343: Postpartum patient navigation and postpartum weight retention

Abstract Objective This study aimed to evaluate postpartum weight retention (PPWR) among women who participated in a postpartum patient navigation (PN) program. Study Design English-speaking pregnant or postpartum women receiving publicly-funded prenatal care at a hospital-based clinic were invited to receive PN services through 12 weeks postpartum. Women were eligible for this analysis if height and weight values were available. Weights at 4 to 12 weeks and up to 12 months postpartum were compared in PN and non-PN historical-control groups and analyzed as mean PPWR (difference from prepregnancy weight) and categorically as PPWR > 5kg. Results Among the 311 women, 152 participated in the PN program and 159 were historical controls. There were no differences in age, race and ethnicity, prepregnancy body mass index (BMI), nulliparity, and preterm birth between the groups (p > 0.05). At 4 to 12 weeks postpartum, mean PPWR (4.0 ± 6.7 vs. 2.7 ± 6.3 kg, p = 0.06) and PPWR > 5 kg (61/144 [42%] vs. 50/145 [34%], p = 0.15) did not differ between groups. Similarly, up to 12 months postpartum, mean PPWR (4.5 ± 7.1 vs. 5.0 ± 7.5 kg, p = 0.59) and PPWR > 5 kg (22/50 [44%] vs. 30/57 [53%], p = 0.55) did not differ between groups. Conclusion Although PN is a promising intervention to improve women's health care utilization and other associated health outcomes, in this particular navigation program, participation was not associated with PPWR at 4 to 12 weeks and up to 12 months postpartum.

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Influence of prenatal perceived stress on postpartum weight retention is mediated by high gestational weight gain in women with overweight

Clinical Obesity ◽

10.1111/cob.12446 ◽

2021 ◽

Author(s):

Krista S. Leonard ◽

Elizabeth L. Adams ◽

Jennifer S. Savage ◽

Ian M. Paul ◽

Jennifer L. Kraschnewski ◽

...

Keyword(s):

Weight Gain ◽

Gestational Weight Gain ◽

Perceived Stress ◽

Postpartum Weight Retention ◽

Weight Retention ◽

Gestational Weight ◽

Postpartum Weight

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Information for CME Credit—The Impact of a Lifestyle Intervention on Postpartum Weight Retention Among At-Risk Hispanic Women

American Journal of Preventive Medicine ◽

10.1016/s0749-3797(21)00254-3 ◽

2021 ◽

Vol 61 (1) ◽

pp. A3

Keyword(s):

At Risk ◽

Lifestyle Intervention ◽

Hispanic Women ◽

Postpartum Weight Retention ◽

Weight Retention ◽

Postpartum Weight ◽

The Impact

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Association of Full Breastfeeding Duration with Postpartum Weight Retention in a Cohort of Predominantly Breastfeeding Women

Nutrients ◽

10.3390/nu11040938 ◽

2019 ◽

Vol 11 (4) ◽

pp. 938 ◽

Cited By ~ 1

Author(s):

Muna J. Tahir ◽

Jacob L. Haapala ◽

Laurie P. Foster ◽

Katy M. Duncan ◽

April M. Teague ◽

...

Keyword(s):

Breastfeeding Duration ◽

Postpartum Weight Retention ◽

Weight Retention ◽

Maternal Weight ◽

Linear Mixed Effects ◽

Prepregnancy Weight ◽

Adjusted Means ◽

Postpartum Weight ◽

Healthy Growth ◽

Pregnancy Weight

Full breastfeeding (FBF) is promoted as effective for losing pregnancy weight during the postpartum period. This study evaluated whether longer FBF is associated with lower maternal postpartum weight retention (PPWR) as compared to a shorter FBF duration. The MILK (Mothers and Infants Linked for Healthy Growth) study is an ongoing prospective cohort of 370 mother–infant dyads, all of whom fully breastfed their infants for at least 1 month. Breastfeeding status was subsequently self-reported by mothers at 3 and 6 months postpartum. Maternal PPWR was calculated as maternal weight measured at 1, 3, and 6 months postpartum minus maternal prepregnancy weight. Using linear mixed effects models, by 6 months postpartum, adjusted means ± standard errors for weight retention among mothers who fully breastfed for 1–3 (3.40 ± 1.16 kg), 3–6 (1.41 ± 0.69 kg), and ≥6 months (0.97 ± 0.32 kg) were estimated. Compared to mothers who reported FBF for 1–3 months, those who reported FBF for 3–6 months and ≥6 months both had lower PPWR over the period from 1 to 6 months postpartum (p = 0.04 and p < 0.01, respectively). However, PPWR from 3 to 6 months was not significantly different among those who reported FBF for 3–6 versus ≥6 months (p > 0.05). Interventions to promote FBF past 3 months may increase the likelihood of postpartum return to prepregnancy weight.

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Weight cycling, ethnicity, and postpartum weight retention

Paediatric and Perinatal Epidemiology ◽

10.1111/j.1365-3016.2001.381-2.x ◽

2008 ◽

Vol 15 (4) ◽

pp. A1-A1

Author(s):

B Abrams ◽

Kj Hoggatt ◽

M Kang ◽

S Selvin

Keyword(s):

Weight Cycling ◽

Postpartum Weight Retention ◽

Weight Retention ◽

Postpartum Weight

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Early Postpartum Sleep and Substantial Postpartum Weight Retention in Women with Gestational Diabetes Mellitus [21A]

Obstetrics and Gynecology ◽

10.1097/01.aog.0000483314.27262.76 ◽

2016 ◽

Vol 127 ◽

pp. 16S-17S

Author(s):

Lisette Davidson ◽

Yvonne Crites ◽

Juan Carlos LaGuardia ◽

Erica P. Gunderson

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Postpartum Weight Retention ◽

Weight Retention ◽

Early Postpartum ◽

Postpartum Weight

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Postpartum weight retention among women in Rio de Janeiro: a follow-up study

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2003000700016 ◽

2003 ◽

Vol 19 (suppl 1) ◽

pp. S149-S161 ◽

Cited By ~ 19

Author(s):

Gilberto Kac ◽

Maria Helena D'Aquino Benicio ◽

Joaquim Gonçalves Valente ◽

Gustavo Velásquez-Meléndez

Keyword(s):

Body Fat ◽

Rio De Janeiro ◽

Single Women ◽

Outcome Variable ◽

Postpartum Weight Retention ◽

Weight Retention ◽

Variable Weight ◽

Postpartum Weight ◽

Pregnancy Weight

This study presents follow-up results on trends in postpartum weight retention among women in the city of Rio de Janeiro, Brazil, at 0.5, 2, 6, and 9 months postpartum. The outcome variable, weight retention, was calculated by subtracting the reported pre-pregnancy weight from the observed weight at each interview. Statistical analyses used means and a 95% confidence interval for weight retention. Mean weight retention was 4.7, 4.1, 3.4, and 3.1kg at 0.5, 2, 6 and 9 months postpartum, respectively. At completion of the study, the largest weight retention was observed in women over 30 years of age (4.2kg) and with 30% or more of body fat (5.9kg). The rate of reduction in weight retention was 0.4kg/month, 0.2kg/month, and 0.1kg/ month for the periods 0.5-2, 2-6, and 6-9 months, respectively. The largest reductions were observed among young, single women and those with < 30% of body fat at baseline. The results suggest that variables such as age, parity, schooling, and body fat may be important predictors of postpartum weight retention.

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