Provider Adherence to Recommended Prenatal Care Content: Does It Differ for Obese Women?
The objective of this study was to examine provider adherence to prenatal care (PNC) content in obese and non-obese women and perinatal outcomes in obese women experiencing low and medium versus high adherence to PNC content. Provider adherence to PNC content (low <50 %, medium 50-79 %, and high ≥80...
| Publicado en: | Maternal & Child Health Journal Vol. 18; no. 5; pp. 1114 - 1123 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2014
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103951848&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103951848 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jul2014 vid: 18 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 103951848 96227385 10.1007/s10995-013-1341-7 NLM23912316 103951848 ppf: 1114 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Provider Adherence to Recommended Prenatal Care Content: Does It Differ for Obese Women? aug: au: Kominiarek, Michelle Rankin, Kristin Handler, Arden affil: Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Illinois at Chicago, 820 South Wood Street M/C 808 Chicago 60612 USA sug: subj: Prenatal Care Professional Compliance Obesity Pregnancy Outcomes Human Pregnancy Female Odds Ratio Confidence Intervals Logistic Regression Illinois Random Sample Data Analysis Software Depression Funding Source Female ab: The objective of this study was to examine provider adherence to prenatal care (PNC) content in obese and non-obese women and perinatal outcomes in obese women experiencing low and medium versus high adherence to PNC content. Provider adherence to PNC content (low <50 %, medium 50-79 %, and high ≥80 %) was compared between obese (n = 69) and non-obese (n = 128) women in a linked database of deliveries to low-income, minority women from 2003 to 2004. Sample content items included procedures delivered at every visit (blood pressure, urinalysis, maternal weight, fetal heart rate check), timed screenings for birth defects and gestational diabetes, prenatal vitamin prescriptions, and depression screening. Weight gain, preterm deliveries, cesareans, and birthweight were compared between obese women with low and medium versus high adherence to PNC content using multivariable logistic regression. High provider adherence to an eight-item PNC content score (56.3 vs. 66.5 %, p = 0.02) and depression screening (2.0 vs. 11.4 %, p = 0.001) were both lower for obese versus non-obese women. Among obese women, there were no differences by level of provider adherence to PNC content in preterm delivery, cesareans, and low birth weight, but obese women experiencing low and medium versus high adherence were more likely to gain ≥20 lbs (aOR 5.5, 95 % CI 1.3-23.3). Providers may be administering PNC differently to obese and non-obese women. PNC for obese women who are at high risk of adverse perinatal outcomes needs to be addressed especially as it relates to depression screening and gestational weight gain. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|