title: Maternal perspectives on gestational weight gain: Critical information on developing weight control interventions.
abstract: BACKGROUND
  Our aim was to demonstrate what women reported being counselled about weight gain in pregnancy, their perceptions of inappropriate gestational weight gain (GWG), and plans for weight gain in pregnancy.
  
  
  METHODS
  A cross-sectional survey of perceptions of prenatal attendees about inappropriate GWG was conducted at the prenatal clinic of a referral tertiary health facility in south western, Nigeria, between January 1, 2013 and June 30, 2013. Primary outcomes were the perceptions of women about risks involved with inappropriate weight gain and the proportion of women who self-reported being counselled at all on GWG, and had the right knowledge of risk(s) involved with inappropriate weight gain during pregnancy.
  
  
  RESULTS
  Of the 348 women who completed the survey, approximately four-fifths (82.8%) reported GWG being discussed at all by health care provider. Fewer women (29.3%) believed there were maternal risks with excess weight gain compared to inadequate weight gain (34.8%). With respect to perception of risks of inappropriate weight gain to infants, 23.65 and 18.4%, respectively, believed there were infant risks with excess and inadequate GWG. Overweight women [OR 0.39 (95% CI 0.16-0.98)] and those who received GWG information from more than one type of health care provider [OR 4.71 (95% CI 1.64-13.78)] had significant increased rate of correct knowledge of risks involved with inappropriate GWG.
  
  
  CONCLUSIONS
  The lack of awareness of risks involved with inappropriate GWG by over half of respondents underscores the need for improvement in educational intervention on GWG in our environment.
authors.affiliation: Women's and Adolescent Health Research Initiative, Ado Ekiti, Nigeria ; Department of Obstetrics and Gynaecology, Ekiti State University, Ado Ekiti, Nigeria.
authors.forename: Biodun N
authors.initials: BN
authors.lastname: Olagbuji
authors.affiliation: Department of Obstetrics and Gynaecology, Ekiti State University, Ado Ekiti, Nigeria.
authors.forename: Babatunde A
authors.initials: BA
authors.lastname: Olofinbiyi
authors.affiliation: Department of Obstetrics and Gynaecology, Ekiti State University, Ado Ekiti, Nigeria.
authors.forename: Akinyemi A
authors.initials: AA
authors.lastname: Akintayo
authors.affiliation: Department of Obstetrics and Gynaecology, Ekiti State University, Ado Ekiti, Nigeria.
authors.forename: Olusola P
authors.initials: OP
authors.lastname: Aduloju
authors.affiliation: Department of Obstetrics and Gynaecology, Ekiti State University, Ado Ekiti, Nigeria.
authors.forename: Pius I
authors.initials: PI
authors.lastname: Ade-Ojo
keywords: Knowledge; obesity; perception; pregnancy; weight gain
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