Rating the seriousness of maternal and child health outcomes linked with pregnancy weight gain.
Rating the seriousness of maternal and child health outcomes linked with pregnancy weight gain.
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DOI：
10.1111/ppe.12741
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发表时间：
2021-07
影响因子：
2.8
通讯作者：
Hutcheon JA
中科院分区：
文献类型：
--
作者：
Bodnar LM;Khodyakov D;Parisi SM;Himes KP;Burke JG;Hutcheon JA
目前的妊娠体重增加指南是基于一小群专家对不良健康结果相对严重性的隐含假设而制定的。因此，它们不一定反映妇女的价值观。通过让患者和卫生专业人员参与，评估11种与妊娠体重增加一致相关的孕产妇和儿童健康结局的严重性。我们收集的数据使用在线面板的方法与修改德尔菲结构。我们选择了一个有目的的样本的孕产妇和儿童健康专业人员（n=84）和妇女谁是怀孕或最近产后（患者）（n=82）在美国作为小组成员。我们同时进行了3个小组：仅限专业人员，仅限患者，以及患者和专业人员。在3轮在线改良德尔菲过程中，参与者对健康结果的严重性进行评级（第1轮），审查和讨论初步结果（第2轮），并修改其原始评级（第3轮）。小组成员对婴儿死亡、死产、早产、妊娠期糖尿病、先兆子痫、小于胎龄儿（SGA）出生、大于胎龄儿（LGA）出生、计划外剖宫产、母亲肥胖、儿童肥胖和母亲代谢综合征进行严重性评级（0，[不严重]至100 [最严重]）。每个小组都对所有严重性评级达成了共识。所有小组的最终中位严重性评分最高的是婴儿死亡（100）、死产（95）、早产（80）和先兆子痫（80）。儿童肥胖、女性代谢综合征、女性肥胖和妊娠期糖尿病的中位严重性评分范围为55 - 65。最低的严重性评级是SGA分娩、LGA分娩和计划外剖宫产（30 - 40）。专业人员和妇女认为某些不良后果比其他后果更严重。这些评级可用于确定与广泛的孕产妇和儿童健康结果的最低风险相关的妊娠体重增加范围。
Current pregnancy weight gain guidelines were developed based on implicit assumptions of a small group of experts about the relative seriousness of adverse health outcomes. Therefore, they will not necessarily reflect the values of women. To estimate the seriousness of 11 maternal and child health outcomes that have been consistently associated with pregnancy weight gain by engaging patients and health professionals. We collected data using an online panel approach with a modified-Delphi structure. We selected a purposeful sample of maternal and child health professionals (n=84) and women who were pregnant or recently postpartum (patients) (n=82) in the U.S. as panelists. We conducted 3 concurrent panels: professionals only, patients only, and patients and professionals. During a 3-round online modified-Delphi process, participants rated the seriousness of health outcomes (round 1), reviewed and discussed the initial results (round 2), and revised their original ratings (round 3). Panelists assigned seriousness ratings (0, [not serious] to 100 [most serious]) for infant death, stillbirth, preterm birth, gestational diabetes, preeclampsia, small for gestational age (SGA) birth, large for gestational age (LGA) birth, unplanned cesarean delivery, maternal obesity, childhood obesity, and maternal metabolic syndrome. Each panel individually came to a consensus on all seriousness ratings. The final median seriousness ratings combined across all panels were highest for infant death (100), stillbirth (95), preterm birth (80), and preeclampsia (80). Obesity in children, metabolic syndrome in women, obesity in women, and gestational diabetes had median seriousness ratings ranging from 55 to 65. The lowest seriousness ratings were for SGA birth, LGA birth, and unplanned cesarean delivery (30 to 40). Professionals and women rate some adverse outcomes as being more serious than others. These ratings can be used to establish the range of pregnancy weight gain associated with the lowest risk of a broad range of maternal and child health outcomes.
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影响因子：
9.8
作者：
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通讯作者：
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影响因子：
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DOI：
10.1111/hex.12383
发表时间：
2016-08
期刊：
Health expectations : an international journal of public participation in health care and health policy
影响因子：
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