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Institute of Medicine 2009 Gestational Weight Gain Guideline Knowledge: Survey of Obstetrics/Gynecology and Family Medicine Residents of the United States

Authors

  • Tiffany A Moore Simas MD, MPH, MEd,

    Director,Associate Professor,Associate Director
    1. Department of Obstetrics/Gynecology, University of Massachusetts Medical School/UMass Memorial Health Care, Worcester, MA, USA
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  • Molly E Waring PhD,

    Assistant Professor
    1. Department of Quantitative Health Sciences, Division of Epidemiology of Chronic Diseases and Vulnerable Populations Worcester, University of Massachusetts Medical School, Worcester, MA, USA
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  • Gina M T Sullivan MD,

    Resident Physician
    1. Obstetrics/Gynecology Residency Program, New York University Langone Medical Center, New York, NY, USA
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  • Xun Liao MS,

    Biostatistician
    1. Sanofi, Beijing, China
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  • Milagros C Rosal PhD,

    Professor
    1. Department of Medicine, Division of Preventative and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, USA
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  • Janet R Hardy PhD, MSc,

    Consultant,Assistant Professor
    1. Pharmacoepidemiology and Global Maternal-Child Health Research, Epidemiology and Biostatistics (Affiliate) of University of South Florida, St. Petersburg, FL, USA
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  • Robert E Berry Jr MD

    Medical Director
    1. Maternity Services Cambridge Health Alliance, Cambridge, MA, USA
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  • Financial Support: Salary support for Dr. Waring provided by KL2TR000160.
  • Disclaimer: A portion of the findings in this manuscript were presented in abstract and poster form at the American College of Obstetrics and Gynecology Annual Clinical Meeting in San Francisco, CA, May 2010. No authors have any actual or perceived conflicts of interest with regards to materials presented in this manuscript.

Address correspondence to Tiffany A. Moore Simas, MD, MPH, MEd, Divisions of Research and General Obstetrics & Gynecology, Department of Obstetrics & Gynecology, University of Massachusetts Medical School/UMass Memorial Health Care, Memorial Campus, 119 Belmont Street, Jaquith Building, Room no. 2.008, Worcester, MA 01605, USA.

Abstract

Background

In 2009, the Institute of Medicine revised gestational weight gain recommendations; revisions included body mass index (BMI) category cut-point changes and provision of range of gain for obese women. Our objective was to examine resident prenatal caregivers' knowledge of revised guidelines.

Methods

Anonymous electronic survey of obstetrics/gynecology and family medicine residents across the United States from January to April 2010.

Results

Overall, 660 completed the survey; 79 percent female and 69 percent aged between 21 and 30. When permitted to select ≥ 1 response, 87.0 percent reported using BMI to assess weight status at initial visits, 44.4 percent reported using “clinical impression based on patient appearance,” and 1.4 percent reported not using any parameters. When asked the most important baseline parameter for providing recommendations, 35.8 percent correctly identified prepregnancy BMI, 2.1 percent reported “I don't provide guidelines,” and 4.5 percent reported “I do not discuss gestational weight gain.” Among respondents, 57.6 percent reported not being aware of new guidelines. Only 7.6 percent selected correct BMI ranges for each category, and only 5.8 percent selected correct gestational weight gain ranges. Only 2.3 percent correctly identified both BMI cutoffs and recommended gestational weight gain ranges per 2009 guidelines.

Conclusions

Guideline knowledge is the foundation of accurate counseling, yet resident prenatal caregivers were minimally aware of the 2009 Institute of Medicine gestational weight gain guidelines almost a year after their publication.

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