Prevalence and related factors of inappropriate gestational weight gain among pregnant women with overweight/ obesity in Thailand Article Swipe
Thanyawalai Chairat
,
Ameporn Ratinthorn
,
Piyanun Limruangrong
,
Dittakarn Boriboonhirunsarn
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12884-023-05635-0
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12884-023-05635-0
Background An inappropriate gestational weight gain (GWG) among pregnant women with overweight/obesity is a crucial health problem. Its prevalence remains high worldwide, particularly in urban areas. The prevalence and predicting factors in Thailand are lack of evidence. This study aimed to investigate prevalence rates, antenatal care (ANC) service arrangement, predictive factors, and impacts of inappropriate GWG among pregnant women with overweight/obesity in Bangkok and its surrounding metropolitan area. Methods This cross-sectional, retrospective study used four sets of questionnaires investigating 685 pregnant women with overweight/obesity and 51 nurse-midwives (NMs) from July to December 2019 in ten tertiary hospitals. Multinomial logistic regression identified predictive factors with a 95% confidence interval (CI). Result The prevalence rates of excessive and inadequate GWG were 62.34% and 12.99%. Weight management for pregnant women with overweight/obesity are unavailable in tertiary cares. Over three-fourths of NMs have never received weight management training for this particular group. ANC service factors, i.e., GWG counseling by ANC providers, quality of general ANC service at an excellent and good level, NMs' positive attitudes toward GWG control, significantly decreased the adjusted odds ratio (AOR) of inadequate GWG by 0.03, 0.01, 0.02, 0.20, times, respectively. While maternal factors, sufficient income, and easy access to low-fat foods reduce AOR of inadequate GWG by 0.49, and 0.31 times. In contrast, adequate maternal GWG knowledge statistically increased the AOR of inadequate GWG 1.81 times. Meanwhile, easy access to low-fat foods and internal weight locus of control (WLOC) decreased the AOR of excessive GWG by 0.29 and 0.57 times. Finally, excessive GWG significantly increased the risk of primary C/S, fetal LGA, and macrosomia 1.65, 1.60, and 5.84 times, respectively, while inadequate GWG was not associated with adverse outcomes. Conclusion Prevalence rates of inappropriate GWG, especially excessive GWG remained high and affected adverse outcomes. The quality of ANC service provision and appropriate GWG counseling from ANC providers are significant health service factors. Thus, NMs should receive gestational weight counseling and management training to improve women's knowledge and practice for gestational weight (GW) control.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12884-023-05635-0
- https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-023-05635-0
- OA Status
- gold
- Cited By
- 7
- References
- 40
- Related Works
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- OpenAlex ID
- https://openalex.org/W4372337238
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4372337238Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s12884-023-05635-0Digital Object Identifier
- Title
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Prevalence and related factors of inappropriate gestational weight gain among pregnant women with overweight/ obesity in ThailandWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-05-05Full publication date if available
- Authors
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Thanyawalai Chairat, Ameporn Ratinthorn, Piyanun Limruangrong, Dittakarn BoriboonhirunsarnList of authors in order
- Landing page
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https://doi.org/10.1186/s12884-023-05635-0Publisher landing page
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https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-023-05635-0Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-023-05635-0Direct OA link when available
- Concepts
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Medicine, Overweight, Obesity, Odds ratio, Pregnancy, Environmental health, Weight gain, Obstetrics, Reproductive medicine, Weight management, Demography, Internal medicine, Body weight, Genetics, Biology, SociologyTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 5, 2024: 1, 2023: 1Per-year citation counts (last 5 years)
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40Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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