No global consensus: a cross-sectional survey of maternal weight policies.
No global consensus: a cross-sectional survey of maternal weight policies.
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DOI：
10.1186/1471-2393-14-167
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发表时间：
2014-05-15
影响因子：
3.1
通讯作者：
Abrams B
中科院分区：
文献类型：
--
作者：
Scott C;Andersen CT;Valdez N;Mardones F;Nohr EA;Poston L;Loetscher KC;Abrams B
越来越多的证据表明，母亲孕前体重和妊娠期体重增加是围产期并发症和随后的母婴健康的危险因素。产后体重保持也与不良的出生结果和母亲肥胖有关。一些国家已经出台了关于怀孕前、怀孕期间和怀孕后健康体重的临床指南，但目前尚未对这些政策进行系统的说明。本研究的目的是对产妇体重指南进行跨国比较。这项横断面调查向具有产妇体重专业知识的关键信息提供者发放了一份在线问卷，以评估孕前、怀孕和产后产妇体重指南的存在和内容，以及其理由和可用性。我们搜索了195个国家，在80个国家确定了潜在的线人，并接受了代表66个国家的调查。我们按地区、收入和正式或非正式政策估计了制定指南的国家比例，并描述和比较了指南内容，包括评估是否存在4项指南的规则：鼓励健康的孕前体重、产前体重、鼓励适当的妊娠期体重增加和鼓励达到健康的产后体重。53个国家报告了关于产妇体重的正式或非正式政策。这些政策中的大多数包括在第一次产前检查时评估孕妇体重的指南（90%），监测怀孕期间的妊娠体重增加（81%），并向妇女提供关于健康妊娠体重增加的建议（62%）。与孕前（42%）和产后（13%）体重相关的指南不太常见。只有8%的国家报告了包括所有4项基本准则的政策。各国的准则内容和理由差别很大，答复者认为，在其国内，政策并不广为人知。这些结果表明，产妇体重是全世界关注的问题。然而，我们发现国际上对准则的内容缺乏共识。需要进一步研究，以了解哪些建议或干预措施在不同国家的孕产妇体重方面效果最好，以及怀孕体重政策如何影响临床实践和母亲和儿童的健康结果。
Growing evidence suggests that maternal prepregnancy weight and gestational weight gain are risk factors for perinatal complications and subsequent maternal and child health. Postpartum weight retention is also associated with adverse birth outcomes and maternal obesity. Clinical guidelines addressing healthy weight before, during, and after pregnancy have been introduced in some countries, but at present a systematic accounting for these policies has not been conducted. The objective of the present study was to conduct a cross-national comparison of maternal weight guidelines. This cross sectional survey administered a questionnaire online to key informants with expertise on the subject of maternal weight to assess the presence and content of preconceptional, pregnancy and postpartum maternal weight guidelines, their rationale and availability. We searched 195 countries, identified potential informants in 80 and received surveys representing 66 countries. We estimated the proportion of countries with guidelines by region, income, and formal or informal policy, and described and compared guideline content, including a rubric to assess presence or absence of 4 guidelines: encourage healthy preconceptional weight, antenatal weighing, encourage appropriate gestational gain, and encourage attainment of healthy postpartum weight. Fifty-three countries reported either a formal or informal policy regarding maternal weight. The majority of these policies included guidelines to assess maternal weight at the first prenatal visit (90%), to monitor gestational weight gain during pregnancy (81%), and to provide recommendations to women about healthy gestational weight gain (62%). Guidelines related to preconceptional (42%) and postpartum (13%) weight were less common. Only 8% of countries reported policies that included all 4 fundamental guidelines. Guideline content and rationale varied considerably between countries, and respondents perceived that within their country, policies were not widely known. These results suggest that maternal weight is a concern throughout the world. However, we found a lack of international consensus on the content of guidelines. Further research is needed to understand which recommendations or interventions work best with respect to maternal weight in different country settings, and how pregnancy weight policies impact clinical practices and health outcomes for the mother and child.
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影响因子：
11.4
作者：
Jeffries, Kirby;Shub, Alexis;Permezel, Michael
通讯作者：
Permezel, Michael
DOI：
10.1111/j.1463-1326.2011.01489.x
发表时间：
2012-03
期刊：
Diabetes, obesity & metabolism
影响因子：
--
作者：
Herring SJ;Rose MZ;Skouteris H;Oken E
通讯作者：
Oken E
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
3.4
作者：
Mardones, Francisco;Rosso, Pedro
通讯作者：
Rosso, Pedro
影响因子：
7.1
作者：
Phelan, Suzanne;Phipps, Maureen G.;Wing, Rena R.
通讯作者：
Wing, Rena R.