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Background: There are no guidelines on gestational weight gain (GWG) in the UK although excess gain may increase the risk of postpartum obesity Siega-Riz et al. [1]. The present study aims to explore pregnant women’s knowledge of GWG and information received, using data from the managing weight gain in pregnancy (MAGIC) study, a longitudinal study investigating the knowledge, attitude, experience and expectation of women during and after pregnancy relating to their body weight and the factors that influence GWG. Methods: 70 participants were recruited for this cross-sectional study through the MAGIC study. Ethical approval was obtained by the East Midlands-Northampton Research Ethic committee and the R&D department at Nottingham University Hospital NHS Trust. Pregnant women able to read English of all ethnicities, socio-demographic backgrounds and body weights, ≥18 years were recruited at 12 or 20 week antenatal clinics. A questionnaire set was developed requiring quantitative and qualitative responses, where possible using validated questions. Women’s height and weight were recorded on the day of recruitment. Chi-squared analysis was used to compare women’s expectation of weight change during pregnancy against their BMI classification, the number of women who weighed themselves during pregnancy against their BMI classification and to compare the BMI classifications of women who received advice. The level of expectation of weight change and the women’s ages were compared using a Mann-Whitney U-test. Results: Mean BMI (SD) of participants=26.4kg/m2 (5.9). 97.7% of participants reported being weighed by a healthcare professional (HCP) during their pregnancy. No significant difference was found between level of expectation of weight gain and BMI (p=0.479), level of expectation and previous pregnancies (p=0.093) or expectation and women’s age (p=0.484). No significant difference was found between self-weighing and BMI (p=0.060). 17.1% of women reported receiving advice on body weight from a HCP during pregnancy, no significant difference was found between receiving advice and BMI (p=0.616). Discussion: Overall the results show that most women don’t have a clear expectation of how their weight will change during pregnancy regardless of age, BMI and previous pregnancies and do not receive advice on body weight from HCPs. Pregnancy is seen as a receptive time to provide women with advice and a lack of advice on body weight from HCPs has been linked to a lack of concern from pregnant women Olander et al. [2]. Although no specific weight gain guidelines exist in the UK, the Centre for Maternal and Child Enquiries (CMACE) recommends that all obese pregnant women should be provided with information about the risks associated with obesity in pregnancy and how they may be minimised, CMACE/RCOG [3]. In the current study, 33 women, who were overweight or obese, reported they did not receive advice on weight management, suggesting recommendations are not being followed. Conclusion: Most women did not have a clear expectation of weight change during pregnancy and although most are weighed by a healthcare professional they don’t receive GWG advice. This could be a missed opportunity to provide information on body weight during pregnancy although without clear guidelines on GWG, HCPs are limited on what they should recommend.
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Objective: To observe the effect of acupoint catgut embedding therapy in treating postpartum obesity. Methods: According to the clinical standard, observing the effect of reducing weight through 120 postpartum obesity patients by the therapy of acupoint catgut embedding. Results: The follow-up observation showed that the result was satisfied. The total effective rate was 91.67%. Conclusion: The acupoint catgut embedding therapy played a positive role in reducing weight of the postpartum obesity patients. This therapy can achieve reducing weight well by enhancing the physical body, regulating endocrine, restraining appetite, and accelerating fat metabolism.
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OBJECTIVES: The purpose of this study was to evaluation the effect of administration of postpartumtonic agent(MMQ) on postpartum anemia during puerperal period, obesity control and uterine involution. SUBJECTS AND METHODS: From June 2002 to November 2002, twenty women who underwent spontaneous vaginal delivery at department of obstetrics and gynecology, college of medicine, Pochon CHA University ghopital were included in this study. All women were randomly assigned to receive postpartum tonic agent(MMQ, Albiomed Co.Ltd) or placebo two times a day after each meal for four weeks. They were assessed obesity test(BMI), hematologic examination(CBC, reticulocyte count), liver function test(AST/ALT) and ultrasound test at first day and 28th days after delivery. RESULTS: There was no statistically significant difference between the two group in demographic characteristics. No statistically significant difference were found in this study between the two group in hemoglobin, hematocrit, BMI and the size of uterus. There was no adverse effect to the tested drug. CONCLUSION: There was no significant difference in efficacy and safety between MMQ and placebo in the effect of postpartum anemia, obesity control and reduction of recovery perod. The following limitations have to be considered; Iron supplement, variable diet, seaweed ingestion, consumption of herb and small sample ize. Therefore, a extensive prospective study with control of these variables should be required.
Subject(s)
Female , Humans , Administration, Oral , Anemia , Diet , Eating , Gynecology , Hematocrit , Iron , Liver , Meals , Obesity , Obstetrics , Postpartum Period , Reticulocytes , Seaweed , Ultrasonography , UterusABSTRACT
BACKGROUND: This prospective study was performed to evaluate factors influencing weight changes pregnancy period and pospartum period. METHODS: A total of 195 women followed by prenatal care of the department of OBGY at Ajou University hospital, Suwon, Korea, between march, 1998 and march, 2000. Parity, activity, alcohol, smoking, age of menarche, and age of first and last pregnancy were recorded for prenatal information. Anthropometric measurements was checked at regular visits until 6 weeks after delivery and by telephone call at 6 months and 1 year postpartum. RESULTS: Mean age was 30.1 years old and mean body mass index was 21.1 kg/m2. Mean total weight gain during pregnancy was 13.6+/-4.63 kg and wide range was at third trimester. It shows that weight reduced gradually until 6 months postpartum but increased after that time. 1 year postpartum weight gain had high correlation(R=0.999, 0.01) with 6 months postpartum weight gain. Total pregnancy weight gain, weight retention on 6 week postpartum were not significantly correlated with 1 year postpartum weight gain. OR for becoming overweight on 1 year postpartum(> OR =5.2 kg) with excessive rate of gain on 6 months postpartum(> OR =2.9 kg) was 5.41(95% CI 2.20 13.31) adjusted by multiple logistic regression analysis(age, activity level, parity). OR for becoming overweight on 1 year postpartum with excessive rate of Total pregnancy weight gain(> OR =13.6 kg) was 4.48(95% CI 1.84 10.89) by multiple logistic regression analysis. CONCLUSION: 1 year postpartum weight gain had the correlation with only 6 months postpartum weight gain.