集体产前护理干预可减少美属萨摩亚妇女的妊娠体重增加和妊娠糖尿病

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Pub Date : 2024-09-10 DOI:10.1002/oby.24102
Nicola L. Hawley, Kima Faasalele-Savusa, Mata'uitafa Faiai, Lynette Suiaunoa-Scanlan, Miracle Loia, Jeannette R. Ickovics, Erica Kocher, Christopher Piel, Madison Mahoney, Rachel Suss, Marcela Trocha, Rochelle K. Rosen, Bethel T. Muasau-Howard
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引用次数: 0

摘要

本研究的目的是确定在美属萨摩亚采取干预措施以减轻与孕前肥胖相关的不良妊娠结局的初步效果。方法我们招募了 n = 80 名妊娠 14 周的低风险孕妇。以随机分组分配(小组产前护理干预与一对一常规护理)为自变量,进行了完整的病例分析。主要结果是妊娠体重增加和产后体重变化。次要结果包括妊娠糖尿病筛查和产后 6 周纯母乳喂养。报告的其他结果包括妊娠糖尿病发病率、早产率、分娩方式、婴儿出生体重和巨大儿。虽然接受适当妊娠糖尿病筛查的妇女比例(78.4% 组;65.6% 常规护理组)相似,但在纯母乳喂养(44.4% 组;25% 常规护理组)、妊娠糖尿病发病率(27.3% 组;40.0% 常规护理组)和巨大儿(8.3% 组;29.0% 常规护理组)方面存在重要的临床组间差异。
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A group prenatal care intervention reduces gestational weight gain and gestational diabetes in American Samoan women

Objective

The objective of this study was to determine the preliminary effectiveness of an intervention to mitigate adverse pregnancy outcomes associated with pre-pregnancy obesity in American Samoa.

Methods

We enrolled n = 80 low-risk pregnant women at <14 weeks' gestation. A complete case analysis was conducted with randomized group assignment (group prenatal care-delivered intervention vs. one-on-one usual care) as the independent variable. Primary outcomes were gestational weight gain and postpartum weight change. Secondary outcomes included gestational diabetes screening and exclusive breastfeeding at 6 weeks post partum. Other outcomes reported include gestational diabetes incidence, preterm birth, mode of birth, infant birth weight, and macrosomia.

Results

Gestational weight gain was lower among group versus usual care participants (mean [SD], 9.46 [7.24] kg vs. 14.40 [8.23] kg; p = 0.10); postpartum weight change did not differ between groups. Although the proportion of women who received adequate gestational diabetes screening (78.4% group; 65.6% usual care) was similar, there were clinically important between-group differences in exclusive breastfeeding (44.4% group; 25% usual care), incidence of gestational diabetes (27.3% group; 40.0% usual care), and macrosomia (8.3% group; 29.0% usual care).

Conclusions

It may be possible to address multiple risk factors related to intergenerational transmission of obesity in this high-risk setting using a group care-delivered intervention.

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来源期刊
Obesity
Obesity 医学-内分泌学与代谢
CiteScore
11.70
自引率
1.40%
发文量
261
审稿时长
2-4 weeks
期刊介绍: Obesity is the official journal of The Obesity Society and is the premier source of information for increasing knowledge, fostering translational research from basic to population science, and promoting better treatment for people with obesity. Obesity publishes important peer-reviewed research and cutting-edge reviews, commentaries, and public health and medical developments.
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