Document Detail


Effect of pre-pregnancy body size on postpartum weight retention.
MedLine Citation:
PMID:  18657887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: to understand postpartum weight retention among women of different body sizes at pre-pregnancy, and to explore factors influencing this weight retention. DESIGN: a comparative, descriptive study. Pre-pregnancy body mass indices (BMIs) were determined from hospital records. Dependent variables were measured by self-report questionnaires. SETTING: a 3,900-bed medical centre in northern Taiwan that delivers approximately 4,000 children each year. PARTICIPANTS: a systematic sample of 810 women who had delivered children at a medical centre. In total, 602 valid questionnaires were collected. FINDINGS: the average pre-pregnancy and six month postpartum BMIs were 21.5 [standard deviation (S.D.)=3.32] and 22.48 (S.D.=3.39), respectively. Overweight (OW) and obesity (OB) increased from 18.27% before pregnancy to 27.57% at six months postpartum. Gestational weight gain (GWG) was 14.36, 14.37, 13.07 and 11.15kg among women in the underweight (UW), normal weight (NW), OW and OB groups, respectively; and six month postpartum weight retention was 3.32, 2.57, 1.67 and -0.29kg. GWG was the most significant predictor of postpartum weight change across groups. KEY CONCLUSIONS: women with different body sizes at pre-pregnancy have common and specific risks for postpartum weight retention. IMPLICATIONS FOR PRACTICE: individualised interventions should be developed to manage postpartum weight for women of different body sizes. Interventions should establish criteria for GWG and provide strategies to improve body image and modify lifestyle. The overall goal should be to manage postpartum weight gain and to promote women's health.
Authors:
Tzu-Ting Huang; Hsin-Shih Wang; Fong-Tai Dai
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-07-26
Journal Detail:
Title:  Midwifery     Volume:  26     ISSN:  1532-3099     ISO Abbreviation:  Midwifery     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-16     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  222-31     Citation Subset:  N    
Copyright Information:
Copyright 2008 Elsevier Ltd. All rights reserved.
Affiliation:
School of Nursing, Chang-Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan. thuang@mail.cgu.edu.tw
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Body Weight
Female
Health Behavior*
Humans
Maternal Nutritional Physiological Phenomena
Mothers / education,  statistics & numerical data*
Obesity / epidemiology*,  prevention & control
Postpartum Period*
Pregnancy
Pregnancy Complications / epidemiology
Questionnaires
Risk Factors
Taiwan / epidemiology
Time Factors
Weight Gain*
Women's Health
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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