沙特阿拉伯纳季兰市一家妇产医院孕妇对产前体重管理的认识和经验

Nasser Saeed Al-Qahtani
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摘要

背景:怀孕期间妇女的健康优先事项之一是在产前和产后达到健康的体重。本研究旨在评估孕妇对怀孕期间肥胖和体重增加管理的认识和经验。方法:这是一项横断面研究(n=416),于2017年对在沙特阿拉伯Najran市一家妇产医院产前诊所就诊的孕妇进行了3个多月的研究。采用问卷调查方式进行问卷调查。结果显示:58.7%的参与者(n=244)对妊娠期肥胖和体重增加的管理认识较低,对管理目标和策略的认识水平最高(77.2%),而对叶酸的认识水平最低(44%)。此外,90.4% (n=376)的孕妇在妊娠期肥胖管理咨询方面经验不足。4个危险因素是影响参与者认知和体验的重要指标,其中最大的是职业(调整OR=2.7, p=0.001)、国籍(调整OR=2.4, p=0.015)、定期随访(调整OR=1.7, p=0.049)和教育水平(调整OR=1.3, p=0.009)。结论:研究结果与先前的研究结果一致,表明对怀孕期间体重管理的认识水平较低,再加上在建议指导方针方面的咨询经验不佳,可能在某种程度上解释了为什么妇女在产前保健中没有得到适当的体重及其健康风险服务。
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An Awareness and Experiences of Pregnant Women towards Antenatal Weight Management at a Maternity Hospital in Najran City, KSA
Background: One of health priorities for women during pregnancy is the attainment of healthy weight both in the antenatal and postpartum periods. This study is aiming to evaluate pregnant women awareness and experiences towards the management of obesity and weight gain during pregnancy. Method: This was a cross-sectional study (n=416) conducted over 3 months in 2017 of pregnant women attending antenatal clinics at a maternity hospital, Najran city, KSA. An interviewer administered, questionnaire was used. Findings: Results were shown 58.7% of participants (n=244) had low awareness for management of obesity and weight gain during pregnancy, with the highest level of awareness regarding management objectives and strategies (77.2%), while the lowest level of awareness folic acid (44%). In addition, 90.4% (n=376) showed poor experience in counselling about obesity management in pregnancy. Four risk factors were shown to be important indicators of awareness and experience of participants with largest being an occupation (Adjusted OR=2.7, p=0.001), nationality (Adjusted OR=2.4, p=0.015), regular follow up (Adjusted OR=1.7, p=0.049) and education level (Adjusted OR=1.3, p=0.009). Conclusion: Study findings are consistent with earlier findings indicating that low level of awareness for management of bodyweight during pregnancy in addition to bad experience in counselling about recommended guidelines for that may explain up to some extent why women are not being served appropriately regarding bodyweight and its health risks in the antenatal care.
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