Table 3.
Summary of Obstetrics/Gynecology and Family Medicine residents’ responses to survey questions regarding prenatal counseling about gestational weight gain (GWG), N (%)
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1. Clinical parameters used routinely to assess weight status at initial prenatal visits (select all that apply): (n=638)*
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| BMI | 555 (87.0%) | ||
| Weight | 528 (82.8%) | ||
| Height | 461 (72.3%) | ||
| Clinical impression based on appearance | 283 (44.4%) | ||
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2. BMI calculated for prenatal patients under which conditions (select all that apply): (n=577)
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| All patients at initial prenatal care visit | 315 (54.6%) | ||
| When patient appears obese | 187 (32.4%) | ||
| When patient appears overweight | 170 (29.5%) | ||
| When co-morbidities exist | 125 (21.7%) | ||
| When time permits | 73 (12.7%) | ||
| Never | 32 (5.5%) | ||
| Other | 32 (5.5%) | ||
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3. When providing gestational weight gain guidelines for singleton pregnancies, BASELINE parameter most important to respondents (select one): (n=581)
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| Pre-pregnancy weight | 216 (37.2%) | ||
| Pre-pregnancy BMI | 208 (35.8%) | ||
| Weight at first prenatal visit | 65 (11.2%) | ||
| BMI at first prenatal visit | 39 (6.7%) | ||
| Physical appearance | 16 (2.8%) | ||
| Ideal BMI | 13 (2.2%) | ||
| I don’t provide guidelines to patients | 12 (2.1%) | ||
| Ideal body weight for height | 11 (1.9%) | ||
| Other | 1 (0.2%) | ||
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4. Frequency anthropometric measures are recorded in prenatal charts:
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| BMI (n=576) | Pre-Pregnancy Weight (n=622) | Height (n=611) | |
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| Always Present | 148 (24.7%) | 403 (64.8%) | 345 (56.5%) |
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| Usually Present | 156 (27.1%) | 183 (29.4%) | 160 (26.2%) |
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| Occasionally Present | 176 (30.6%) | 32 (5.1%) | 94 (15.4%) |
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| Never Present | 96 (16.7%) | 4 (0.6%) | 12 (2.0%) |
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5. How respondents became aware of Institute of Medicine 2009 gestational weight gain recommendations: (n=535)
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| Not aware | 298 (55.7%) | ||
| Journal article | 76 (14.2%) | ||
| Educational sessions | 64 (12.0%) | ||
| Colleague | 46 (8.6%) | ||
| Email notification | 35 (6.5%) | ||
| Conference or seminar | 11 (2.1%) | ||
| Webinar | 3 (0/6%) | ||
| Other | 2 (0.4%) | ||
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6. Factors by which 2009 Institute of Medicine gestational weight gain guidelines should be altered: (select all that apply) (n=530)**
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| Need to review guidelines to answer | 354 (66.8%) | ||
| Pre-pregnancy BMI | 156 (29.4%) | ||
| Singleton versus multiple gestation | 119 (22.5%) | ||
| Pre-pregnant weight | 100 (18.9%) | ||
| Medical co-morbidities | 75 (14.2%) | ||
| BMI at initial prenatal visit | 53 (10.0%) | ||
| Weight at initial prenatal visit | 34 (6.4%) | ||
| Weight retention after prior pregnancy | 32 (6.0%) | ||
| Height | 27 (5.1%) | ||
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7. When counseling patients on gestational weight gain, respondents typically present recommendations by: (n=574)
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| Giving a range of pounds for total gain goal | 482 (84.0%) | ||
| Giving specific number of pounds as total gain goal or giving a specific endpoint weight | 54 (9.4%) | ||
| Not discussing gestational weight gain with patients | 26 (4.5%) | ||
*
Question 1 allowed respondents to ‘select all that apply.’ Data is presented only for those responses that had a frequency of >5%. Other responses included waist circumference (1.4%), do not routine assess weight status (1.4%), other (0.3%), caliper measurements (0%), and waist to hip ratio (0%).
**
Question 6 allowed respondents to ‘select all that apply.’ Data is presented only for those responses that had a frequency of >5%. Other responses included age (4.2%) and race (3%).