scholarly journals Postpartum Patient Navigation and Postpartum Weight Retention

2019 ◽  
Vol 09 (03) ◽  
pp. e292-e297
Author(s):  
Michelle A. Kominiarek ◽  
Sydney Summerlin ◽  
Noelle G. Martinez ◽  
Lynn M. Yee
Keyword(s):  
Race And Ethnicity ◽  
Patient Navigation ◽  
Care Utilization ◽  
Postpartum Women ◽  
Program Participation ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Prepregnancy Weight ◽  
Navigation Program ◽  
Postpartum Weight

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.

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

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 938 ◽  
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.

scholarly journals Associations Among Leisure-Time Physical Activity, Gestational Weight Gain, and Postpartum Weight Retention With Varying Estimates of Prepregnancy Weight

2016 ◽  
Vol 11 (6) ◽  
pp. 501-510
Author(s):  
Rebecca A. Schlaff ◽  
Claudia Holzman ◽  
Kimberly S. Maier ◽  
Karin A. Pfieffer ◽  
James M. Pivarnik
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Gestational Weight ◽  
Prepregnancy Weight ◽  
Pregnancy And Postpartum ◽  
Postpartum Weight

Prospective studies examining postpartum weight retention (PPWR) in relation to the appropriateness of gestational weight gain (GWG) and leisure-time physical activity (LTPA) during pregnancy and postpartum are lacking. While utilizing varying estimates of prepregnancy weight, we sought to prospectively examine associations among the aforementioned variables. Our sample consisted of a subset of women from the Archive for Research on Child Health Study (n = 68). Prepregnancy weight was obtained via questionnaire and birth certificates. GWG (2 estimates) was calculated by subtracting prepregnancy weight estimates from weight at delivery and classified as “excess” or “not excess.” Pregnancy and postpartum LTPA were self-reported and dichotomized at recommended levels. Prepregnancy weight estimates were subtracted from self-reported postpartum weight to calculate 2 estimates of PPWR at 6 months. Linear regression was used to examine relationships among GWG and LTPA, and PPWR. Estimates of excess GWG were associated with increased PPWR (mean difference = 3.3-8.9 kg), even after adjustment for prepregnancy body mass index and breastfeeding. Meeting pregnancy and postpartum LTPA recommendations did not significantly predict PPWR. Our findings highlight the importance of encouraging appropriate GWG and provide insight into the impact varying estimates of prepregnancy weight may have when exploring associations among these variables.

scholarly journals What type of weight loss program do postpartum women want? Treatment preferences of postpartum women in two community settings

2010 ◽  
Vol 8 (1) ◽  
pp. 22-31 ◽  
Author(s):  
Suzanne Phelan ◽  
Katelyn Smith ◽  
John-Mark Steele ◽  
Dawn Wilt ◽  
Sally Ames ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Control ◽  
Self Report ◽  
Treatment Modalities ◽  
Treatment Preferences ◽  
Postpartum Women ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Face To Face ◽  
Postpartum Weight

Approximately 25% of women experience major weight gain after pregnancy, retaining more than 4.5 kg. Preliminary efforts to promote postpartum weight loss have encountered some success, but little is known about the types of programs of greatest interest to postpartum women. The purpose of this study was to better understand the weight control needs and preferences of postpartum women in the Women, Infants and Children (WIC) Nutrition program (N = 100) and an Adult Education Parenting (AEP) program (N = 75). A self-report questionnaire was used to collect participants’ demographic and weight history information as well as participants’ degree of interest in various weight loss treatment modalities. Results indicated that, independent of weeks postpartum and breastfeeding status, women in both groups (WIC and AEO) experienced high postpartum weight retention, and greater weight retention was reported in WIC than AEP (7.6 ± 7.7 kg vs. 3.2 ± 6.9 kg, respectively; p = .0001). When asked about types of weight control treatments, women in both setting expressed greatest interest in weekly face-to-face group meetings, but 66.2% of AEP and 60.6% of WIC reported needing childcare to attend such meetings. Women in both settings reported interest in an Internet-based program, particularly one that integrated monthly face-to-face meetings. Future randomized controlled trials are needed to examine the efficacy of Internet-based treatment in reducing postpartum weight retention in diverse patient populations.

scholarly journals 343: Postpartum patient navigation and postpartum weight retention

2019 ◽  
Vol 220 (1) ◽  
pp. S239-S240
Author(s):  
Michelle A. Kominiarek ◽  
Sydney Summerlin ◽  
Noelle G. Martinez ◽  
Lynn Yee
Keyword(s):  
Patient Navigation ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Postpartum Weight

scholarly journals Postpartum Weight Retention and Cardiometabolic Risk among Saudi Women: A Follow-Up Study of RAHMA Subcohort

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Hayfaa A. Wahabi ◽  
Amel A. Fayed ◽  
Shabana Tharkar ◽  
Samia A. Esmaeil ◽  
Hanadi Bakhsh
Keyword(s):  
Risk Factors ◽  
Cardiometabolic Risk ◽  
Cardiometabolic Risk Factors ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Saudi Women ◽  
Prepregnancy Weight ◽  
Postpartum Weight ◽  
Different Levels

Objectives. This papers aims to investigate the association between different levels of postpartum weight retention (PPWR) and cardiometabolic risk among the Saudi women 12 months postpartum. Methods. This study is a follow-up of subgroup of cohort from Riyadh mother and baby multicenter cohort study. Clinical data were collected from participants 12 months after delivery and included current Body Mass Index (BMI), waist circumference, hip circumference, and blood pressure. In addition the following blood tests done were fasting blood glucose (FBG), glycosylated haemoglobin (HbA1c) levels, and lipids profile to assess the participants’ cardiometabolic risks. The participants were categorized into three groups based on the level of PPWR: weight retention < 3kg; weight retention 3 to < 7kg; and weight retention ≥ 7kg. Subsequently, the prevalence of cardiometabolic risk factors was compared in the three groups to assess the association between different levels of PPWR and cardiometabolic risk factors. Logistic regression was used to test the effect of PPWR in the development of metabolic syndrome and Adjusted Odds Ratio (AOR) was calculated. Results. A total of 115 women participated in this study. Around 35% of the study population retained ≥ 7 kg of weight. The prevalence of cardiometabolic risk factors, including metabolic syndrome (MetS), increases with the increase of PPWR (p<0.01). The prevalence of MetS is 13% with highest frequency in the group with the highest weight retention. The determinants developing MetS were prepregnancy weight; AOR (95% CI); 1.08 (1.02-1.14), P< 0.01, current BMI, AOR (95% CI); 1.30 (1.12-1.51), P< 0.01, and FBG during pregnancy, AOR (95% CI); and 4.82 (1.72-13.48), P < 0.01. Conclusion. Increased weight retention after delivery augments the rate of occurrence of cardiometabolic risk factors. Determinants of the development of MetS in postpartum Saudi women are increased prepregnancy weight, current BMI, and FBG during pregnancy.

scholarly journals Gestational Weight Gain and Prepregnancy Weight Influence Postpartum Weight Retention in a Cohort of Brazilian Women

2004 ◽  
Vol 134 (3) ◽  
pp. 661-666 ◽  
Author(s):  
Gilberto Kac ◽  
Maria H.D.A. Benício ◽  
Gustavo Velásquez-Meléndez ◽  
Joaquim G. Valente ◽  
Cláudio J. Struchiner
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Gestational Weight ◽  
Prepregnancy Weight ◽  
Postpartum Weight

Modeling the Impact of Prepregnancy BMI, Physical Activity, and Energy Intake on Gestational Weight Gain, Infant Birth Weight, and Postpartum Weight Retention

2012 ◽  
Vol 9 (7) ◽  
pp. 1020-1029 ◽  
Author(s):  
Amy E. Montpetit ◽  
Hugues Plourde ◽  
Tamara R. Cohen ◽  
Kristine G. Koski
Keyword(s):  
Physical Activity ◽  
Energy Intake ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Gestational Weight ◽  
Prepregnancy Bmi ◽  
Prepregnancy Weight ◽  
Postpartum Weight ◽  
Infant Birth ◽  
The Impact

Background:A “fit pregnancy” requires balancing energy expenditure with energy intake (EI) to achieve appropriate gestational weight gains (GWG), healthy infant birth weights (IBW), and minimal postpartum weight retention (PPWR). Our objective was to develop an integrated conceptual framework to assess the contribution of prepregnancy weight (PP-BMI), EI, and physical activity (PA) as determinants of GWG, IBW, and PPWR.Methods:Pregnant women (n = 59) were recruited from prenatal classes. Energy intake was estimated using 3 24-hr diet recalls and PA using a validated PA questionnaire and a pedometer. Telephone interviews at 6-weeks postpartum assessed self-reported GWG, IBW, and PPWR. Hierarchical multiple regression analyses were used to explore the potential predictors of GWG, IBW, and PPWR.Results:Prepregnancy BMI was associated with GWG, and EI was associated with IBW; each model captured only 6%–18% of the variability. In contrast, PPWR was predicted by PP-BMI, GWG, and EI, which together explained 61% of its variability, whereas GWG alone explained 51% of the variability in PPWR.Conclusions:Modeling the relationship using hierarchical models suggests that PP-BMI, prepartum PA, and EI differentially impact GWG, IBW, and PPWR.

scholarly journals Reducing Postpartum Weight Retention: A Review of the Implementation Challenges of Postpartum Lifestyle Interventions

2021 ◽  
Vol 10 (9) ◽  
pp. 1891
Author(s):  
Maureen Makama ◽  
Helen Skouteris ◽  
Lisa J. Moran ◽  
Siew Lim
Keyword(s):  
Large Scale ◽  
Strong Predictor ◽  
Later Life ◽  
Individual Characteristics ◽  
Postpartum Women ◽  
Successful Implementation ◽  
Lifestyle Interventions ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Postpartum Weight

Postpartum weight retention (PPWR) is a strong predictor of obesity in later life with long term health consequences in women. Suboptimal lifestyle behaviours (e.g., diet and physical activity) contribute to PPWR. Postpartum lifestyle interventions are known to be efficacious in reducing PPWR; however, there are challenges to their successful implementation. To inform implementation, this narrative review provides an overview of the factors that contribute to PPWR, the efficacy of existing postpartum lifestyle interventions and key determinants of effective implementation using the Consolidated Framework for Implementation Research (CFIR) across intervention characteristics, implementation process, individual characteristics and outer and inner setting. We then suggest strategies to improve the translation of evidence into large-scale interventions that deliver on health impact in postpartum women. We have identified gaps that need to be addressed to advance postpartum lifestyle research, including the involvement of postpartum women and community members as key stakeholders for optimal reach and engagement, more complete reporting of intervention characteristics to optimize translation of evidence into practice, capacity building of health professionals and guidelines for postpartum lifestyle management.

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