Timmerman Gayle M, Walker Lorraine O, Brown Charles E L
J Perinat Educ. 2017;26(2):70-78. doi: 10.1891/1058-1243.26.2.70.
To support optimal health outcomes during pregnancy, understanding obstetricians' (OBs) recommendations for and barriers to managing gestational weight gain (GWG) can benefit childbirth educators. This mailed survey examined OBs' practices ( = 63) for managing GWG along with perceived barriers. The most frequent recommendations were (a) increase activity (76.2%), (b) aerobic activity (63.5%), (c) patient education about weight management (61.9%), (d) increase fiber intake (61.3%), and (e) use of guidelines for weight gain (58.7%). Self-tracking weight gain charts were the least used. Greatest barriers to GWG management were (a) patients not interested in changing behavior (77.8%), (b) high relapse rates (66.7%), (c) lack of community resources (60.3%), (d) patients cannot afford referrals (58.7%), and (e) lack of time (53.9%).
为了在孕期支持实现最佳健康结果，了解产科医生对于管理孕期体重增加（GWG）的建议及障碍，对分娩教育工作者会有所帮助。这项邮寄调查研究了63位产科医生管理GWG的做法以及他们察觉到的障碍。最常见的建议是：（a）增加活动量（76.2%），（b）进行有氧运动（63.5%），（c）对患者进行体重管理教育（61.9%），（d）增加纤维摄入量（61.3%），以及（e）遵循体重增加指南（58.7%）。自我追踪体重增加图表的使用最少。管理GWG的最大障碍是：（a）患者对改变行为不感兴趣（77.8%），（b）复发率高（66.7%），（c）缺乏社区资源（60.3%），（d）患者负担不起转诊费用（58.7%），以及（e）时间不足（53.9%）。
