Title: Stephanie Mattfeld Beaudette M.Ed., RD
1Stephanie Mattfeld Beaudette M.Ed., RD Colorado
Department of Public Health and Environment CDC
Preconception Summit June 21-23, 2005
2Inadequate 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)
3Colorados Social Marketing Campaign to Address
Inadequate Prenatal Weight GainA Healthy Baby
is Worth the Weight
4Campaign 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.
5Campaign 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.
6Campaign 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
7Campaign 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
8Issues 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
9The 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.
10Issues 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)
11Roll 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.
121990 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