Document Detail


Low prenatal weight gain among adult WIC participants delivering term singleton infants: variation by maternal and program participation characteristics.
MedLine Citation:
PMID:  10746752     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the association of maternal and prenatal WIC program participation characteristics with low prenatal weight gain among adult women delivering liveborn, singleton infants at term. METHODS: WIC program data for 19,017 Black and White Alabama women delivering in 1994 were linked with birth certificate files to examine the association of anthropometric, demographic, reproductive, hematologic, behavioral and program participation characteristics with low prenatal weight gain. RESULTS: One third (31.0%) had low prenatal weight gain as defined by the Institute of Medicine. The incidence of low weight gain was increased among women who had < 12 years of education, were single, Black, anemic, had low or normal prepregnancy body mass index (BMI), increased parity, interpregnancy intervals < or = 24 months, used tobacco or alcohol, or entered prenatal care or WIC programs after the first trimester. After adjusting for selected maternal characteristics, the adjusted odds ratios (AOR) for low weight gain were increased with short interpregnancy intervals (AOR 1.21 to 2.20); tobacco use (AOR 1.16 to 1.40), anemia (AOR 1.20 to 1.25), and second trimester entry into prenatal care (AOR 1.14 to 1.20); the size of the AORs and 95% confidence intervals varied by BMI and racial subgroup. CONCLUSIONS: The results of this study suggest that WIC interventions targeting low prenatal weight gain be focused on risk factors present not only during pregnancy, but during the pre- and interconceptional periods as well. Interventions should target low BMI, tobacco use, and anemia, and include attention to nutrition screening and risk reduction among women in postpartum and family planning clinic settings.
Authors:
C A Hickey; M Kreauter; J Bronstein; V Johnson; S F McNeal; D S Harshbarger; L A Woolbright
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Maternal and child health journal     Volume:  3     ISSN:  1092-7875     ISO Abbreviation:  Matern Child Health J     Publication Date:  1999 Sep 
Date Detail:
Created Date:  2000-04-27     Completed Date:  2000-04-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  129-40     Citation Subset:  IM    
Affiliation:
Department of Maternal and Child Health, University of Alabama at Birmingham, 35294-0022, USA. hickeyc@uab.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Demography
Female
Humans
Multivariate Analysis
Pregnancy
Prenatal Care
Public Assistance*
Risk Factors
Weight Gain*
Grant Support
ID/Acronym/Agency:
MCJ-9040//PHS HHS

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


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