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Stephanie Mattfeld Beaudette M.Ed., RD

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Inadequate Prenatal Weight Gain and Low Birth Weight in Colorado ... 1,180 LBW births can be attributed to inadequate prenatal weight gain (19.3% PAR) ... – PowerPoint PPT presentation

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Title: Stephanie Mattfeld Beaudette M.Ed., RD


1
Stephanie Mattfeld Beaudette M.Ed., RD Colorado
Department of Public Health and Environment CDC
Preconception Summit June 21-23, 2005
2
Inadequate Prenatal Weight Gain and Low Birth
Weight in Colorado
  • In 2002, there were 68,420 births
  • nearly 1 in 4 of pregnant women gained
    inadequately
  • 16,000 pregnant women in 2002!
  • 6,116 low birth weight births
  • 1,180 LBW births can be attributed to inadequate
    prenatal weight gain (19.3 PAR)

3
Colorados Social Marketing Campaign to Address
Inadequate Prenatal Weight GainA Healthy Baby
is Worth the Weight
4
Campaign Purpose Goals
  • Increase the number of pregnant women in Colorado
    who gain an adequate amount of weight during
    pregnancy.
  • Decrease the number of low birth weight births in
    Colorado due to inadequate prenatal weight gain.

5
Campaign Evaluation
  • Goals
  • To increase adequate weight gain among pregnant
    women in Colorado.
  • Ultimately, to decrease low birth weight births
    in Colorado.
  • How will we achieve these goals?
  • Motivate prenatal health care providers to
    discuss and monitor appropriate weight gain with
    patients.
  • Increase awareness about the importance of
    maternal weight gain among consumers.

6
Campaign Evaluation
  • Added a question to the 2004 PRAMS survey
  • How much weight did your doctor, nurse or other
    health care worker tell you to gain during your
    pregnancy?
  • ______ Pounds OR ______ Kilos
  • They did not tell me how much weight to gain
  • I dont remember
  • Other, please tell us _________________________
  • Colorado birth certificate (2006) added fields
  • pre-pregnancy weight
  • height

7
Campaign Process
Initial consumer and provider Focus groups
Advertising agency selected
Materials created, tested and revised
Campaign promotion next steps!
Media Campaign
Provider Training
Web site
8
Issues for Women in Addressing Inadequate Weight
Gain Issues
  • Pregnant Women Focus Group Results, Summer 2002
  • Concern about body image during pregnancy-fear of
    becoming overweight
  • Reported lack of education from health care
    providers, especially doctors
  • Questioned relationship between maternal weight
    gain and infant weight and health

9
The women I know arent gaining They need to
know how important it is to gain. I know three
pregnant women who have pictures of models on the
inside of their kitchen cupboards so when they
open the cupboard they dont eat so much. The
Hollywood stars give a false impression of what a
pregnant lady should look like.
10
Issues for Physicians in Addressing Inadequate
Weight Gain
  • FP OB/GYN Physician Focus Group Results, Spring
    2001
  • Skeptical about the impact of IWG on the number
    of low birth weight births
  • Lack of knowledge/training in nutrition
  • Lack of resources to provide intervention
  • Medicalization of issue (ultrasound)

11
Roll Out to the Medical CommunityFebruary-Septemb
er 2004
  • Provided MCH grant funds to several large local
    health departments to support a campaign
    coordinator within the agency
  • Adapted a Train-the-Trainer approach for county
    wide training
  • Collected data on number of providers trained,
    material evaluation, change in practice, etc.

12
1990 Institute of Medicines Total Weight Gain
Recommendations
  • Low BMI (lt19.8) 28-40 pounds
  • Normal BMI (19.8-26) 25-35 pounds
  • High BMI (26-29) 15-25 pounds
  • Obese BMI (gt29) 15 pounds
  • Based on pre-pregnancy weight height
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