title: Patient report of guideline-congruent gestational weight gain advice from prenatal care providers: differences by prepregnancy BMI.
abstract: BACKGROUND
  Prenatal care provider weight gain advice consistent with the Institute of Medicine recommendations is related to guideline-adherent gestational weight gain (GWG), yet many women may not receive guideline-congruent advice. We examined pregnant women's recall of prenatal care provider GWG advice in relation to prepregnancy body mass index (BMI).
  
  
  METHODS
  We conducted a prospective cohort study of women (n = 149) receiving prenatal care for a singleton pregnancy at a large academic medical center in 2010. Data were collected via a survey during late pregnancy and medical record abstraction.
  
  
  RESULTS
  Thirty-three percent of women did not recall receiving the provider GWG advice; 33 percent recalled advice consistent with 2009 Institute of Medicine recommendations. Recalled advice differed by prepregnancy BMI; 29 percent of normal weight, 26 percent of overweight, and 45 percent of obese women reported not receiving advice, and 6, 37, and 39 percent, respectively, recalled advice exceeding Institute of Medicine recommendations. Among the 62 percent who recalled that their provider had labeled their prepregnancy BMI, 100 percent of normal weight, 32 percent of overweight, and 23 percent of obese women recalled the labels "normal weight," "overweight," and "obese," respectively.
  
  
  CONCLUSIONS
  Helping providers give their patients memorable and guideline-consistent GWG advice is an actionable step toward preventing excessive GWG and associated maternal and child health consequences.
authors.affiliation: Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA.
authors.forename: Molly E
authors.initials: ME
authors.lastname: Waring
authors.forename: Tiffany A
authors.initials: TA
authors.lastname: Moore Simas
authors.forename: Katharine C
authors.initials: KC
authors.lastname: Barnes
authors.forename: Daniel
authors.initials: D
authors.lastname: Terk
authors.forename: Inna
authors.initials: I
authors.lastname: Baran
authors.forename: Sherry L
authors.initials: SL
authors.lastname: Pagoto
authors.forename: Milagros C
authors.initials: MC
authors.lastname: Rosal
mesh_terms: D000328:Adult; D015992:Body Mass Index; D015331:Cohort Studies; D003376:Counseling / Q000379:methods*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D009765:Obesity; D050177:Overweight; D011247:Pregnancy; D011248:Pregnancy Complications; D011295:Prenatal Care / Q000379:methods*; D011446:Prospective Studies; D057566:Self Report; D015430:Weight Gain; D055815:Young Adult
keywords: body mass index; gestational weight gain; pregnancy; provider counseling