overweight and obesity knowledge prior to pregnancy a survey study超重和肥胖知识怀孕之前的一项调查研究.pdfVIP

Nitert et al. BMC Pregnancy and Childbirth 2011, 11:96 /1471-2393/11/96 RESEARCH ARTICLE Open Access Overweight and obesity knowledge prior to pregnancy: a survey study 1 2 3 3 4 5 Marloes Dekker Nitert , Katie F Foxcroft , Karin Lust , Narelle Fagermo , Debbie A Lawlor , Michael O’Callaghan , H David Mcintyre6,7 and Leonie K Callaway7,8* Abstract Background: Overweight and obesity are associated with increased risk for pregnancy complications. Knowledge about increased risks in overweight and obese women could contribute to successful prevention strategies and the aim of this study is to assess current levels of knowledge in a pregnant population. Methods: Cross sectional survey of 412 consecutive unselected women in early pregnancy in Brisbane, Australia: 255 public women attending their first antenatal clinic visit and 157 women at private maternal fetal medicine clinics undergoing a routine ultrasound evaluation prior to 20 weeks gestation. The cohort was stratified according to pre pregnancy BMI ( 25.0 or ≥ 25.0). The main outcome measure was knowledge regarding the risks of overweight and obesity in pregnancy. Results: Over 75% of respondents identified that obese women have an increased risk of overall complications, including gestational diabetes and hypertensive disorders of pregnancy compared to women of normal weight. More than 60% of women asserted that obesity would increase the risk of caesarean section and less than half identified an increased risk of adverse neonatal outcomes. Women were less likely to know about neonatal complications (19.7% did not know about the effect of obesity on these) than maternal complications (7.4%). Knowledge was similar amongst women recruit