Knowledge, Attitudes and Provider Advice by Pre-Pregnancy Weight Status: A Qualitative Study of Pregnant Latinas With Excessive Gestational Weight Gain.
Latina women are at high risk of excessive gestational weight gain (GWG) during pregnancy; yet little is known about whether factors related to GWG differ by pre-pregnancy body mass index (BMI) within this population. We conducted in-depth interviews with 62 pregnant Latina women with pre-pregnancy BMIs in the healthy, overweight, and obese ranges, gestational age ≥22 weeks, and GWG for gestational age above Institute of Medicine (IOM) guidelines. Compared to healthy weight and obese women, overweight women least often reported viewing weight as important, making efforts to control their GWG, being aware of the role of diet on GWG, and receiving GWG advice from health-care providers. Among those who received GWG advice, overweight women more often recalled a target GWG above IOM guidelines. Obese women more often reported low acceptance of their GWG, concern about GWG, having received GWG advice from providers, difficulty following providers' dietary advice, and emotional eating as a challenge for controlling GWG. Participants welcomed practical advice to manage GWG. Future interventions to prevent excessive GWG among Latina women should consider differences among women of varying pre-pregnancy BMIs and include multi-level strategies to address psychosocial as well as provider factors.
['Wang|Monica L|ML|', 'Arroyo|Julie|J|', 'Druker|Susan|S|', 'Sankey|Heather Z|HZ|', 'Rosal|Milagros C|MC|']
D000293:Adolescent D000328:Adult D015992:Body Mass Index D003376:Counseling D005260:Female D007722:Health Knowledge, Attitudes, Practice D006630:Hispanic or Latino D006801:Humans D007407:Interviews as Topic D009765:Obesity D010817:Physician-Patient Relations D011247:Pregnancy D011248:Pregnancy Complications D011263:Pregnancy Trimester, Third D037841:Pregnant Women D011295:Prenatal Care D036301:Qualitative Research D012959:Socioeconomic Factors D015430:Weight Gain D055815:Young Adult
qualitative Latina gestational weight gain obesity