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Examination of Routine Use of Prenatal Weight Gain Charts as a Communication Tool for Providers
Authors:Marijo Aguilera  Abbey C. Sidebottom  Brigitte R. McCool
Affiliation:1.Minnesota Perinatal Physicians,Allina Health,Minneapolis,USA;2.Division of Applied Research,Allina Health,Minneapolis,USA
Abstract:Objectives In 2009 the IOM revised prenatal weight gain guidelines. The primary purpose of this pilot study was to assess if provider education and use of prenatal weight gain charts to track weight gain and counsel patients was associated with better patient and provider knowledge and communication about the guidelines. Methods A prospective non-randomized study conducted in four OB practices (two control, two intervention). Data sources included provider surveys (n?=?16 intervention, 21 control), patient surveys (n?=?332), and medical records. Intervention clinics received provider education on the IOM guidelines and used patient education materials and prenatal weight gain charts to track weight gain and as a counseling tool. Comparison clinics received no education and did not use the charts or patient education information. Results More patients at intervention clinics (92.3%) reported that a provider gave them advice about weight gain, compared to patients from comparison clinics (66.4%) (p?Conclusion Provider education and use of weight gain charts resulted in higher patient reported communication about weight gain from their provider, higher patient satisfaction with those discussions, and better knowledge of the appropriate target weight gain goals.
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