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A qualitative study of gestational weight gain counseling and tracking.
- Source :
-
Maternal and child health journal [Matern Child Health J] 2013 Oct; Vol. 17 (8), pp. 1508-17. - Publication Year :
- 2013
-
Abstract
- Excessive gestational weight gain (GWG) predicts adverse pregnancy outcomes and later obesity risk for both mother and child. Women who receive GWG advice from their obstetric clinicians are more likely to gain the recommended amount, but many clinicians do not counsel their patients on GWG, pointing to the need for new strategies. Electronic medical records (EMRs) are a useful tool for tracking weight and supporting guideline-concordant care, but their use for care related to GWG has not been evaluated. We performed in-depth interviews with 16 obstetric clinicians from a multi-site group practice in Massachusetts that uses an EMR. We recorded, transcribed, coded, and analyzed the interviews using immersion-crystallization. Many respondents believed that GWG had "a lot" of influence on pregnancy and child health outcomes but that their patients did not consider it important. Most indicated that excessive GWG was a big or moderate problem in their practice, and that inadequate GWG was rarely a problem. All used an EMR feature that calculates total GWG at each visit. Many were enthusiastic about additional EMR-based supports, such as a reference for recommended GWG for each patient based on pre-pregnancy body mass index, a "growth chart" to plot actual and recommended GWG, and an alert to identify out-of-range gains, features which many felt would remind them to counsel patients about excessive weight gain. Additional decision support tools within EMRs would be well received by many clinicians and may help improve the frequency and accuracy of GWG tracking and counseling.
- Subjects :
- Adult
Body Mass Index
Child
Female
Humans
Interviews as Topic
Massachusetts
Middle Aged
Mothers
Obstetrics
Physicians
Pregnancy
Pregnancy Complications
Pregnancy Outcome
Prenatal Care methods
Qualitative Research
Risk Factors
Surveys and Questionnaires
Counseling
Documentation statistics & numerical data
Electronic Health Records
Obesity prevention & control
Weight Gain
Subjects
Details
- Language :
- English
- ISSN :
- 1573-6628
- Volume :
- 17
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Maternal and child health journal
- Publication Type :
- Academic Journal
- Accession number :
- 23065312
- Full Text :
- https://doi.org/10.1007/s10995-012-1158-9