Obstetrical Healthcare Providers' Knowledge of the 2009 IOM Guidelines for Weight Gain in Pregnancy; Clinical Integration and Implications

2.50
Hdl Handle:
http://hdl.handle.net/10755/621142
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Obstetrical Healthcare Providers' Knowledge of the 2009 IOM Guidelines for Weight Gain in Pregnancy; Clinical Integration and Implications
Author(s):
Steinfeld, Beth
Lead Author STTI Affiliation:
Non-member
Author Details:
Beth R. Steinfeld, DNP, WHNP-BC
Abstract:

Purpose: More than 35.8% of the US population is obese; 45% of pregnant women are overweight and thus, are at risk for numerous negative perinatal outcomes. Healthcare providers are faced with the challenges of having adequate educational preparation to help obese clients limit weight gain to comply with the recommended amount of gestational weight. Consistent integration of weight management interventions into their practice with obese clients will help address this clinical dilemma. In response to this problem, in 2009, the IOM reexamined their guidelines for weight gain in pregnancy and issued new and more stringent guidelines for weight gain for obese women, lowering the recommendations to 11-20 pounds.

Methodology: A descriptive design was used. A convenience sample of 41 obstetrical health care providers in a large medical center in New York City was surveyed using a 2 part questionnaire. A demographic questionnaire and a 26 item tool Nutrition for Obstetric Patients Clinician Questionnaire were used to measure the providers' knowledge and clinical integration of the IOM 2009 Guidelines for Weight Gain for Pregnancy. A one sample T test was used to analyze the data.

Results: There was no statistically significant difference between the IOM 2009 Guidelines and the respondents' response to the lower limit of weight gain. The respondents reported using the lower 11 lb weight gain limit with their clients but did not use the upper limit. There was a +4.47 lb statistically significant difference between the respondents' responses and the 20 lb upper limit of the IOM 2009 guidelines. The intervention most frequently reported by 37% of respondents was that they 'almost always' discussed the client's diet. The intervention most frequently reported as 'almost never' by 32% of the respondents was to refer the client to the nutritionist. No single intervention was consistently reported as being integrated into practice 'almost always' by all of the respondents. Obstetrical healthcare providers must be knowledgeable about the 2009 IOM guidelines and confident in their ability to integrate them if they are to assist their client to achieve optimal gestational weight gain and thus reduce the complications of obesity in pregnancy.

Keywords:
prenatal weight gain; OB providers' knowledge; 2009 IOM Recommendations
Repository Posting Date:
7-Nov-2016
Date of Publication:
7-Nov-2016
Conference Date:
2016
Conference Name:
19th Annual NPWH Premier Women's Healthcare Conference
Conference Host:
Nurse Practitioners in Women's Health
Conference Location:
New Orleans, Louisiana, USA

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleObstetrical Healthcare Providers' Knowledge of the 2009 IOM Guidelines for Weight Gain in Pregnancy; Clinical Integration and Implicationsen
dc.contributor.authorSteinfeld, Bethen
dc.contributor.departmentNon-memberen
dc.author.detailsBeth R. Steinfeld, DNP, WHNP-BCen
dc.identifier.urihttp://hdl.handle.net/10755/621142-
dc.description.abstract<p>Purpose: More than 35.8% of the US population is obese; 45% of pregnant women are overweight and thus, are at risk for numerous negative perinatal outcomes. Healthcare providers are faced with the challenges of having adequate educational preparation to help obese clients limit weight gain to comply with the recommended amount of gestational weight. Consistent integration of weight management interventions into their practice with obese clients will help address this clinical dilemma. In response to this problem, in 2009, the IOM reexamined their guidelines for weight gain in pregnancy and issued new and more stringent guidelines for weight gain for obese women, lowering the recommendations to 11-20 pounds. </p> <p>Methodology: A descriptive design was used. A convenience sample of 41 obstetrical health care providers in a large medical center in New York City was surveyed using a 2 part questionnaire. A demographic questionnaire and a 26 item tool Nutrition for Obstetric Patients Clinician Questionnaire were used to measure the providers' knowledge and clinical integration of the IOM 2009 Guidelines for Weight Gain for Pregnancy. A one sample T test was used to analyze the data.</p> <p>Results: There was no statistically significant difference between the IOM 2009 Guidelines and the respondents' response to the lower limit of weight gain. The respondents reported using the lower 11 lb weight gain limit with their clients but did not use the upper limit. There was a +4.47 lb statistically significant difference between the respondents' responses and the 20 lb upper limit of the IOM 2009 guidelines. The intervention most frequently reported by 37% of respondents was that they 'almost always' discussed the client's diet. The intervention most frequently reported as 'almost never' by 32% of the respondents was to refer the client to the nutritionist. No single intervention was consistently reported as being integrated into practice 'almost always' by all of the respondents. Obstetrical healthcare providers must be knowledgeable about the 2009 IOM guidelines and confident in their ability to integrate them if they are to assist their client to achieve optimal gestational weight gain and thus reduce the complications of obesity in pregnancy. </p>en
dc.subjectprenatal weight gainen
dc.subjectOB providers' knowledgeen
dc.subject2009 IOM Recommendationsen
dc.date.available2016-11-07T20:41:51Z-
dc.date.issued2016-11-07-
dc.date.accessioned2016-11-07T20:41:51Z-
dc.conference.date2016en
dc.conference.name19th Annual NPWH Premier Women's Healthcare Conferenceen
dc.conference.hostNurse Practitioners in Women's Healthen
dc.conference.locationNew Orleans, Louisiana, USAen
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