Oral or Poster Presentation
Concurrent Session 3C - Healthy Life Trajectories: Indigenous Health & Interprofessional Practice
Introduction: Health care provider (HCP) counselling can reduce the rates of inadequate or excessive gestational weight gain (GWG). Despite this counselling, literature shows that after receiving GWG guidance from HCP during pregnancy, 66.3% of women gained more or less weight than recommended. Because sub-optimal GWG is associated with harmful outcomes for mother and child, it is important to investigate factors associated with failing to meet weight gain recommendations. The present study analyzed the association between i) advice from family or friends about GWG, and ii) eating habits during pregnancy, and meeting GWG recommendations.
Methods: Participants included pregnant women and new mothers who reported receiving HCP guidance related to weight gain In this cross-sectional study, information was obtained using a validated electronic survey. Logistic regression models, adjusted for the main confounders (sociodemographic, lifestyle variables, and personal effort to stay within GWG limits), were used in the analyses.
Results: Among the 1507 survey respondents, only 366 (24.3%) received a specific weight gain target by their HCP and thus qualified for this study. Among the eligible women, those who received advice from family or friends about how much weight gain while pregnant had a higher likelihood of staying outside (inadequate or excessive) GWG guidelines (adjusted odds ratio, aOR=1.98; 95% CI=1.16; 3.39) after adjusting for the confounders. Moreover, women who considered that their eating habits became less healthy, or could not evaluate if it changed, were more likely (aOR=2.93; CI=1.49; 5.76) to experience discordant GWG, when compared to women who considered their eating habits to be the same or more healthy.
Conclusion: In women whose HCP offered guidance on GWG, receiving advice from family/friends about GWG, and changing eating habits to those deemed less healthy, increases the odds of weight gain discordant with recommendations. These contributors should be considered in future interventions to manage weight gain during pregnancy.