Little Congruence Between Health Care Provider and Patient Perceptions of Counselling on Gestational Weight Gain

• Published in: Journal of obstetrics and gynaecology Canada Vol. 34; no. 6; pp. 518 - 524
• Main Authors: Lutsiv, Olha, Bracken, Keyna, MD, Pullenayegum, Eleanor, PhD, Sword, Wendy, PhD, Taylor, Valerie H., MD, PhD, McDonald, Sarah D., MD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01-06-2012
• Subjects: Adult; Counseling - standards; Counselling; Female; gestational weight gain; Guideline Adherence; health care provider; Health Knowledge, Attitudes, Practice; Health Personnel; Humans; Institute of Medicine; interquartile range; IOM; IQR; Male; Middle Aged; Obstetrics and Gynecology; Ontario; Pregnancy; Prenatal Care - standards; risks; Self Report; survey; Weight Gain; Ontario; risks; IOM; health care provider; survey; Institute of Medicine; IQR; interquartile range; gestational weight gain; Counselling
• ISSN: 1701-2163
• DOI: 10.1016/S1701-2163(16)35267-7

Abstract Objective To determine the self-reported counselling practices of health care providers with regard to prenatal weight gain and the risks of inappropriate gain. Methods We conducted a cross-sectional survey using a selfadministered questionnaire at obstetrician, midwifery, and family medicine clinics in Hamilton, Ontario. Health care providers were eligible to participate if they provided prenatal care and could read English sufficiently well to complete the survey. Results Forty-two health care providers completed the survey; of these, 95% reported counselling women to gain a specific amount of weight, and 81% reported that they recommended values that were in accordance with the 2009 Institute of Medicine/Health Canada guidelines. The risks of excess and inadequate gain were reported as being discussed with their patients by 87% and 76% of health care providers, respectively. Conclusion In this first study to the best of our knowledge of gestational weight gain counselling since the publication of the 2009 guidelines, most health care providers reported discussing weight gain and the risks of inappropriate gain, which is incongruent with previously published information on their patients’ reports of counselling.