title: Evaluating Provider Advice and Women's Beliefs on Total Weight Gain During Pregnancy.
abstract: Excessive gestational weight gain (GWG) is associated with complications for both mother and child. Minority women are at increased risk for excessive GWG, yet are underrepresented in published weight control interventions. To inform future interventions, we examined the prevalence and accuracy of provider advice and its association with personal beliefs about necessary maternal weight gain among predominantly Latina pregnant women. Secondary analysis examining baseline data (N = 123) from a healthy lifestyle randomized controlled trial conducted in and urban area of the South East. Only 23.6 % of women reported being told how much weight to gain during pregnancy; although 58.6 % received advice that met Institute of Medicine recommendations. Concordance of mothers' personal weight gain target with clinical recommendations varied by mothers' pre-pregnancy weight status [χ (4) (2)  = 9.781, p = 0.044]. Findings suggest the need for prenatal providers of low-income, minority women to engage patients in shaping healthy weight gain targets as a precursor to preventing excessive GWG and its complications.
authors: Vanderbilt University School of Medicine, Nashville, TN, USA.
authors: Nkiruka V
authors: NV
authors: Arinze
authors: Schools of Nursing and Medicine (Pediatrics), Vanderbilt University, Nashville, TN, USA.
authors: Sharon M
authors: SM
authors: Karp
authors: Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Maya Angelou Center for Health Equity, Medical Center Boulevard, Winston-Salem, NC, 27157, USA. sgesell@wakehealth.edu.
authors: Sabina B
authors: SB
authors: Gesell
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008019:Life Style; D011247:Pregnancy; D037841:Pregnant People / Q000208:ethnology*; D011295:Prenatal Care; D024382:Professional Role; D012959:Socioeconomic Factors; D014481:United States; D015430:Weight Gain; D055815:Young Adult
keywords: Gestational weight gain; Health disparities; Hispanic; Obesity
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