Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, McMaster University, Hamilton, Ontario, Canada.
Am J Obstet Gynecol. 2011 Oct;205(4):333.e1-6. doi: 10.1016/j.ajog.2011.05.039. Epub 2011 May 27.
The purpose of this study was to determine the information that pregnant women report receiving when being counseled about weight gain and the risks of inappropriate gain.
With the use of a self-administered questionnaire at prenatal clinics in Hamilton, Ontario, Canada, a cross-sectional survey was conducted of women who had had at least 1 prenatal visit, who could read English, and who had a live singleton gestation.
Three hundred ten women completed the survey, which was a 93.6% response rate. Although 28.5% (95% confidence interval, 23.5-33.6%) reported that their health care provider had made a recommendation about how much weight they should gain, only 12.0% (95% confidence interval, 8-16.1%) of the women reported having achieved the recommended weight gain in accordance with the 2009 guidelines. One quarter of the women reported being told that there were risks with inappropriate gain.
Despite the recent 2009 publication of the gestational weight gain guidelines, only 12% of women reported being counseled correctly, which suggests an urgent need for improved patient education.
本研究旨在确定孕妇在接受增重咨询和体重增加不当风险咨询时所报告的信息。
在加拿大安大略省汉密尔顿的产前诊所，采用自我管理式问卷，对至少接受过 1 次产前检查、能阅读英语且怀有单胎妊娠的女性进行了横断面调查。
310 名女性完成了调查，应答率为 93.6%。尽管 28.5%（95%置信区间，23.5-33.6%）的女性报告称其医疗保健提供者对她们应增重多少提出了建议，但仅有 12.0%（95%置信区间，8-16.1%）的女性报告按照 2009 年指南实现了推荐的增重。四分之一的女性报告称被告知体重增加不当存在风险。
尽管最近发布了 2009 年妊娠期体重增加指南，但只有 12%的女性报告称得到了正确的咨询，这表明迫切需要改善患者教育。
