No global consensus: a cross-sectional survey of maternal weight policies
| Autor: | Barbara Abrams, Katharina C. Quack Loetscher, Francisco Mardones, Ellen A. Nohr, Christopher T Andersen, Courtney Scott, Natali Valdez, Lucilla Poston |
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| Přispěvatelé: | University of Zurich, Abrams, Barbara |
| Rok vydání: | 2014 |
| Předmět: |
Health Knowledge
Attitudes Practice and promotion of well-being Internationality Psychological intervention Reproductive health and childbirth Overweight Cardiovascular Weight Gain Body Mass Index Pregnancy Maternal weight policies Surveys and Questionnaires Obstetrics and Gynaecology Pediatric Practice Obstetrics Health Knowledge Health Policy Obstetrics and Gynecology Prenatal Care International Practice Guidelines as Topic Public Health and Health Services Female medicine.symptom Preconception Care Research Article Postnatal Care medicine.medical_specialty Consensus Birth weight Directive Counseling 610 Medicine & health Prenatal care Nursing Paediatrics and Reproductive Medicine Clinical Research Environmental health medicine Humans Obesity Obstetrics & Reproductive Medicine 10026 Clinic for Obstetrics Health policy business.industry Key informant Prevention 2729 Obstetrics and Gynecology Guideline Perinatal Period - Conditions Originating in Perinatal Period Prevention of disease and conditions medicine.disease Good Health and Well Being Cross-Sectional Studies Attitudes 3.1 Primary prevention interventions to modify behaviours or promote wellbeing business Weight gain |
| Zdroj: | BMC pregnancy and childbirth, vol 14, iss 1 Scott, C, Andersen, C T, Valdez, N, Mardones, F, Nohr, E A, Poston, L, Loetscher, K C Q & Abrams, B 2014, ' No global consensus : a cross-sectional survey of maternal weight policies ', B M C Pregnancy and Childbirth, vol. 14, 167 . https://doi.org/10.1186/1471-2393-14-167 BMC Pregnancy and Childbirth |
| DOI: | 10.1186/1471-2393-14-167 |
| Popis: | BACKGROUND: Growing evidence suggests that maternal prepregnancy weight and gestational weight gain are risk factors for perinatal complications and subsequent maternal and child health. Postpartum weight retention is also associated with adverse birth outcomes and maternal obesity. Clinical guidelines addressing healthy weight before, during, and after pregnancy have been introduced in some countries, but at present a systematic accounting for these policies has not been conducted. The objective of the present study was to conduct a cross-national comparison of maternal weight guidelines.METHODS: This cross sectional survey administered a questionnaire online to key informants with expertise on the subject of maternal weight to assess the presence and content of preconceptional, pregnancy and postpartum maternal weight guidelines, their rationale and availability. We searched 195 countries, identified potential informants in 80 and received surveys representing 66 countries. We estimated the proportion of countries with guidelines by region, income, and formal or informal policy, and described and compared guideline content, including a rubric to assess presence or absence of 4 guidelines: encourage healthy preconceptional weight, antenatal weighing, encourage appropriate gestational gain, and encourage attainment of healthy postpartum weight.RESULTS: Fifty-three countries reported either a formal or informal policy regarding maternal weight. The majority of these policies included guidelines to assess maternal weight at the first prenatal visit (90%), to monitor gestational weight gain during pregnancy (81%), and to provide recommendations to women about healthy gestational weight gain (62%). Guidelines related to preconceptional (42%) and postpartum (13%) weight were less common. Only 8% of countries reported policies that included all 4 fundamental guidelines. Guideline content and rationale varied considerably between countries, and respondents perceived that within their country, policies were not widely known.CONCLUSIONS: These results suggest that maternal weight is a concern throughout the world. However, we found a lack of international consensus on the content of guidelines. Further research is needed to understand which recommendations or interventions work best with respect to maternal weight in different country settings, and how pregnancy weight policies impact clinical practices and health outcomes for the mother and child. |
| Databáze: | OpenAIRE |
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