Sarah D McDonald1, Eleanor Pullenayegum2, Keyna Bracken3, Ann Marie Chen4, Helen McDonald5, Anne Malott5, Robert Hutchison4, Susan Haley4, Olha Lutsiv6, Valerie H Taylor7, Catherine Good8, Eileen Hutton9, Wendy Sword10. 1. Division of Maternal-Fetal Medicine, McMaster University, Hamilton ON; Department of Obstetrics & Gynecology, McMaster University, Hamilton ONC; Clinical Epidemiology and Biostatistics McMaster University, Hamilton ON; Department of Radiology, McMaster University, Hamilton ON. 2. Clinical Epidemiology and Biostatistics McMaster University, Hamilton ON; Biostatistics Unit, St. Joseph's Healthcare, Hamilton ON. 3. Department of Family Medicine, McMaster University, Hamilton ON; Maternity Centre of Hamilton, Hamilton ON. 4. Department of Obstetrics & Gynecology, McMaster University, Hamilton ONC. 5. Department of Family Medicine, McMaster University, Hamilton ON; Midwifery Education Program, McMaster University, Hamilton ON. 6. Faculty of Health Sciences, McMaster University, Hamilton ON. 7. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton ON. 8. Maternity Centre of Hamilton, Hamilton ON. 9. Department of Obstetrics & Gynecology, McMaster University, Hamilton ONC; Clinical Epidemiology and Biostatistics McMaster University, Hamilton ON; Midwifery Education Program, McMaster University, Hamilton ON. 10. School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton ON.
Abstract
OBJECTIVE: We hypothesized that differences in models of care between health care providers would result in variations in patients' reports of counselling. Our objective was to compare what women reported being advised about weight gain during pregnancy and the risks of inappropriate weight gain according to their type of health care provider. METHODS: A cross-sectional survey was conducted using a self-administered questionnaire at obstetric, midwifery, and family medicine clinics in Hamilton, Ontario. Women were eligible to participate if they had had at least one prenatal visit, could read English, and had a live, singleton pregnancy. RESULTS: Three hundred and eight women completed the survey, a 93% response rate. Care for 90% of the group was divided approximately evenly between midwives, family physicians, and obstetricians. A minority of women looked after by any of the types of care providers reported being counselled correctly about how much weight to gain during pregnancy (16.3%, 10.3%, 9.2%, and 5.7% of patients of midwives, family physicians, obstetricians, or other types of care providers, respectively, P = 0.349). A minority of women with any category of care provider was planning to gain an amount of weight that fell within the guidelines or reported being told that there were risks to themselves or their babies with inappropriate gain. CONCLUSION: In this study comparing reported counselling between patients of obstetricians, midwives, family physicians, and other health care providers, low rates of counselling about gestational weight gain were universally reported. There is a common need for more effective counselling.
OBJECTIVE: We hypothesized that differences in models of care between health care providers would result in variations in patients' reports of counselling. Our objective was to compare what women reported being advised about weight gain during pregnancy and the risks of inappropriate weight gain according to their type of health care provider. METHODS: A cross-sectional survey was conducted using a self-administered questionnaire at obstetric, midwifery, and family medicine clinics in Hamilton, Ontario. Women were eligible to participate if they had had at least one prenatal visit, could read English, and had a live, singleton pregnancy. RESULTS: Three hundred and eight women completed the survey, a 93% response rate. Care for 90% of the group was divided approximately evenly between midwives, family physicians, and obstetricians. A minority of women looked after by any of the types of care providers reported being counselled correctly about how much weight to gain during pregnancy (16.3%, 10.3%, 9.2%, and 5.7% of patients of midwives, family physicians, obstetricians, or other types of care providers, respectively, P = 0.349). A minority of women with any category of care provider was planning to gain an amount of weight that fell within the guidelines or reported being told that there were risks to themselves or their babies with inappropriate gain. CONCLUSION: In this study comparing reported counselling between patients of obstetricians, midwives, family physicians, and other health care providers, low rates of counselling about gestational weight gain were universally reported. There is a common need for more effective counselling.
Authors: Rebecca L Emery; Maria Tina Benno; Rachel H Salk; Rachel P Kolko; Michele D Levine Journal: J Obstet Gynaecol Date: 2018-03-22 Impact factor: 1.246
Authors: Tiffany A Moore Simas; Molly E Waring; Gina M T Sullivan; Xun Liao; Milagros C Rosal; Janet R Hardy; Robert E Berry Journal: Birth Date: 2013-12 Impact factor: 3.689