Abstract：
BACKGROUND:little is known of the impact of gestational weight gain (GWG) in relation to Body Mass Index (BMI) classification on perinatal outcomes in healthy pregnant women without co-morbidities. As a first step, the prevalence of obesity and the distribution of GWG in relation to the Institute of Medicine (IOM) 2009 guidelines for GWG were examined. METHODS:data from a prospective cohort study of - a priori - low risk, pregnant women from five midwife-led practices (n=1449) were analysed. Weight was measured at 12, 24 and 36 weeks. FINDINGS:at 12 weeks, 1.4% of the women were underweight, 53.8% had a normal weight, 29.6% were overweight, and 15.1% were obese according to the WHO classification of BMI. In our study population, 60% of the women did not meet the IOM recommendations: 33.4% had insufficient GWG and 26.7% gained too much weight. Although BMI was negatively correlated to total GWG (p<.001), overweight and obese women class I had a significant higher risk of exceeding the IOM guidelines. Normal weight women had a significantly higher risk of gaining less weight than recommended. Obese women classes II and III were at risk in both over- and undergaining. CONCLUSIONS:our data showed that the majority of women were unable to stay within recommended GWG ranges without additional interventions. The effects on pregnancy and health outcomes of falling out the IOM guidelines remain unclear for - a priori - low risk women. Since interventions to control GWG would have considerable impact on women and caregivers, harms and benefits should be well-considered before implementation.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Daemers DO,Wijnen HA,van Limbeek EB,Budé LM,de Vries RGdoi
10.1016/j.midw.2012.04.012subject
Has Abstractpub_date
2013-05-01 00:00:00pages
535-41issue
5eissn
0266-6138issn
1532-3099pii
S0266-6138(12)00066-6journal_volume
29pub_type
杂志文章相关文献
MIDWIFERY文献大全abstract：OBJECTIVE:This study aims to understand paternal involvement within the six-month postpartum period to identify the challenges and needs of Singaporean fathers. DESIGN:The study used a descriptive qualitative design. SETTING AND PARTICIPANTS:This research is a follow-up study of 50 first-time and experienced fathers ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2018.12.003
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:to compare the labour and birth experiences of women who delivered at home without complications with the experiences of women who delivered in a birth centre without complications. DESIGN:a descriptive study using postal questionnaires at 1-6 months after birth of a consecutive sample of postpartum women. ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2005.12.004
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:To describe the views of women using one team midwifery scheme and compare them with women using more traditional models of midwifery care. DESIGN:Postal and interview survey of 1482 consecutive women delivering over a six-month period. SETTING:Hospital and community in the South-East of England. SAMPLES:T...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1054/midw.1999.0189
更新日期：2000-03-01 00:00:00
abstract：BACKGROUND:in Western countries, caesarean section rates are increasing at an alarming rate. This trend has implications for women׳s health and calls into question the use of pathogenesis to frame maternity services. The theory of salutogenesis offers an alternative as it focuses on health rather than illness. Sense of...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2015.11.017
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:to assess the association between non-clinical factors and the incidence of caesarean section (CS); to estimate the effect of a prenatal instructor's presence during childbirth on birth outcome (vaginal or CS). DESIGN:cross-sectional study from a register of women who attended prenatal classes. Multivariate ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2004.04.002
更新日期：2004-12-01 00:00:00
abstract：:The policies which exist to monitor the passage of neonatal stool vary between and within hospitals. When stool colour is required, the recorded observations are invariably subjective opinions and as such are largely unreliable. The development of a stool colour comparator allowed an objective test to be used by profe...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/0266-6138(93)90040-y
更新日期：1993-03-01 00:00:00
abstract：AIMS:To improve the confidence in student Midwives to provide bereavement careto parents following pregnancy loss and perinatal death. BACKGROUND:The one-day interactive Educational Training Workshop in Bereavement Care (ETWBC) was developed for student midwives in their final year of their B.Sc. Midwifery Degree Prog...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2018.06.026
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVE:to explore whether choices in birthing positions contributes to women's sense of control during birth. DESIGN:survey using a self-report questionnaire. Multiple regression analyses were used to investigate which factors associated with choices in birthing positions affected women's sense of control. SETTING...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.12.007
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVE:to report findings from a study performed prior to the introduction of publicly funded home birth programmes in Victoria, Australia, that investigated the incidence of planned home births attended by paramedics and explored the clinical support they provided as well as the implications for education and pract...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2016.02.007
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:to provide a thematic overview of the existing literature on existential meaning-making related to transition to motherhood among mothers of full term born babies in Western oriented countries and to discuss the themes from a existential psychology perspective. DESIGN:the review follows the approach of a sco...
journal_title：Midwifery
pub_type： 杂志文章,评审
doi：10.1016/j.midw.2013.06.021
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:to gain a deeper understanding of the experiences of childbearing in women with intellectual disabililty (ID). DESIGN/SETTING:ten women with ID, who had given birth within seven years, were interviewed twice and data were analysed with content analysis. FINDINGS:the overarching theme was: Struggling for mot...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.06.014
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVE:To gain an understanding of the knowledge, perceptions and experiences of using contraceptive methods among Turkish withdrawal users. DESIGN:Population-based, cross-sectional and descriptive study using a questionnaire conducted face to face. SETTING:Women who live in the Number 6 primary health unit area i...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2005.04.001
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVE:To explore barriers and facilitators for midwives working in a midwifery continuity of carer model, and to assess if an educational intervention could help address some of these barriers, designed to help achieve NHS England's target of majority of women receiving midwifery continuity of carer by March 2021. ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2020.102733
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVE:this analysis aims to explore midwives' insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. DESIGN:a qualitative study using in-depth interviews was conducted with 12 village midwives ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2017.07.014
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:birth plans detailing a woman׳s preferences for intrapartum care are a common feature in British maternity units, and are a means of encouraging the implementation of choice. Proforma versions may be incorporated routinely in antenatal case notes, or the woman may devise her own unique birth plan. Although w...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2014.03.004
更新日期：2014-07-01 00:00:00
abstract：:Every year 85,000 women die from obstructed labour and many many more lose their baby and have debilitating physical damage as a result. In this paper the extent of the problem is described. Methods by which obstructed labour can be prevented are given. Early detection and prompt referral for appropriate treatment are...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/s0266-6138(05)80060-9
更新日期：1992-03-01 00:00:00
abstract：OBJECTIVE:to gain insight into women's experiences and preferences for induction in the home as part of a trial investigating the feasibility and acceptability of outpatient induction of labour with remote monitoring. DESIGN:a qualitative study using semi-structured individual interviews. Interview transcripts were su...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.01.014
更新日期：2013-04-01 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:The novel coronavirus outbreak has caused substantial changes in societal norms as well as adjustments in health systems worldwide. To date the impact of these pandemic-related variations has yet to be fully understood also in the field of maternal health for which continuity of care is a pro...
journal_title：Midwifery
pub_type： 杂志文章,评审
doi：10.1016/j.midw.2020.102916
更新日期：2020-12-26 00:00:00
abstract：OBJECTIVE:To ascertain the views of midwives, obstetricians and general practitioners (GPs) on possible changes in the provision of antenatal care, and to describe any differences in attitude between the three professional groups. DESIGN:survey using postal questionnaire. SETTING:Three hospitals in south-east London....
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/0266-6138(95)90068-3
更新日期：1995-06-01 00:00:00
abstract：OBJECTIVE:to uncover local beliefs regarding pregnancy and birth in remote mountainous villages of Nepal in order to understand the factors which impact on women's experiences of pregnancy and childbirth and the related interplay of tradition, spiritual beliefs, risk and safety which impact on those experiences. DESIG...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2013.06.002
更新日期：2013-10-01 00:00:00
abstract：AIM:The aim of this exploratory qualitative analysis is to assess the perceptions of risks of cigarette and e-cigarette use during pregnancy. BACKGROUND:An important public health aim is a reduction of smoking at time of delivery (SATOD) from 10.6% to less than 6% by 2022 in the United Kingdom (UK). In order to succes...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2020.102917
更新日期：2020-12-26 00:00:00
abstract：OBJECTIVE:to describe young women's perceptions of being asked questions by midwives or doctors pertaining to sexuality and sexual abuse in connection with visits for gynaecological examination. DESIGN:a qualitative study. Data comprised responses to open-ended questions in a questionnaire and were analysed by qualita...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2009.06.008
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:to explore the attitudes of first-time mothers towards antenatal education from the perspective of attenders and non-attenders. DESIGN:a qualitative approach was utilised using focus group interviews to collect the data. SETTING:the study was conducted in one local health office area of the Health Service E...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2008.06.005
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE:to explore written statements found in online discussion boards where parents currently expecting, or with previous experience of expecting, a child with a prenatally diagnosed congenital anomaly communicate about their emotional process from diagnosis to birth. DESIGN:cross-sectional qualitative study of me...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2017.02.010
更新日期：2017-05-01 00:00:00
abstract：:It is now recognised that 'eating for two' during pregnancy is not a sound practice. However, what should a pregnant woman eat? This article reviews firstly the available literature on the food intake of healthy women producing a healthy baby, and secondly the literature on the calculation of needs from what is known ...
journal_title：Midwifery
pub_type： 杂志文章,评审
doi：10.1016/s0266-6138(05)80153-6
更新日期：1990-06-01 00:00:00
abstract：:This commentary discusses the 10th Step of the Baby-Friendly Hospital Initiative (BFHI), the only step that goes beyond the hospital to provide for the mother to receive breast-feeding support after she returns to the community. The reasons why such support is needed, and how this support has been provided in differen...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2015.06.006
更新日期：2015-09-01 00:00:00
abstract：:Saving women's lives with cost-quality effective midwifery care is based on sound pre-service and ongoing education. Effective midwifery education requires competent, caring, and compassionate teachers. In this paper, I address the basic competencies required of midwives who teach others to be midwives. These competen...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1054/midw.2002.0329
更新日期：2002-12-01 00:00:00
abstract：AIM:This study aims to explore the experiences of bereavement after stillbirth of Pakistani, Bangladeshi and White British mothers in a town with multi-ethnic populations in England. PARTICIPANTS:A purposive sample of Pakistani, Bangladeshi and White British mothers aged over 16 (at time of infant birth), who suffered...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2020.102833
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:parenting during infancy is highly problematic for Chinese primiparous women. As an important determinant of good parenting, maternal self-efficacy (MSE) should be paid more attention by researchers. At present, the limitations of previous research about MSE during infancy are that the factors which influenc...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2017.12.022
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:within childbirth there is a common and widely known explanation of labour and birth which describes and defines the birth process as stages and phases. The aim of this research was to determine whether the discourse of labour as stages and phases resonated with women who had experienced spontaneous labour a...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.07.001
更新日期：2013-01-01 00:00:00
