title: Association of Provider Advice and Pregnancy Weight Gain in a Predominantly Hispanic Population.
abstract: This study sought to determine whether women's report of gestational weight gain (GWG) advice from a health care provider is consistent with the Institute of Medicine (IOM) guidelines and the association between provider advice and women's weight gain during pregnancy.
  
  
  
  Data came from the 2007 Los Angeles Mommy and Baby study (n = 3,402). The 1990 IOM GWG guidelines were used to define whether the provider's advice on weight gain and women's weight gain were below, within, or above the guidelines.
  
  
  
  Approximately 4 months after delivery, 18.8% of the women reported having not discussed weight gain with any health care providers during pregnancy. Among those who reported such discussions, 42% reported receiving weight gain advice from a health care provider within IOM guidelines, 16.5% below guidelines, and 10% above. An additional 13.5% reported the discussion but did not report the recommended weight gain amount. Compared with women who reported provider advice on weight gain within guidelines, women who reported advice below guidelines were 1.7 times (95% confidence interval [CI], 1.3-2.2) more likely to gain less than the IOM recommended amount. Women who reported provider advice above IOM guidelines were 2.0 times (95% CI, 1.4-2.9) more likely to exceed guidelines.
  
  
  
  There is a need for more women to receive advice consistent with the IOM GWG guidelines from their prenatal care providers. Intervention strategies are needed to educate providers about IOM guidelines and how to counsel on GWG.
authors.affiliation: Department of Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; Office of Research and Epidemiology, Maternal & Child Health Bureau, Health Resources & Services Administration, Rockville, Maryland. Electronic address: jliu@mailbox.sc.edu.
authors.forename: Jihong
authors.initials: J
authors.lastname: Liu
authors.affiliation: Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota.
authors.forename: Kara M
authors.initials: KM
authors.lastname: Whitaker
authors.affiliation: Office of Research and Epidemiology, Maternal & Child Health Bureau, Health Resources & Services Administration, Rockville, Maryland.
authors.forename: Stella M
authors.initials: SM
authors.lastname: Yu
authors.affiliation: Research Evaluation and Planning Division, Maternal, Child, and Adolescent Health Programs, County of Los Angeles, Department of Public Health, Los Angeles, California.
authors.forename: Shin M
authors.initials: SM
authors.lastname: Chao
authors.affiliation: Office of Research and Epidemiology, Maternal & Child Health Bureau, Health Resources & Services Administration, Rockville, Maryland.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Lu
mesh_terms: D000328:Adult; D002140:California; D003142:Communication; D003376:Counseling / Q000379:methods*; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006630:Hispanic or Latino; D006801:Humans; D007407:Interviews as Topic; D009765:Obesity / Q000150:complications / Q000208:ethnology / Q000517:prevention & control*; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology; D037841:Pregnant People / Q000208:ethnology* / Q000523:psychology; D011295:Prenatal Care / Q000379:methods*; D036301:Qualitative Research; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D015430:Weight Gain; D055815:Young Adult