University of Newcastle, Faculty of Health and Medicine, School of Nursing and Midwifery, University Drive, Callaghan, NSW, 2308, Australia; University of Newcastle, Faculty of Health and Medicine, School of Medicine and Public Health, University Drive, Callaghan, NSW, 2308, Australia; Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia; University of Newcastle, Priority Research Centre for Health Behaviour, Australia.
University of Canberra, ACT Government Health Directorate, Australia.
Women Birth. 2020 Mar;33(2):119-124. doi: 10.1016/j.wombi.2019.05.014. Epub 2019 Jun 12.
Inadequate or excessive gestational weight gain is associated with both short and long-term adverse maternal and infant health outcomes. The practice of routine maternal weight monitoring has been suggested as an effective health promotion intervention, both as a screening tool for adverse maternal and infant outcomes and as a weight management strategy for addressing gestational weight gain.
The effectiveness of routine maternal weighing as part of maternity care has been debated for more than 30 years. The National Health and Medical Research Council of Australia have recently revised their pregnancy care clinical practice guidelines recommending maternal weight monitoring (clinician and/or self-weighing) be reintroduced into clinical practice. This paper presents a timely discussion of the topic that will contribute new insights to the debate.
Weight gain in pregnancy is complex. Evaluation of the translation, implementation, acceptability and uptake of the newly revised guidelines is warranted, given that evidence on the practice remains inconclusive. Future research exploring social ecological interventions to assist pregnant women achieve optimal gestational weight gains are suggested to expand the evidence base.
妊娠体重增加不足或过多与母婴短期和长期不良健康结局都有关。常规监测产妇体重的做法被认为是一种有效的健康促进干预措施，既可以作为筛查母婴不良结局的工具，也可以作为管理妊娠体重增加的体重管理策略。
30 多年来，人们一直在争论常规产妇称重作为产时护理的一部分的有效性。澳大利亚国家卫生和医学研究委员会最近修订了他们的妊娠护理临床实践指南，建议重新引入产妇体重监测（临床医生和/或自我称重）。本文及时地讨论了这个话题，为这一争论提供了新的见解。
妊娠期间的体重增加是复杂的。鉴于该实践的证据仍不明确，有必要评估新修订指南的翻译、实施、可接受性和采用情况。建议开展探索社会生态干预措施以帮助孕妇实现最佳妊娠体重增加的未来研究，以扩大证据基础。
