Subscribe to RSS
Putting Knowledge into Practice—The Challenge of Acquiring Healthy Habits during PregnancyColocando conhecimento em prática - O desafio de adquirir hábitos saudáveis durante a gravidez
01 May 2018
06 May 2019
27 June 2019 (online)
Objective The aim of this study was to investigate the knowledge concerning gestational weight gain (GWG), nutrition, and physical exercise (PE) in pregnant women, and how to put them into practice.
Methods A cross-sectional study with 61 pregnant women above 26 weeks of gestation, at the Woman's Hospital, CAISM, University of Campinas. Questionnaires regarding the knowledge of healthy habits (HH) during pregnancy, sociodemographic data, and previous obstetric outcomes were applied. An educational guide with advice on HH during pregnancy and in the postpartum period was offered.
Results The average age of women was 28.7 ± 6.23 years, with 85% of them being married; 32% nulliparous; the average body mass index (BMI) before pregnancy was 25.4 ± 9.8 kg/m2, and the mean number of years of schooling was 11.2 ± 3.8. Only 61% of the subjects had received any previous information about GWG during their antenatal care and were aware as to how many pounds they should gain during pregnancy. Among the 61 women, 85% understood that they did not need to “eat for 2” and 99% knew that PE had benefits for their body and was safe for their baby. Half of the women practiced PE prior to pregnancy; however, only 31% continued the practice of PE during the pregnancy.
Conclusion Despite understanding the need for HH during pregnancy, women still need encouragement to practice PE during pregnancy, as well as more information about GWG.
Objetivo O objetivo deste estudo foi investigar os conhecimentos sobre ganho de peso gestacional (GPG), nutrição, e exercício físico (EF) em gestantes e o quanto elas os colocam em prática.
Métodos Estudo transversal realizado no Hospital da Mulher, CAISM, Unicamp, com 61 gestantes acima das 26 semanas gestacionais. Questionários sobre conhecimento de hábitos saudáveis (HS) durante a gestação, dados sociodemográficos, e antecedentes obstétricos foram aplicados. Um guia educacional com conselhos sobre HS durante a gravidez e período pós-parto foi oferecido.
Resultados A idade média das mulheres foi de 28,7 ± 6,23 anos, sendo 85% casadas, 32% nulíparas, o índice de massa corporal (IMC) médio antes da gestação foi de 25,4 ± 9,8 kg/m2, e a média de anos de escolaridade foi de 11,2 ± 3,8. Apenas 61% das mulheres entrevistadas haviam recebido informações prévias sobre o GPG durante o pré-natal e sabiam quantos quilos deveriam ganhar durante a gravidez. Entre as mulheres, 85% sabiam que não precisavam “comer por dois,” e 99% sabiam que o EF tinha benefícios para seu corpo e era seguro para seu bebê. Metade das mulheres praticava EF antes da gravidez, mas apenas 31% continuaram praticando durante a gravidez.
Conclusão Apesar de compreender a necessidade de HS durante a gravidez, as mulheres ainda precisam de incentivo para praticar EF durante a gravidez, bem como mais informações sobre o GPG.
Keywordshealthy habits - gestation - weight gain - nutrition - physical exercise - antenatal education
Palavras-chavehábitos saudáveis - gestação - ganho de peso - nutrição - exercício físico - educação pré-natal
A. C. G. M. and F. G. S. designed the research; A. C. G. M. and J. F. C. conducted the research; S. S. M., A. C. G. M., D. S. M. P., M. P. P., and F. G. S. analyzed the data; A. C. G. M., D. S. M. P., M. P. P., and F. G. S. wrote the paper; A. C. G. M. and F. G. S. had primary responsibility for the final content.
- 1 Stotland NE, Gilbert P, Bogetz A, Harper CC, Abrams B, Gerbert B. Preventing excessive weight gain in pregnancy: how do prenatal care providers approach counseling?. J Womens Health (Larchmt) 2010; 19 (04) 807-814 . Doi: 10.1089/jwh.2009.1462
- 2 Buschur E, Kim C. Guidelines and interventions for obesity during pregnancy. Int J Gynaecol Obstet 2012; 119 (01) 6-10 . Doi: 10.1016/j.ijgo.2012.04.025
- 3 Davies GAL, Wolfe LA, Mottola MF, MacKinnon C. No. 129-Exercise in pregnancy and the postpartum period. J Obstet Gynaecol Can 2018; 40 (02) e58-e65 . Doi: 10.1016/j.jogc.2017.11.001
- 4 Matsuzaki M, Kusaka M, Sugimoto T. , et al. The effects of a yoga exercise and nutritional guidance program on pregnancy outcomes among healthy pregnant Japanese women: a study protocol for a randomized controlled trial. J Altern Complement Med 2018; 24 (06) 603-610 . Doi: 10.1089/acm.2017.0119
- 5 Vitner D, Harris K, Maxwell C, Farine D. Obesity in pregnancy: a comparison of four national guidelines. J Matern Fetal Neonatal Med 2019; 32 (15) 2580-2590 . Doi: 10.1080/14767058.2018.1440546
- 6 Ribeiro CP, Milanez H. Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: a descriptive study. Reprod Health 2011; 8: 31 . Doi: 10.1186/1742-4755-8-31
- 7 Babbar S, Porter BW, Williams KB. The impact of prenatal yoga on exercise attitudes and behavior: teachable moments from a randomized controlled trial. Int J Yoga Therap 2017; 27 (01) 37-48 . Doi: 10.17761/IJYT2017
- 8 Bauer C, Graf C, Platschek AM, Strüder HK, Ferrari N. Reasons, motivational factors, and perceived personal barriers to engagement in physical activity during pregnancy vary within the BMI classes – the prenatal prevention Project Germany. J Phys Act Health 2018; 15 (03) 204-211 . Doi: 10.1123/jpah.2016-0563
- 9 Institute of Medicine. National Research Council. Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report. Washington, DC: National Academies Press; 2009. https://www.nap.edu/read/11817/chapter/1 . Accessed March 18, 2019.
- 10 Institute of Medicine. National Research Council. Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington, DC: National Academies Press; 2009
- 11 Ledford CJW, Womack JJ, Rider HA. , et al. Unexpected effects of a system-distributed mobile application in maternity care: a randomized controlled trial. Health Educ Behav 2018; 45 (03) 323-330 . Doi: 10.1177/1090198117732110
- 12 Grimes HA, Forster DA, Newton MS. Sources of information used by women during pregnancy to meet their information needs. Midwifery 2014; 30 (01) e26-e33 . Doi: 10.1016/j.midw.2013.10.007
- 13 Shub A, Huning EY, Campbell KJ, McCarthy EA. Pregnant women's knowledge of weight, weight gain, complications of obesity and weight management strategies in pregnancy. BMC Res Notes 2013; 6: 278 . Doi: 10.1186/1756-0500-6-278
- 14 Ockenden H, Gunnell K, Giles A. , et al. Development and preliminary validation of a comprehensive questionnaire to assess women's knowledge and perception of the current weight gain guidelines during pregnancy. Int J Environ Res Public Health 2016; 13 (12) e1187 . Doi: 10.3390/ijerph13121187
- 15 Moore Simas TA, Waring ME, Sullivan GM. , et al. Institute of medicine 2009 gestational weight gain guideline knowledge: survey of obstetrics/gynecology and family medicine residents of the United States. Birth 2013; 40 (04) 237-246 . Doi: 10.1111/birt.12061
- 16 Lutsiv O, Bracken K, Pullenayegum E, Sword W, Taylor VH, McDonald SD. Little congruence between health care provider and patient perceptions of counselling on gestational weight gain. J Obstet Gynaecol Can 2012; 34 (06) 518-524 . Doi: 10.1016/S1701-2163(16)35267-7
- 17 Groth SW, Kearney MH. Diverse women's beliefs about weight gain in pregnancy. J Midwifery Womens Health 2009; 54 (06) 452-457 . Doi: 10.1016/j.jmwh.2009.03.003
- 18 Thompson MW, Nassar N, Robertson M, Shand AW. Pregnant women's knowledge of obesity and ideal weight gain in pregnancy, and health behaviours of pregnant women and their partners. Aust N Z J Obstet Gynaecol 2011; 51 (05) 460-463 . Doi: 10.1111/j.1479-828X.2011.01328.x
- 19 McPhie ML, Rawana JS. The effect of physical activity on depression in adolescence and emerging adulthood: a growth-curve analysis. J Adolesc 2015; 40: 83-92 . Doi: 10.1016/j.adolescence.2015.01.008
- 20 Sui Z, Turnbull DA, Dodd JM. Overweight and obese women's perceptions about making healthy change during pregnancy: a mixed method study. Matern Child Health J 2013; 17 (10) 1879-1887 . Doi: 10.1007/s10995-012-1211-8
- 21 Christenson A, Johansson E, Reynisdottir S, Torgerson J, Hemmingsson E. Women's perceived reasons for their excessive postpartum weight retention: a qualitative interview study. PLoS One 2016; 11 (12) e0167731 . Doi: 10.1371/journal.pone.0167731
- 22 Godoy AC, Nascimento SL, Kasawara KT, Oushiro NH, Surita FG. A population-based study on gestational weight gain according to body mass index in the Southeast of Brazil. Physiol J 2014; 2014: 1-6 . Doi: 10.1155/2014/956960
- 23 US Department of Agriculture, US Department of Health and Human Services. Dietary Guidelines for Americans. 7th ed. Washington, DC: U.S. Government Printing Office; 2010. http://www.health.gov/dietaryguidelines/dga2010/dietaryguidelines2010.pdf . Accessed March 18, 2019.
- 24 Padmanabhan U, Summerbell CD, Heslehurst N. A qualitative study exploring pregnant women's weight-related attitudes and beliefs in UK: the BLOOM study. BMC Pregnancy Childbirth 2015; 15: 99 . Doi: 10.1186/s12884-015-0522-3