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
{"title":"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","authors":"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","doi":"10.1002/oby.24102","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We enrolled <i>n</i> = 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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Gestational weight gain was lower among group versus usual care participants (mean [SD], 9.46 [7.24] kg vs. 14.40 [8.23] kg; <i>p</i> = 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).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":215,"journal":{"name":"Obesity","volume":null,"pages":null},"PeriodicalIF":4.2000,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A group prenatal care intervention reduces gestational weight gain and gestational diabetes in American Samoan women\",\"authors\":\"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\",\"doi\":\"10.1002/oby.24102\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We enrolled <i>n</i> = 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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Gestational weight gain was lower among group versus usual care participants (mean [SD], 9.46 [7.24] kg vs. 14.40 [8.23] kg; <i>p</i> = 0.10); postpartum weight change did not differ between groups. 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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.
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.