Dolatian Mahrokh, Sharifi Nasibeh, Mahmoodi Zohreh, Fathnezhad-Kazemi Azita, Bahrami-Vazir Elahe, Rashidian Tayebeh
Department of Midwifery and Reproductive Health School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences Tehran Iran.
Department of Midwifery School of Nursing & Midwifery Ilam University of Medical Sciences Ilam Iran.
Nurs Open. 2020 Jun 17;7(5):1568-1577. doi: 10.1002/nop2.539. eCollection 2020 Sep.
Weight gain during pregnancy is an important indicator in the prediction of morbidity and mortality in infants and mothers. This study aimed to determine the association factors for weight gain during pregnancy.
A longitudinal study.
A total of 734 women were selected using multistage cluster sampling. Data were collected using demographic and midwifery questionnaires, economic and social status, psychological factors, domestic violence, perceived social support and food insecurity.
Of participants 28.7%, 49.6% and 21.7%, respectively, received insufficient, adequate and excessive weight gain in pregnancy respectively. Among health determinants entered in the model, mother's age, prepartum body mass index and direct and indirect prenatal care, size of households, food insecurity, stress, anxiety, stress and pregnancy-specific stress as well as violence had a positive and increasing effect on weight gain during pregnancy.
Considering the effect of inappropriate weight gain during pregnancy on undesirable pregnancy outcomes, related factors such as nutritional status, stress and depression in prenatal care should be assessed. Healthcare providers should consult, educate pregnant women.
孕期体重增加是预测母婴发病率和死亡率的重要指标。本研究旨在确定孕期体重增加的相关因素。
一项纵向研究。
采用多阶段整群抽样法共选取734名女性。通过人口统计学和助产问卷、经济和社会状况、心理因素、家庭暴力、感知到的社会支持和粮食不安全状况收集数据。
参与者中，分别有28.7%、49.6%和21.7%的人孕期体重增加不足、适宜和过多。在纳入模型的健康决定因素中，母亲年龄、产前体重指数以及直接和间接产前护理、家庭规模、粮食不安全、压力、焦虑、应激和特定孕期应激以及暴力对孕期体重增加有正向且递增的影响。
考虑到孕期体重增加不当对不良妊娠结局的影响，应评估产前护理中营养状况、压力和抑郁等相关因素。医疗保健提供者应向孕妇提供咨询和教育。
