Journal of Community Health

, Volume 37, Issue 5, pp 1066–1070 | Cite as

Preventing Excessive Weight Gain among Publicly Insured Pregnant Women

  • Laura Rosenbloom
  • Elizabeth Buchert
  • Rosanne Vasiloff
  • Joseph Feinglass
  • Xinqi Dong
  • Melissa Simon
Original Paper

Abstract

The purpose of this study is to develop an intervention to help women meet weight gain goals during pregnancy. From 2007 to 2008, pregnant women were recruited at a clinic in Chicago. Intervention participants received an educational pamphlet at their first prenatal visit. At follow up visits, provider counseling was encouraged via a weight gain trend graph and targeted feedback checklist. The primary outcome was the total weight gained over the course of prenatal care. We analyzed 57 intervention group participants and 109 controls. Demographic composition was similar between the groups except for parity. Patients in the intervention group and routine care group gained similar weight (24.5 + 13.5 lb vs. 25.3 + 14.0 lb, P = 0.71). After controlling for baseline weight, the intervention was associated with 4.6 pounds lower follow-up weight (P = 0.029). After controlling for baseline BMI and other covariates, participants who received the intervention were only 34% as likely to gain weight exceeding IOM guidelines (P = 0.009). This pilot prenatal care obesity prevention project was associated with lower weight gain in pregnancy. The feedback checklist, weight gain graph, and educational pamphlet on weight gain proved to be favorable components of this project and merit further examination in a larger intervention trial.

Keywords

Obesity Prenatal counseling Patient education Pregnancy Weight gain 

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Laura Rosenbloom
    • 1
  • Elizabeth Buchert
    • 1
  • Rosanne Vasiloff
    • 1
  • Joseph Feinglass
    • 1
  • Xinqi Dong
    • 2
  • Melissa Simon
    • 1
    • 3
  1. 1.Department of Obstetrics and GynecologyNorthwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Department of MedicineRush University School of MedicineChicagoUSA
  3. 3.ChicagoUSA

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