title: Lost in translation? English- and Spanish-speaking women's perceptions of gestational weight gain safety, health risks and counseling.
abstract: OBJECTIVE
  To determine English- and Spanish-speaking women's perceptions on gestational weight gain (GWG) counseling.
  
  
  METHODS
  We administered a written survey to 279 pregnant women regarding GWG counseling and knowledge. We compared English- and Spanish-speaking women's responses using X(2)-tests and logistic regression analyses.
  
  
  RESULTS
  Seventy-four (27%) women completed the survey in Spanish and 205 (73%) in English. More Spanish compared with English speakers did not know if their provider recommended weight gain goals (26% vs 10%, odds ratio (OR) 3.2, confidence interval (CI) 1.5 to 6.5); if there are risks to excessive GWG for mother (27% vs 11%, OR 3.1, CI 1.5 to 6.4) or infant (38% vs 16%, OR 3.3, CI 1.7 to 6.3); or if exercise (15% vs 1%, OR 12.1, CI 3.0 to 69.1) or weight loss (35% v 12%, OR 4.0, CI 2.0 to 8.0) were safe during pregnancy.
  
  
  CONCLUSIONS
  Significant differences exist between Spanish- and English-speaking women's perception of GWG counseling, which may be due to language or cultural barriers.
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: M C
authors.initials: MC
authors.lastname: Smid
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: K F
authors.initials: KF
authors.lastname: Dorman
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: K A
authors.initials: KA
authors.lastname: Boggess
mesh_terms: D015992:Body Mass Index; D003376:Counseling; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D005260:Female; D006630:Hispanic or Latino / Q000208:ethnology*; D006801:Humans; D007802:Language; D016015:Logistic Models; D009765:Obesity / Q000453:epidemiology*; D016017:Odds Ratio; D010465:Perception; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D057566:Self Report; D014177:Translations; D014481:United States / Q000208:ethnology; D015430:Weight Gain / Q000208:ethnology*
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