Navigation Links
Prenatal Healthcare Providers Inconsistent In Weight Gain Counseling

A new study from UCSF shows that prenatal health care professionals are concerned about patients’ excessive weight gain during pregnancy but have difficulty providing effective counseling.

(Vocus) March 24, 2010 -- A new study from UCSF shows that prenatal health care professionals are concerned about patients’ excessive weight gain during pregnancy but have difficulty providing effective counseling.

Rates of excessive weight gain during pregnancy, which is associated with short- and long-term adverse health outcomes for mothers and children, have increased in the United States according to the researchers. Health care providers agree that weight gain is an important topic to broach with pregnant women, yet the researchers identified inconsistent counseling styles among clinicians as well as barriers preventing doctors and nurses from discussing the issue. Barriers include insufficient training, concern about the sensitivity of the topic and the perception that counseling is ineffective.

Study findings will be reported in the April 2010 issue of the Journal of Women’s Health and are available online this month at

“Clinicians in the study raised concerns about shaming or stressing pregnant women, and often wait for patients to raise the question of proper weight gain. Many providers – especially physicians – also said they lacked education in weight management issues,” said Naomi E. Stotland, MD, lead author of the study and assistant professor in the UCSF Department of Obstetrics, Gynecology, and Reproductive Sciences.

The Institute of Medicine’s (IOM) guidelines for weight gain during pregnancy are widely accepted by professional medical organizations. However, several providers said they did not proactively share the ranges with patients. Another clinician intentionally advised weight gain above the guidelines to avoid causing the patient anxiety and another thought the IOM weight gain guidelines are too high.

Of more than four million births annually in the United States, nearly 60 percent of mothers begin pregnancy either overweight or obese, so prenatal care may be an opportune time for healthcare providers to help women make positive lifestyle changes in nutrition and physical activity that affect weight, Stotland said.

During pregnancy, perhaps unlike any other time in a woman's life, most women see a healthcare provider frequently to receive prenatal care. Pregnant women may be especially motivated to make lifestyle changes out of concern for the health of their offspring.

“It is important to identify new tools that will enable clinicians to more easily and effectively counsel pregnant woman so that together they can determine strategies to achieve the healthiest weight for that individual,” Stotland said. “I also would encourage women to initiate the conversation if their doctors are not raising the topic of weight gain.”

“Simple messages from clinicians to patients about nutrition and physical activity during pregnancy have been shown to have an important positive impact on patient behaviors. We encourage clinicians to take this opportunity to improve the health of their patients. Every pregnant woman has the potential to leave pregnancy in better health than when she began pregnancy,” according to Barbara Gerbert, PhD, senior author of the study and professor in the Division of Behavioral Sciences, Professionalism, and Ethics, UCSF School of Dentistry.

The researchers conducted seven focus groups with a total of 52 participants from the San Francisco Bay Area. Obstetrician/gynecologists comprised three groups, and there were two groups each of certified nurse midwives and nurse practitioners.

Other authors include Paul Gilbert, ScM, and Alyssa Bogetz, BS, of the Division of Behavioral Sciences, Professionalism, and Ethics, UCSF School of Dentistry; Cynthia C. Harper, PhD, of the UCSF Department of Obstetrics, Gynecology, and Reproductive Sciences; and Barbara Abrams, PhD, of the Division of Epidemiology, School of Public Health, University of California, Berkeley.

UCSF is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.

Media Contact:
Karin Rush-Monroe
UCSF News Office
(415) 476-2557


Read the full story at

Source: PRWeb
Copyright©2010 Vocus, Inc.
All rights reserved  

Related medicine news :

1. Prenatal Stress May Boost Babys Asthma Risk
2. HAPPYBABY Unveils Partners Prenatal Instructional Yoga DVD
3. UM School of Medicine finds prenatal cocaine exposure not severely damaging to growth, learning
4. Good Parenting Triumphs Over Prenatal Stress
5. Mount Sinai finds prenatal exposure to certain chemicals affects childhood neurodevelopment
6. Prenatal exposure to flame-retardant compounds affects neurodevelopment of young children
7. GOOOH Declares Disgust With the Politics of Healthcare
8. Cinergy Health Commentary on House Healthcare Bill
9. Employer Healthcare Costs Jump 7.3% in 2009, According to Thomson Reuters Study
10. Rep. Fattah Says Healthcare Reform Will Work, But Get Ready for Nonsensical Talk About Repeal
11. Rep. Fattah Says Small Businesses in Philadelphia Are Big Winners in Todays Healthcare Reform
Post Your Comments:
Related Image:
Prenatal Healthcare Providers Inconsistent In Weight Gain Counseling
(Date:11/29/2015)... ... , ... Khanna Vision Institute based in Los Angeles, announced that Dr. Khanna ... Peer Certification by the Board is done so the public knows that the Doctor ... after the completion of three years of training or Residency in Ophthalmology. This is ...
(Date:11/29/2015)... ... , ... Key Housing, a top-rated corporate housing service for the San Jose ... Epic. In showcasing this featured apartment community in San Jose, Key Housing is helping ... efficiently find housing suitable to their needs by showcasing quality housing. , “San Jose ...
(Date:11/28/2015)... ... 2015 , ... Pixel Film Studios is back again with ProPanel: Pulse ... are endless. Users have full control over angle of view, speed method, start point, ... sure to get heads to turn. , ProPanel: Pulse offers fully customizable pulsating shape ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... ... affecting the health care in America. As people age, more care is needed, ... costs are rising, and medical professionals are being overworked. The forgotten part of ...
(Date:11/27/2015)... ... November 27, 2015 , ... ... 27th edition of USA Today in Atlanta, Dallas, New York, Minneapolis, South Florida, ... The digital component is distributed nationally, through a vast social media strategy and ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... , November 26, 2015 ... --> adds "Global Repaglinide ... "Investigation Report on China Repaglinide Market, ... forecasts data and information to its ... . --> ...
(Date:11/26/2015)... , Nov. 26, 2015 Research and ... of the "2016 Future Horizons and Growth ... Market: Supplier Shares, Country Segment Forecasts, Competitive Intelligence, ... --> --> ... of the Italian therapeutic drug monitoring market, including ...
(Date:11/26/2015)... DUBLIN , November 26, 2015 ... has announced the addition of the  ... in the European Cell Surface Marker ... Emerging Opportunities"  report to their offering.  ... announced the addition of the  "2016 ...
Breaking Medicine Technology: