Implementation of gestational weight gain guidelines - what's more effective for ensuring weight recording in pregnancy?

Abstract:

BACKGROUND:Pregnant women who gain weight in accordance with guidelines have the lowest risk of pregnancy and birth-related complications. However, evidence-practice gaps often exist. To address pregnancy weight management barriers, a stepped implementation science approach was used, comprising targeted in-services, provision of scales for clinic rooms, and changes to routine weight recording in a hospital electronic medical record. The aim of this study was to assess the cumulative influence of evidence-based interventions on staff's compliance to recording of antenatal weights. METHODS:Retrospective data analysis of weight recording over three 15-month cohorts across April 2014-December 2017. Variables calculated from data included: proportion of women with weight recorded at booking and proportion of women who had a weight recorded at each visit. Generalised estimating equation modelling was used to examine differences in weight recording compliance rates between cohorts, pre-pregnancy body mass index categories, model of care and clinicians. RESULTS:There were approximately 13,000 pregnancies in each cohort. The proportion of women who had a weight recorded at each visit per cohort differed significantly between cohorts from 4.2% (baseline), 18.9% (scales and in-services) to 61.8% (medical record prompts), p < 0.001. CONCLUSION:Significant improvements were achieved through systematic barrier analysis and subsequent mapping and implementation of appropriate and effective interventions. Improvements were observed across the entire service, in all models of care with all professional groups demonstrating increased recording of weights.

authors

Wilkinson S,Beckmann M,Donaldson E,McCray S

doi

10.1186/s12884-018-2162-x

subject

Has Abstract

pub_date

2019-02-12 00:00:00

pages

19

issue

1

issn

1471-2393

pii

10.1186/s12884-018-2162-x

journal_volume

19

pub_type

杂志文章
  • Caesarean section rates in Mozambique.

    abstract:BACKGROUND:The Caesarean section (C-section) rate is used as an indicator for availability and utilization of life-saving obstetric services. The purpose of the present study was to explore changes in C-section rates between 1995 and 2011 by area, place of delivery and maternal socioeconomic factors in Mozambique. MET...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0686-x

    authors: Long Q,Kempas T,Madede T,Klemetti R,Hemminki E

    更新日期:2015-10-12 00:00:00

  • Rare heterotopic pregnancy after frozen embryo transfer: a case report and literature review.

    abstract:BACKGROUND:Heterotopic pregnancy occurred after frozen embryo transfer with two D3 embryos, and the case had a history of bilateral salpingectomy due to salpingocyesis. An ectopic heterotopic pregnancy was implanted in the left psoas major muscle, which has not been previously reported. CASE PRESENTATION:A 33-year-old...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03214-1

    authors: Wang X,Ma D,Zhang Y,Chen Y,Zhang Y,Liu Z,Bi X,Wu X,Fan J

    更新日期:2020-09-17 00:00:00

  • Preterm birth and small for gestational age in relation to alcohol consumption during pregnancy: stronger associations among vulnerable women? Results from two large Western-European studies.

    abstract:BACKGROUND:Inconsistent data on the association between prenatal alcohol exposure and a range of pregnancy outcomes, such as preterm birth (PTB) and small for gestational age (SGA) raise new questions. This study aimed to assess whether the association between low-moderate prenatal alcohol exposure and PTB and SGA diff...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,meta分析

    doi:10.1186/1471-2393-13-49

    authors: Pfinder M,Kunst AE,Feldmann R,van Eijsden M,Vrijkotte TG

    更新日期:2013-02-22 00:00:00

  • Health may be compromised by social interactions depending on culture among postpartum Arab and Jewish Israeli women.

    abstract:BACKGROUND:Social support is generally perceived to facilitate health in postpartum women; however, previous research shows that this is not always true. Social interactions intended to provide support can be perceived as negative and in turn, may have negative impacts on maternal health. The purpose of the present stu...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03168-4

    authors: Puddister S,Ali-Saleh O,Cohen-Dar M,Baron-Epel O

    更新日期:2020-08-21 00:00:00

  • Maternal and health care workers' perceptions of the effects of exclusive breastfeeding by HIV positive mothers on maternal and infant health in Blantyre, Malawi.

    abstract:BACKGROUND:HIV-positive mothers are likely to exclusively breastfeed if they perceive exclusive breastfeeding (EBF) beneficial to them and their infants. Nevertheless, very little is known in Malawi about HIV-positive mothers' perceptions regarding EBF. In order to effectively promote EBF among these mothers, it is imp...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-247

    authors: Kafulafula UK,Hutchinson MK,Gennaro S,Guttmacher S

    更新日期:2014-07-25 00:00:00

  • Impact of the roll out of comprehensive emergency obstetric care on institutional birth rate in rural Nepal.

    abstract:BACKGROUND:Increasing institutional births rates and improving access to comprehensive emergency obstetric care are central strategies for reducing maternal and neonatal deaths globally. While some studies show women consider service availability when determining where to deliver, the dynamics of how and why institutio...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1267-y

    authors: Maru S,Bangura AH,Mehta P,Bista D,Borgatta L,Pande S,Citrin D,Khanal S,Banstola A,Maru D

    更新日期:2017-03-04 00:00:00

  • Explaining ecological clusters of maternal depression in South Western Sydney.

    abstract:BACKGROUND:The aim of the qualitative study reported here was to: 1) explain the observed clustering of postnatal depressive symptoms in South Western Sydney; and 2) identify group-level mechanisms that would add to our understanding of the social determinants of maternal depression. METHODS:Critical realism provided ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-47

    authors: Eastwood ED J,Kemp L,Jalaludin B

    更新日期:2014-01-24 00:00:00

  • The impact of tubal ectopic pregnancy in Papua New Guinea--a retrospective case review.

    abstract:BACKGROUND:Ectopic pregnancy (EP) is an important cause of morbidity and mortality amongst women of reproductive age. Tubal EP is well described in industrialised countries, but less is known about its impact in low-resource countries, in particular in the South Pacific Region. METHODS:We undertook a retrospective rev...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-86

    authors: Hamura NN,Bolnga JW,Wangnapi R,Horne AW,Rogerson SJ,Unger HW

    更新日期:2013-04-04 00:00:00

  • Cost-effectiveness of fibronectin testing in a triage in women with threatened preterm labor: alleviation of pregnancy outcome by suspending tocolysis in early labor (APOSTEL-I trial).

    abstract:BACKGROUND:At present, women with threatened preterm labor before 32 weeks of gestation are, after transfer to a perinatal center, treated with tocolytics and corticosteroids. Many of these women are treated unnecessarily. Fibronectin is an accurate predictor for the occurrence of preterm birth among women with threate...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2393-9-38

    authors: Vis JY,Wilms FF,Oudijk MA,Porath MM,Scheepers HC,Bloemenkamp KW,Bolte AC,Cornette J,Derks JB,Duvekot JJ,van Eyck J,Kwee A,Opmeer BC,van Pampus MG,Lotgering FK,Scherjon SA,Sollie KM,Spaanderman ME,Willekes C,van der

    更新日期:2009-09-01 00:00:00

  • The knowledge of danger signs of obstetric complications among women in rural India: evaluating an integrated microfinance and health literacy program.

    abstract:BACKGROUND:Maternal mortality can be prevented in low-income settings through early health care seeking during maternity complications. While health system reforms in India prioritised institutional deliveries, inadequate antenatal and postnatal services limit the knowledge of danger signs of obstetric complications to...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-021-03563-5

    authors: Ahmad D,Mohanty I,Hazra A,Niyonsenga T

    更新日期:2021-01-23 00:00:00

  • Inadequate fetal heart rate monitoring and poor use of partogram associated with intrapartum stillbirth: a case-referent study in Nepal.

    abstract:BACKGROUND:Newborns are at the greatest risk for dying during the intrapartum period, including labor and delivery, and the first day of life. Fetal heart rate monitoring (FHRM) and partogram use to track labor progress are evidence-based techniques that can help to identify maternal and fetal risk factors so that thes...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1034-5

    authors: Kc A,Wrammert J,Clark RB,Ewald U,Målqvist M

    更新日期:2016-08-19 00:00:00

  • Geophagy practices and the content of chemical elements in the soil eaten by pregnant women in artisanal and small scale gold mining communities in Tanzania.

    abstract:BACKGROUND:Geophagy, a form of pica, is the deliberate consumption of soil and is relatively common across Sub-Saharan Africa. In Tanzania, pregnant women commonly eat soil sticks sold in the market (pemba), soil from walls of houses, termite mounds, and ground soil (kichuguu). The present study examined geophagy pract...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-144

    authors: Nyanza EC,Joseph M,Premji SS,Thomas DS,Mannion C

    更新日期:2014-04-15 00:00:00

  • SARS-COV-2 infection during pregnancy, a risk factor for eclampsia or neurological manifestations of COVID-19? Case report.

    abstract:BACKGROUND:There are no published cases of tonic-clonic seizures and posterior bilateral blindness during pregnancy and Severe Acute Respiratory Syndrome (SARS) Coronavirus (COV) 2 (SARS-COV-2) infection. We do not just face new and unknown manifestations, but also how different patient groups are affected by SARS-COV-...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03275-2

    authors: Garcia Rodriguez A,Marcos Contreras S,Fernandez Manovel SM,Marcos Vidal JM,Diez Buron F,Fernandez Fernandez C,Riveira Gonzalez MDC

    更新日期:2020-10-06 00:00:00

  • Increased maternal TSH and decreased maternal FT4 are associated with a higher operative delivery rate in low-risk pregnancies: A prospective cohort study.

    abstract:BACKGROUND:The increasing number of operative deliveries is a topic of major concern in modern obstetrics. Maternal thyroid function is of known influence on many obstetric parameters. Our objective was to investigate a possible relation between maternal thyroid function, and operative deliveries. Secondary aim was to ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0702-1

    authors: Monen L,Pop VJ,Hasaart TH,Wijnen H,Oei SG,Kuppens SM

    更新日期:2015-10-16 00:00:00

  • "Keeping family matters behind closed doors": healthcare providers' perceptions and experiences of identifying and managing domestic violence during and after pregnancy.

    abstract:BACKGROUND:Violence against women is an international public health concern and a violation of women's rights. Domestic violence can first occur, and increase in frequency and severity, during and after pregnancy. Healthcare providers have the potential to identify and support women who experience domestic violence. We...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1520-4

    authors: McCauley M,Head J,Lambert J,Zafar S,van den Broek N

    更新日期:2017-09-22 00:00:00

  • Socioeconomic and physical distance to the maternity hospital as predictors for place of delivery: an observation study from Nepal.

    abstract::BACKGROUND: Although the debate on the safety and women's right of choice to a home delivery vs. hospital delivery continues in the developed countries, an undesirable outcome of home delivery, such as high maternal and perinatal mortality, is documented in developing countries. The objective was to study whether soci...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-4-8

    authors: Wagle RR,Sabroe S,Nielsen BB

    更新日期:2004-05-22 00:00:00

  • Increasing uptake of influenza vaccine by pregnant women post H1N1 pandemic: a longitudinal study in Melbourne, Australia, 2010 to 2014.

    abstract:BACKGROUND:A Melbourne (Australia) university affiliated, tertiary obstetric hospital provides lay and professional education about influenza vaccine in pregnancy annually each March, early in the local influenza season. Responding to a 2011 survey of new mothers' opinions, the hospital made influenza vaccine freely av...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0486-3

    authors: McCarthy EA,Pollock WE,Tapper L,Sommerville M,McDonald S

    更新日期:2015-03-05 00:00:00

  • Effects and outcomes of septostomy in twin-to-twin transfusion syndrome after fetoscopic laser therapy.

    abstract:BACKGROUND:To evaluate the incidence and outcomes of septostomy in twin-to-twin transfusion syndrome (TTTS) after fetoscopic laser therapy. METHODS:A retrospective analysis of TTTS postlaser septostomy between 2005 and 2018 was performed. Postlaser septostomy was diagnosed using both (1) a free-floating intertwin memb...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2555-5

    authors: Li WF,Chao AS,Chang SD,Cheng PJ,Yang LY,Chang YL

    更新日期:2019-11-01 00:00:00

  • Scaling up quality care for mothers and newborns around the time of birth: an overview of methods and analyses of intervention-specific bottlenecks and solutions.

    abstract:BACKGROUND:The Every Newborn Action Plan (ENAP) and Ending Preventable Maternal Mortality targets cannot be achieved without high quality, equitable coverage of interventions at and around the time of birth. This paper provides an overview of the methodology and findings of a nine paper series of in-depth analyses whic...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2393-15-S2-S1

    authors: Dickson KE,Kinney MV,Moxon SG,Ashton J,Zaka N,Simen-Kapeu A,Sharma G,Kerber KJ,Daelmans B,Gülmezoglu A,Mathai M,Nyange C,Baye M,Lawn JE

    更新日期:2015-01-01 00:00:00

  • Pregnancy outcome following gestational exposure to azithromycin.

    abstract:BACKGROUND:Azithromycin is an azalide antibiotic with an extensive range of indications and has become a common treatment option due to its convenient dosing regimen and therapeutic advantages. Human studies addressing gestational use of azithromycin have primarily focused on antibiotic efficacy rather than fetal safet...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-6-18

    authors: Sarkar M,Woodland C,Koren G,Einarson AR

    更新日期:2006-05-30 00:00:00

  • Supporting breastfeeding In Local Communities (SILC): protocol for a cluster randomised controlled trial.

    abstract:BACKGROUND:Breastfeeding is associated with significant positive health outcomes for mothers and infants. However, despite recommendations from the World Health Organization, exclusive breastfeeding for six months is uncommon. Increased breastfeeding support early in the postpartum period may be effective in improving ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2393-14-346

    authors: McLachlan HL,Forster DA,Amir LH,Small R,Cullinane M,Watson LF,Shafiei T

    更新日期:2014-10-03 00:00:00

  • Burden, associated risk factors and adverse outcomes of gestational diabetes mellitus in twin pregnancies in Al Ain, UAE.

    abstract:BACKGROUND:Gestational diabetes mellitus (GDM) in singleton pregnancies represent a high-risk scenario. The incidence, associated factors and outcomes of GDM in twin pregnancies is not known in the UAE. METHODS:This was five years retrospective analysis of hospital records of twin pregnancies in the city of Al Ain, Ab...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03289-w

    authors: Alkaabi J,Almazrouei R,Zoubeidi T,Alkaabi FM,Alkendi FR,Almiri AE,Sharma C,Souid AK,Ali N,Ahmed LA

    更新日期:2020-10-12 00:00:00

  • Progesterone levels predict pregnancy outcomes in individuals with fallopian tube associated infertility.

    abstract:BACKGROUND:This study aimed at determining the predictive value of human chorionic gonadotropin and progesterone levels on pregnancy outcomes in patients receiving in vitro fertilization due to fallopian tube associated infertility. METHODS:We retrospectively analyzed the clinical data of 854 cycles due to fallopian t...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03495-6

    authors: Bo W,Zhang N,Wang L,Guo Y,Wu H

    更新日期:2021-01-06 00:00:00

  • Study protocol training for life: a stepped wedge cluster randomized trial about emergency obstetric simulation-based training in a low-income country.

    abstract:BACKGROUND:Globally perinatal and maternal mortality rates remain unacceptably high. There is increasing evidence that simulation-based training in obstetric emergencies is associated with improvement in clinical outcomes. However, the results are not entirely consistent. The need for continued research in a wide varie...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03050-3

    authors: van Tetering AAC,van Meurs A,Ntuyo P,van der Hout-van der Jagt MB,Mulders LGM,Nolens B,Namagambe I,Nakimuli A,Byamugisha J,Oei SG

    更新日期:2020-07-28 00:00:00

  • Identification of barriers and facilitators for optimal cesarean section care: perspective of professionals.

    abstract:BACKGROUND:The cesarean section (CS) rate has increased over recent decades with poor guideline adherence as a possible cause. The objective of this study was to explore barriers and facilitators for delivering optimal care as described in clinical practice guidelines. METHODS:Key recommendations from evidence-based g...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1416-3

    authors: Melman S,Schreurs RHP,Dirksen CD,Kwee A,Nijhuis JG,Smeets NAC,Scheepers HCJ,Hermens RPMG

    更新日期:2017-07-14 00:00:00

  • Predictors of prenatal care satisfaction among pregnant women in American Samoa.

    abstract:BACKGROUND:Pregnant women in American Samoa have a high risk of complications due to overweight and obesity. Prenatal care can mitigate the risk, however many women do not seek adequate care during pregnancy. Low utilization of prenatal care may stem from low levels of satisfaction with services offered. Our objective ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1563-6

    authors: Adeyinka O,Jukic AM,McGarvey ST,Muasau-Howard BT,Faiai M,Hawley NL

    更新日期:2017-11-16 00:00:00

  • Effectiveness and costs of non-invasive foetal RHD genotyping in rhesus-D negative mothers: a French multicentric two-arm study of 850 women.

    abstract:BACKGROUND:The determination of foetal Rhesus D (RHD) status allows appropriate use of IgRh prophylaxis by restricting its use to cases of RHD feto-maternal incompatibilities. There is a degree of uncertainty about the cost-effectiveness of foetal RHD determination, yet screening programs are being introduced into clin...

    journal_title:BMC pregnancy and childbirth

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1186/s12884-018-2114-5

    authors: Darlington M,Carbonne B,Mailloux A,Brossard Y,Levy-Mozziconacci A,Cortey A,Maoulida H,Simon T,Rousseau A,Durand-Zaleski I,GENIFERH1 Study Group.

    更新日期:2018-12-14 00:00:00

  • Accounts of severe acute obstetric complications in rural Bangladesh.

    abstract:BACKGROUND:As maternal deaths have decreased worldwide, increasing attention has been placed on the study of severe obstetric complications, such as hemorrhage, eclampsia, and obstructed labor, to identify where improvements can be made in maternal health. Though access to medical care is considered to be life-saving d...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-76

    authors: Sikder SS,Labrique AB,Ullah B,Ali H,Rashid M,Mehra S,Jahan N,Shamim AA,West KP,Christian P

    更新日期:2011-10-21 00:00:00

  • Specialist antenatal clinics for women at high risk of preterm birth: a systematic review of qualitative and quantitative research.

    abstract:BACKGROUND:Preterm birth (PTB) is the leading cause of perinatal morbidity and mortality. Women with previous prenatal loss are at higher risk of preterm birth. A specialist antenatal clinic is considered as one approach to improve maternity and pregnancy outcomes. METHODS:A systematic review of quantitative, qualitat...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-017-1232-9

    authors: Malouf R,Redshaw M

    更新日期:2017-02-02 00:00:00

  • Multidisciplinary consensus on screening for, diagnosis and management of fetal growth restriction in the Netherlands.

    abstract:BACKGROUND:Screening for, diagnosis and management of intrauterine growth restriction (IUGR) is often performed in multidisciplinary collaboration. However, variation in screening methods, diagnosis and management of IUGR may lead to confusion. In the Netherlands two monodisciplinary guidelines on IUGR do not fully ali...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1513-3

    authors: Verfaille V,de Jonge A,Mokkink L,Westerneng M,van der Horst H,Jellema P,Franx A,IRIS study group.

    更新日期:2017-10-16 00:00:00