title: Weight Gain in High-Risk Pregnant Women: Comparison by Primary Diagnosis and Type of Care.
abstract: Reasonable weight gain in pregnancy is essential for the health of the woman and fetus. The purpose of this secondary analysis was to examine patterns of prenatal weight gain in women with diabetes and hypertension using data from a randomized controlled trial examining physician-only (n= 29) versus APN and physician-delivered (n= 38) prenatal care. Data collection included gestational age at enrollment, delivery, diagnosis (diabetes, hypertension), prepregnancy body mass index (BMI), weight every 4 weeks during pregnancy, and total weight gain during pregnancy. Based on prepregnancy BMI, 21% of the sample was normal weight, 16% overweight, and 63% obese. There were no significant differences between physician versus APN and physician prenatal care and weight gained during pregnancy; the trend in favor of APN and physician care was evident. For women entering pregnancy with a chronic health condition, compounded by obesity, education on nutrition, diet, and behavioral modification is essential.
authors.affiliation: University of Miami Sylvester Comprehensive Cancer Center, North Miami, FL.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Herrera-Perdigon
authors.affiliation: Miami, FL.
authors.forename: Ellen
authors.initials: E
authors.lastname: Hopkins
authors.affiliation: Miami, FL.
authors.forename: Martha
authors.initials: M
authors.lastname: Marcalle
authors.affiliation: Florida International University, School of Nursing, North Miami, FL.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Brooten
authors.affiliation: Florida International University, School of Nursing, North Miami, FL.
authors.forename: Joanne M
authors.initials: JM
authors.lastname: Youngblut
authors.affiliation: Florida International University, School of Nursing, North Miami, FL, and Nurse Practitioner, Families R Us, Miami, FL.
authors.forename: Maria Lourdes
authors.initials: ML
authors.lastname: Lizardo
keywords: high-risk pregnancy; obesity; weight gain