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From page 263... ... 8 Approaches to Achieving Recommended Gestational Weight Gain To understand the challenges that may arise in implementing the proposed guidelines on gestational weight gain (GWG) presented in Chapter 7, the committee reviewed the present environment for childbearing (see Chapter 2 for details) Read the entire page →
From page 264... ... 264 WEIGHT GAIN DURING PREGNANCY heavier than in the past challenge them to meet the previous guidelines (IOM, 1990) and will continue to make it difficult for women to meet the new guidelines for GWG. Read the entire page →
From page 265... ... TABLE 8-1 Gestational Weight Gain (kg) by Prepregnant BMI Categories Among Large Studies Compared to New Guidelines Study Danish Pregnancy Risk New York City Pregnancy, New National Assessment Vital Statistics Infection, and Prepregnant BMI GWG Sweden, National Birth Cohort Monitoring Birth Data Nutrition Cohort Category Guidelines (1994-2002) Read the entire page →
From page 266... ... 266 WEIGHT GAIN DURING PREGNANCY Weight gain by BMI from PRAMS (2002-2003) (50th percentile, interquartile range) Read the entire page →
From page 267... ... ACHIEVING RECOMMENDED GESTATIONAL WEIGHT GAIN 267 Lactation: An Implementation Guide (IOM, 1992a) called for a dietary assessment of pregnant women early in gestation with a referral to a dietitian if needed. Read the entire page →
From page 268... ... 268 WEIGHT GAIN DURING PREGNANCY Most recent studies have focused on various ways to help women to limit their weight gain during pregnancy. None of four trials conducted in North American populations was completely successful in helping women limit GWG and adhere to the IOM (1990) Read the entire page →
From page 269... ... ACHIEVING RECOMMENDED GESTATIONAL WEIGHT GAIN 269 differences between the groups in type of delivery or infant weight at birth. In Denmark, Wolff et al. Read the entire page →
From page 270... ... 270 WEIGHT GAIN DURING PREGNANCY IMPLEMENTATION STRATEGIES FOR NEW GUIDELINES The committee worked from the perspective that the reproductive cycle begins before conception and continues through the first year postpartum. Opportunities to influence maternal weight status are available through the entire cycle. Read the entire page →
From page 271... ... ACHIEVING RECOMMENDED GESTATIONAL WEIGHT GAIN 271 trition During Pregnancy and Lactation: An Implementation Guide (IOM, 1992a) also includes practical guidelines for preconceptional care. Read the entire page →
From page 272... ... 272 WEIGHT GAIN DURING PREGNANCY As noted in Chapter 7, health care providers should chart women's weight gain and share the results with them so that they become aware of their progress toward their weight-gain goal. To assist health care providers in doing this, the committee has prepared charts (see Figures 8-2 through 8-5) Read the entire page →
From page 273... ... ACHIEVING RECOMMENDED GESTATIONAL WEIGHT GAIN 273 20 18 16 Weight Gain (kg) 14 12 10 8 6 4 2 0 1 4 7 10 13 16 19 22 25 28 31 34 37 40 Duration of Pregnancy (wk) Read the entire page →
From page 274... ... 274 WEIGHT GAIN DURING PREGNANCY 20 18 16 Weight Gain (kg) 14 12 10 8 6 4 2 0 1 4 7 10 13 16 19 22 25 28 31 34 37 40 Duration of Pregnancy (wk) Read the entire page →
From page 275... ... ACHIEVING RECOMMENDED GESTATIONAL WEIGHT GAIN 275 cal activity is available on the Internet (see, for example, MyPyramid.gov [available online at http://mypyramid.gov/pyramid/physical_activity_tips. html, accessed February 18, 2009] Read the entire page →
From page 276... ... 276 WEIGHT GAIN DURING PREGNANCY is needed to guide the development of comprehensive and effective implementation strategies to achieve these guidelines. Special attention should be given to low-income and minority women, who are at risk of being overweight or obese at the time of conception, consuming diets of lower nutritional value, and performing less recreational physical activity. Read the entire page →
From page 277... ... ACHIEVING RECOMMENDED GESTATIONAL WEIGHT GAIN 277 the current environment. However, the reduction in future health problems among both women and their children that could be achieved by meeting the guidelines in this report provide additional justification for the committee's recommendations. Read the entire page →
From page 278... ... 278 WEIGHT GAIN DURING PREGNANCY research to aid providers and communities in assisting women to meet these guidelines, especially low-income and minority women. The com mittee also recommends that the Department of Health and Human Services should provide funding for research to examine the cost e ffectiveness (in terms of maternal and offspring outcomes) Read the entire page →
From page 279... ... ACHIEVING RECOMMENDED GESTATIONAL WEIGHT GAIN 279 Haughton B Read the entire page →
From page 280... ... 280 WEIGHT GAIN DURING PREGNANCY McFadden A Read the entire page →

From page 263...

... 8 Approaches to Achieving Recommended Gestational Weight Gain To understand the challenges that may arise in implementing the proposed guidelines on gestational weight gain (GWG) presented in Chapter 7, the committee reviewed the present environment for childbearing (see Chapter 2 for details)