Graduate Student, Faculty of Health Sciences, Interdisciplinary School of Health Sciences.
Postdoctoral Fellow, Faculty of Health Sciences, School of Human Kinetics.
Obstet Gynecol Surv. 2018 Aug;73(8):423-432. doi: 10.1097/OGX.0000000000000588.
Gestational weight gain (GWG) is an independent and modifiable factor for a healthy pregnancy. Gestational weight gain above or below the Institute of Medicine Guidelines has been shown to impact both maternal and fetal health (eg, gestational diabetes, hypertension, downstream obesity). Healthcare providers (HCPs) have the potential to be reliable sources of evidence-based weight information and advice during pregnancy.
The aim of this study was to summarize the literature assessing GWG discussions between patients and their HCPs in a clinical setting to better understand the knowledge that is currently being exchanged.
A literature review was conducted by searching Ovid Medline, CINAHL, and Embase databases. All relevant primary research articles in English that assessed GWG discussions were included, whereas intervention studies were excluded.
A total of 54 articles were included in this review. Although the overall prevalence and content of GWG counseling varied between studies, counseling was often infrequent and inaccurate. Healthcare providers tended to focus more on women experiencing obesity and excessive GWG, as opposed to the other body mass index categories or inadequate GWG. Women of higher socioeconomic status, older age, nulliparous, history of dieting, low physical activity, and those categorized as overweight/obese were more likely to receive GWG advice. Patients also reported receiving conflicting facts between different HCP disciplines.
The evidence regarding GWG counseling in prenatal care remains variable, with discrepancies between geographic regions, patient populations, and HCP disciplines.
Healthcare providers should counsel their pregnant patients on GWG with advice that is concordant with the Institute of Medicine Guidelines.
妊娠体重增加（GWG）是健康妊娠的一个独立且可改变的因素。研究表明，体重增加超过或低于医学研究所指南会对母婴健康产生影响（例如，妊娠糖尿病、高血压、下游肥胖）。医疗保健提供者（HCP）有可能在怀孕期间成为基于证据的体重信息和建议的可靠来源。
本研究旨在总结评估患者与 HCP 在临床环境中进行 GWG 讨论的文献，以更好地了解目前正在交流的知识。
通过搜索 Ovid Medline、CINAHL 和 Embase 数据库进行文献回顾。纳入了所有评估 GWG 讨论的相关英文原始研究文章，而排除了干预研究。
本综述共纳入 54 篇文章。尽管研究之间 GWG 咨询的总体流行率和内容存在差异，但咨询往往不频繁且不准确。医疗保健提供者往往更关注肥胖和 GWG 过多的女性，而不是其他体重指数类别或 GWG 不足的女性。社会经济地位较高、年龄较大、初产妇、有节食史、身体活动水平较低以及被归类为超重/肥胖的女性更有可能获得 GWG 建议。患者还报告说，不同 HCP 学科之间存在相互矛盾的事实。
产前保健中关于 GWG 咨询的证据仍然存在差异，存在地域差异、患者人群差异和 HCP 学科差异。
医疗保健提供者应为其孕妇患者提供与医学研究所指南一致的 GWG 咨询建议。
