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Abstract
Introduction: The 2009 Institute of Medicine guidelines recommend 11-20 pounds weight gain for pregnant women with BMI ≥ 30. This study examines factors that affect compliance with weight gain recommendations in an obese, low-income population.
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
Introduction: The 2009 Institute of Medicine guidelines recommend 11-20 pounds weight gain for pregnant women with BMI ≥ 30. This study examines factors that affect compliance with weight gain recommendations in an obese, low-income population.
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
Factors That Affect Weight Gain in an Obese Pregnant Population
Bani Ratan
Abstract
Introduction: The 2009 Institute of Medicine guidelines recommend 11-20 pounds weight gain for pregnant women with BMI ≥ 30. This study examines factors that affect compliance with weight gain recommendations in an obese, low-income population.
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
Introduction: The 2009 Institute of Medicine guidelines recommend 11-20 pounds weight gain for pregnant women with BMI ≥ 30. This study examines factors that affect compliance with weight gain recommendations in an obese, low-income population.
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
Methods: A retrospective cohort of 1,440 women receiving care at a large Medicaid clinic from 2013-2016 with BMI ≥ 30 was reviewed. Eligible women were non-smokers with a singleton full-term delivery that initiated care before 20 weeks. Linear and multinomial logistic regression analysis was used to compare gestational weight gain to demographic characteristics, nutritional education, participation in group prenatal care, and medical conditions.
Results: Inclusion criteria was met by 803 women, with mean weight gain of 21.8 pounds. In total, 162 (20%) gained weight within guidelines, 211 (26%) below, and 430 (54%) above. Controlling for pre-pregnancy BMI, multiparous women gained significantly fewer pounds then nulliparous women (19 versus 28, P
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