GESTATIONAL WEIGHT GAIN MANAGEMENT IN UNDERSERVED MOTHERS - A STATE-WIDE RANDOMIZED CONTROLLED TRIAL IN LOUISIANA WIC
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 31, 2025
ABSTRACT
Importance
Underserved
pregnant
individuals
experience
the
highest
risk
of
aberrant
pregnancy
weight
gain
and
adverse
perinatal
outcomes.
The
Women,
Infants,
Children
(WIC)
federal
program
assists
underserved
is
therefore
positioned
to
offer
equitable
access
interventions
enhance
gestational
in
accordance
with
clinical
guidelines.
Objective
Test
effectiveness
a
pragmatic,
fully
remote
lifestyle
intervention
co-developed
WIC
participants
on
incidence
guideline
attainment
Design
SmartMoms
trial
was
single-blind
randomized
conducted
from
July
2019
May
2024.
Setting
Louisiana
Program
across
31
participating
clinics.
Participants
1300
were
recruited
WIC;
756
excluded
via
phone
call
544
screened
person;
351
enrolled.
Randomization
stratified
by
geographical
region
BMI
class.
Intervention
A
high
intensity
multicomponent
e-health
(“Healthy
Beginnings”)
for
management
or
usual
care
between
10
16
weeks
gestation
until
delivery
(∼24
weeks).
Main
Outcome(s)
Measure(s)
primary
outcome
assessed
at
participants’
clinic
included
total
observed
gain,
per
week
deviation
guidelines
as
secondary
Perinatal
outcomes
birth
certificates
exploratory.
Results
study
sample
(179
Intervention;
172
Usual
Care)
diverse:
39%
obesity;
57%
non-Hispanic
Black.
not
different
groups.
Study
(adjusted
mean
difference,
–1.4
kg;
95%
CI,
–2.8
–0.1),
rate
difference
–0.07
kg/wk;
–0.13
–0.01)
lower
Group
compared
Care.
There
43
cases
(16/172
Intervention,
27/171
preterm
30
NICU
admissions
(12/172
18/171
equating
an
adjusted
relative
reduction
36.9%
28.6%,
respectively.
Conclusions
Relevance
concomitant
lowered
reduced
admission.
Trial
Registration
ClinicalTrials.gov
NCT04028843
Background
outside
supplemental
nutrition.
promoting
recommended
complementing
care.
Methods
In
state-wide
controlled
trial,
randomly
assigned
gestation.
attainment.
Pregnant
(n=351)
enrolled
Conclusion
registration
Key
Points
Question
Can
improve
participants?
Findings
this
that
participants,
National
Academy
Medicine
did
differ.
birth,
Group.
Meaning
attenuated
improved
Язык: Английский
Trends in adverse pregnancy outcomes in Louisiana, 2017 to 2022
Scientific Reports,
Год журнала:
2025,
Номер
15(1)
Опубликована: Март 21, 2025
Natural
disasters
can
lead
to
more
adverse
pregnancy
outcomes
(APO).
It
is
unclear
if
the
extended
COVID-19
pandemic
has
impacted
APOs
and
pre-existing
conditions
among
perinatal
populations
with
increased
risk
of
severe
maternal
morbidity
mortality.
A
retrospective
chart
review
was
conducted
hospital
records
birth
certificates
in
largest
Louisiana
from
2017
2022.
Amongst
27,877
births
(50.9%
White,
38.3%
Black,
28.9
±
5.6
years),
gestational
diabetes
(GDM)
lowest
pre-pandemic
conceptions
(11.0%,
June
2017-May
2019)
rose
16.4%
early
(October
2019-February
2020)
but
leveled
off
at
12.2%
peak
(March
2020-February
2021)
late
2021-September
2021).
Individuals
who
conceived
were
47%
(95%
CI
33,
63)
11%
2,
20)
likely
develop
GDM
respectively,
compared
conceptions.
delivered
during
(aRR:
1.54,
95%
1.33–1.78),
1.48,
1.32–1.65),
1.62,
1.41,
1.85)
preeclampsia
HELLP
syndrome
also
17%
5,
32)
enter
chronic
hypertension
pre-pandemic.
In
paired
analysis
(n
=
3390),
individuals
a
conception
that
occurred
had
higher
developing
their
(aOR
3.26,
1.52,
6.97).
Supporting
birthing
amongst
significant
stressful
events,
especially
gestation,
critical
for
preventing
Язык: Английский
Impact of Maternal Hyperglycemic and Hypertensive Disorders on Perinatal Outcomes Across the COVID-19 Pandemic
Women s Health Reports,
Год журнала:
2025,
Номер
6(1), С. 504 - 514
Опубликована: Янв. 1, 2025
Язык: Английский
Association of COVID-19 pandemic societal closures with gestational weight gain among women in South Carolina, 2018–2021
Annals of Epidemiology,
Год журнала:
2024,
Номер
91, С. 51 - 57
Опубликована: Фев. 6, 2024
Язык: Английский
The early COVID-19 pandemic period and associated gestational weight gain
Journal of Perinatal Medicine,
Год журнала:
2024,
Номер
53(1), С. 2 - 8
Опубликована: Ноя. 1, 2024
The
aim
of
this
study
was
to
investigate
if
gestational
weight
gain
altered
during
the
early
COVID-19
pandemic
period.
This
a
retrospective
cohort
evaluating
among
individuals
delivering
epoch
(March
10-December
31,
2020)
compared
temporally
matched
pre-pandemic
(matched
months
in
2018
and
2019)
controls
using
electronic
medical
record
data
from
large
tertiary
care
hospital.
primary
outcome
defined
as
categorical
measure
representing
below,
meeting,
or
above
Institute
Medicine
(IOM)
criteria
with
further
adjustment
for
age
at
delivery.
early-pandemic
exposure
group
also
categorized
by
start
period
(<14
weeks'
14-20
weeks')
assess
duration
affected
risks
use
multinominal
logistic
regression.
Among
5,377
3,619
(67.3
%)
1,758
(32.7
were
pre
epochs
respectively.
Overall,
934
(17.4
gained
below
recommended,
1,280
(23.8
met
recommendations,
3,163
(58.8
IOM
recommended
gain.
Compared
epoch,
not
associated
(OR
1.06,
95
%
Cl
0.89-1.27)
1.03,
0.89-1.19)
recommendations.
true
when
stratified
based
on
weeks').
demonstrated
no
significant
difference
maternal
between
periods.
Язык: Английский