Perinatal Outcomes Compared in Hispanic Women with Normal and High Weight

2.50
Hdl Handle:
http://hdl.handle.net/10755/147755
Type:
Presentation
Title:
Perinatal Outcomes Compared in Hispanic Women with Normal and High Weight
Abstract:
Perinatal Outcomes Compared in Hispanic Women with Normal and High Weight
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Roux, Gayle, PhD, RN, NP-C
P.I. Institution Name:Loyola University Chicago
Co-Authors:Brian Higgerson, PhD, RN, NP-C
[Scientific session research presentation] Background and Purpose. Improving perinatal outcomes is a U.S. and global health initiative. In 1990, the Institute of Medicine (IOM) recommended ranges for prenatal weight gain with the goal of improving infant birth weight. Critics have argued the IOM recommendations are unlikely to improve perinatal outcomes and are not based on research. Literature suggests that overweight women have more complicated deliveries and poorer perinatal outcomes. There is a paucity of research in underrepresented populations and Hispanic women regarding pregnancy outcomes. The purpose of this study was to examine the relationship between pregravid weight, gestational weight gain, and selected birth outcomes in Hispanic women. Design and Methodology. A descriptive, comparative design examining the relationship of pregravid weight, gestational weight gain, and birth outcomes among 100 normal pregravid weight women and 100 high pregravid weight women was completed. IOM guidelines for weight were used to define the groups. Prenatal and hospital delivery records of Hispanic women who delivered singletons were the data source.  Multiple regression and Chi-Square analysis were done. Results. High pregravid weight women were more likely to have gestational diabetes (p = .042), unplanned cesarean deliveries (p = .031), and forceps were used to assist deliveries (p = .04) compared to normal pregravid women. Infants of high-pregravid weight women were more likely to weigh 4000 grams or more (p = .036).  A subgroup of high pregravid weight women who lost or gained no weight during pregnancy were significantly more likely to deliver small gestational age infants (p = .042) compared with high pregravid weight women who gained weight.  Implications. This study supports the current IOM recommendations. Given that Hispanic women are at risk for being overweight, proper nutrition and IOM recommended weight gain may improve perinatal outcomes. Enhancing outcomes for women and infants is a global health priority.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePerinatal Outcomes Compared in Hispanic Women with Normal and High Weighten_GB
dc.identifier.urihttp://hdl.handle.net/10755/147755-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Perinatal Outcomes Compared in Hispanic Women with Normal and High Weight</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Roux, Gayle, PhD, RN, NP-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loyola University Chicago</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">groux@luc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Brian Higgerson, PhD, RN, NP-C</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Background and Purpose. Improving perinatal outcomes is a U.S. and global health initiative. In 1990, the Institute of Medicine (IOM) recommended ranges for prenatal weight gain with the goal of improving infant birth weight. Critics have argued the IOM recommendations are unlikely to improve perinatal outcomes and are not based on research. Literature suggests that overweight women have more complicated deliveries and poorer perinatal outcomes. There is a paucity of research in underrepresented populations and Hispanic women regarding pregnancy outcomes. The purpose of this study was to examine the relationship between pregravid weight, gestational weight gain, and selected birth outcomes in Hispanic women. Design and Methodology. A descriptive, comparative design examining the relationship of pregravid weight, gestational weight gain, and birth outcomes among 100 normal pregravid weight women and 100 high pregravid weight women was completed. IOM guidelines for weight were used to define the groups. Prenatal and hospital delivery records of Hispanic women who delivered singletons were the data source.&nbsp; Multiple regression and Chi-Square analysis were done. Results. High pregravid weight women were more likely to have gestational diabetes (p = .042), unplanned cesarean deliveries (p = .031), and forceps were used to assist deliveries (p = .04) compared to normal pregravid women. Infants of high-pregravid weight women were more likely to weigh 4000 grams or more (p = .036).&nbsp; A subgroup of high pregravid weight women who lost or gained no weight during pregnancy were significantly more likely to deliver small gestational age infants (p = .042) compared with high pregravid weight women who gained weight. &nbsp;Implications. This study supports the current IOM recommendations. Given that Hispanic women are at risk for being overweight, proper nutrition and IOM recommended weight gain may improve perinatal outcomes. Enhancing outcomes for women and infants is a global health priority.</td></tr></table>en_GB
dc.date.available2011-10-26T09:35:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:35:58Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.