestational weight gain and analyze the role of women ́s knowledge about the recommendations, expectations, beliefs, counseling, and information pro- vided by midwives as potential factors contributing to failure to meet recommendations. Research design/setting: A retrospective cross-sectional study was performed in a tertiary Hospital in Seville (Spain) between March and September 2019. A sample of 500 singleton pregnant women at or over 37 weeks of gestation completed a self-administered questionnaire during a prenatal visit. Gestational weight gain was categorized as healthy/excessive/inadequate, according to the Institute of Medicine, for 409 women. Descriptive, bivariate, and multivariate analysis was performed. Findings: Inadequate and excessive gestational weight gain were 33.4% and 33.9%, respectively. A multi- variate model for excessive gestational weight gain showed pre-gestational body mass index was a risk factor, while exercise and believing the weight gain was healthy were protective factors. The model for inadequate gestational weight gain showed knowledge of recommendations was a protective factor while believing gestational weight was healthy was a risk factor. Key conclusions: Unhealthy gestational weight gain is common. Inadequate gain from women with healthy pre-pregnancy body mass index who believed their gain was healthy, was almost as common as excessive gestational weight gain. As shown by our predictive model beliefs regarding healthy gestational weight gain may act either as a protective factor, in the excessive gain model, or as a risk factor, in the inadequate gain model, depending on women ́s pre-pregnancy body mass index and despite knowledge of the recommendations. Implications for practice: Inadequate weight gain, and not only excessive gain, should be properly ad- dressed during pregnancy. Healthy gestational weight gain should be approached by midwives with a combination of one-to-one and group antenatal care, where believes regarding healthy gestational weight gain should be addressed. Midwives should remain alert as we may be facing a new trend: increasing numbers of women presenting with inadequate gestational weight gain; with negative health implica- tions for a healthy population. We recommend that midwives pay attention to women with a healthy pre-pregnancy Body Mass Index and who believe that their weight gain is correct because this profile frequently had an inadequate gestational weight gain.ELSEVIER SCI LTDFisioterapia2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/137734https://doi.org/10.1016/j.midw.2022.103277reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésMIDWIFERY, 107, 1-9.https://www.sciencedirect.com/science/article/pii/S0266613822000298?via%3Dihubinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1377342026-06-17T12:51:07Z
dc.title.none.fl_str_mv Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
title Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
spellingShingle Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
Arnedillo-Sánchez, Socorro
Midwifery
Prenatal care
Gestational weight gain
Knowledge
Health belief
Health care professionals
title_short Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
title_full Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
title_fullStr Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
title_full_unstemmed Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
title_sort Unhealthy gestational weight gain: are we neglecting inadequate gestational weight gain?
dc.creator.none.fl_str_mv Arnedillo-Sánchez, Socorro
Morilla Romero de la Osa, Rubén
Arnedillo Sánchez, Inmculada
author Arnedillo-Sánchez, Socorro
author_facet Arnedillo-Sánchez, Socorro
Morilla Romero de la Osa, Rubén
Arnedillo Sánchez, Inmculada
author_role author
author2 Morilla Romero de la Osa, Rubén
Arnedillo Sánchez, Inmculada
author2_role author
author
dc.contributor.none.fl_str_mv Fisioterapia
dc.subject.none.fl_str_mv Midwifery
Prenatal care
Gestational weight gain
Knowledge
Health belief
Health care professionals
topic Midwifery
Prenatal care
Gestational weight gain
Knowledge
Health belief
Health care professionals
description Objective: To evaluate the prevalence of unhealthy gestational weight gain and analyze the role of women ́s knowledge about the recommendations, expectations, beliefs, counseling, and information pro- vided by midwives as potential factors contributing to failure to meet recommendations. Research design/setting: A retrospective cross-sectional study was performed in a tertiary Hospital in Seville (Spain) between March and September 2019. A sample of 500 singleton pregnant women at or over 37 weeks of gestation completed a self-administered questionnaire during a prenatal visit. Gestational weight gain was categorized as healthy/excessive/inadequate, according to the Institute of Medicine, for 409 women. Descriptive, bivariate, and multivariate analysis was performed. Findings: Inadequate and excessive gestational weight gain were 33.4% and 33.9%, respectively. A multi- variate model for excessive gestational weight gain showed pre-gestational body mass index was a risk factor, while exercise and believing the weight gain was healthy were protective factors. The model for inadequate gestational weight gain showed knowledge of recommendations was a protective factor while believing gestational weight was healthy was a risk factor. Key conclusions: Unhealthy gestational weight gain is common. Inadequate gain from women with healthy pre-pregnancy body mass index who believed their gain was healthy, was almost as common as excessive gestational weight gain. As shown by our predictive model beliefs regarding healthy gestational weight gain may act either as a protective factor, in the excessive gain model, or as a risk factor, in the inadequate gain model, depending on women ́s pre-pregnancy body mass index and despite knowledge of the recommendations. Implications for practice: Inadequate weight gain, and not only excessive gain, should be properly ad- dressed during pregnancy. Healthy gestational weight gain should be approached by midwives with a combination of one-to-one and group antenatal care, where believes regarding healthy gestational weight gain should be addressed. Midwives should remain alert as we may be facing a new trend: increasing numbers of women presenting with inadequate gestational weight gain; with negative health implica- tions for a healthy population. We recommend that midwives pay attention to women with a healthy pre-pregnancy Body Mass Index and who believe that their weight gain is correct because this profile frequently had an inadequate gestational weight gain.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/137734
https://doi.org/10.1016/j.midw.2022.103277
url https://hdl.handle.net/11441/137734
https://doi.org/10.1016/j.midw.2022.103277
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv MIDWIFERY, 107, 1-9.
https://www.sciencedirect.com/science/article/pii/S0266613822000298?via%3Dihub
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv ELSEVIER SCI LTD
publisher.none.fl_str_mv ELSEVIER SCI LTD
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
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