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  • Original Article
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Lost in translation? English- and Spanish-speaking women’s perceptions of gestational weight gain safety, health risks and counseling

Subjects

Abstract

Objective:

To determine English- and Spanish-speaking women’s perceptions on gestational weight gain (GWG) counseling.

Study design:

We administered a written survey to 279 pregnant women regarding GWG counseling and knowledge. We compared English- and Spanish-speaking women’s responses using X2-tests and logistic regression analyses.

Result:

Seventy-four (27%) women completed the survey in Spanish and 205 (73%) in English. More Spanish compared with English speakers did not know if their provider recommended weight gain goals (26% vs 10%, odds ratio (OR) 3.2, confidence interval (CI) 1.5 to 6.5); if there are risks to excessive GWG for mother (27% vs 11%, OR 3.1, CI 1.5 to 6.4) or infant (38% vs 16%, OR 3.3, CI 1.7 to 6.3); or if exercise (15% vs 1%, OR 12.1, CI 3.0 to 69.1) or weight loss (35% v 12%, OR 4.0, CI 2.0 to 8.0) were safe during pregnancy.

Conclusion:

Significant differences exist between Spanish- and English-speaking women’s perception of GWG counseling, which may be due to language or cultural barriers.

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References

  1. Flegal KM, Carroll MD, Kit BK, Ogden CL . Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012; 307 (5): 491–497.

    Article  PubMed  Google Scholar 

  2. Hall LF, Neubert AG . Obesity and pregnancy. Obstet Gynecol Surv 2005; 60 (4): 253–260.

    Article  PubMed  Google Scholar 

  3. Cedergren M . Effects of gestational weight gain and body mass index on obstetric outcome in Sweden. Int J Gynaecol Obstet 2006; 93 (3): 269–274.

    Article  CAS  PubMed  Google Scholar 

  4. Stotland NE, Hopkins LM, Caughey AB . Gestational weight gain, macrosomia, and risk of cesarean birth in nondiabetic nulliparas. Obstet Gynecol 2004; 104 (4): 671–677.

    Article  PubMed  Google Scholar 

  5. Savitz DA, Stein CR, Siega-Riz AM, Herring AH . Gestational weight gain and birth outcome in relation to prepregnancy body mass index and ethnicity. Ann Epidemiol 2011; 21 (2): 78–85.

    Article  PubMed  Google Scholar 

  6. Hedderson MM, Gunderson EP, Ferrara A . Gestational weight gain and risk of gestational diabetes mellitus. Obstet Gynecol 2010; 115 (3): 597–604.

    Article  PubMed  PubMed Central  Google Scholar 

  7. DeVader SR, Neeley HL, Myles TD, Leet TL . Evaluation of gestational weight gain guidelines for women with normal prepregnancy body mass index. Obstet Gynecol 2007; 110 (4): 745–751.

    Article  PubMed  Google Scholar 

  8. Rooney BL, Schauberger CW . Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol 2002; 100 (2): 245–252.

    PubMed  Google Scholar 

  9. Stotland NE, Cheng YW, Hopkins LM, Caughey AB . Gestational weight gain and adverse neonatal outcome among term infants. Obstet Gynecol 2006; 108 (3 Pt 1): 635–643.

    Article  PubMed  Google Scholar 

  10. Rooney BL, Schauberger CW, Mathiason MA . Impact of perinatal weight change on long-term obesity and obesity-related illnesses. Obstet Gynecol 2005; 106 (6): 1349–1356.

    Article  PubMed  Google Scholar 

  11. Schack-Nielsen L, Michaelsen KF, Gamborg M, Mortensen EL, Sorensen TI . Gestational weight gain in relation to offspring body mass index and obesity from infancy through adulthood. Int J Obes (Lond) 2010; 34 (1): 67–74.

    Article  CAS  Google Scholar 

  12. Stuebe AM, Forman MR, Michels KB . Maternal-recalled gestational weight gain, pre-pregnancy body mass index, and obesity in the daughter. Int J Obes (Lond) 2009; 33 (7): 743–752.

    Article  CAS  Google Scholar 

  13. Oken E, Rifas-Shiman SL, Field AE, Frazier AL, Gillman MW . Maternal gestational weight gain and offspring weight in adolescence. Obstet Gynecol 2008; 112 (5): 999–1006.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Institute of Medicine. Chapter 2: Descriptive epidemiology and trends. Weight Gain During Pregnancy: Reexamining the Guidelines. National Academies Press: Washington, DC, USA, 2009.

  15. Brown MJ, Sinclair M, Liddle D, Hill AJ, Madden E, Stockdale J . A systematic review investigating healthy lifestyle interventions incorporating goal setting strategies for preventing excess gestational weight gain. PLoS One 2012; 7 (7): e39503.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. American College of Obstetricians and Gynecologists. ACOG Committee opinion no. 549: obesity in pregnancy. Obstet Gynecol 2013; 121 (1): 213–217.

    Article  Google Scholar 

  17. Strychar IM, Chabot C, Champagne F, Ghadirian P, Leduc L, Lemonnier MC et al. Psychosocial and lifestyle factors associated with insufficient and excessive maternal weight gain during pregnancy. J Am Diet Assoc 2000; 100 (3): 353–356.

    Article  CAS  PubMed  Google Scholar 

  18. Cogswell ME, Scanlon KS, Fein SB, Schieve LA . Medically advised, mother's personal target, and actual weight gain during pregnancy. Obstet Gynecol 1999; 94 (4): 616–622.

    CAS  PubMed  Google Scholar 

  19. Stengel MR, Kraschnewski JL, Hwang SW, Kjerulff KH, Chuang CH . "What my doctor didn't tell me": examining health care provider advice to overweight and obese pregnant women on gestational weight gain and physical activity. Womens Health Issues 2012; 22 (6): e535–e540.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Leslie WS, Gibson A, Hankey CR . Prevention and management of excessive gestational weight gain: a survey of overweight and obese pregnant women. BMC Pregnancy Childbirth 2013; 13: 10.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Moore Simas TA, Waring ME, Sullivan GM, Liao X, Rosal MC, Hardy JR 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 (4): 237–246.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Oken E, Switkowski K, Price S, Guthrie L, Taveras EM, Gillman M et al. A qualitative study of gestational weight gain counseling and tracking. Matern Child Health J 2013; 17 (8): 1508–1517.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Herring SJ, Platek DN, Elliott P, Riley LE, Stuebe AM, Oken E . Addressing obesity in pregnancy: what do obstetric providers recommend? J Womens Health (Larchmt) 2010; 19 (1): 65–70.

    Article  Google Scholar 

  24. Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Solomon CG, Markenson G . Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity (Silver Spring) 2008; 16 (7): 1657–1666.

    Article  Google Scholar 

  25. Headen IE, Davis EM, Mujahid MS, Abrams B . Racial-ethnic differences in pregnancy-related weight. Adv Nutr 2012; 3 (1): 83–94.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Pawlak MT, Alvarez BT, Jones DM, Lezotte DC . The effect of race/ethnicity on gestational weight gain. J Immigr Minor Health 2013 e-pub ahead of print, 10 August 2013.

  27. Doak CC, Doak LG, Root JH . Teaching Patients with Low Literacy Skills. J.B. Lippincott: Philadelphia, PA, USA, 1996.

    Book  Google Scholar 

  28. Alberico S, Montico M, Barresi V, Monasta L, Businelli C, Soini V et al. The role of gestational diabetes, pre-pregnancy body mass index and gestational weight gain on the risk of newborn macrosomia: results from a prospective multicentre study. BMC Pregnancy Childbirth 2014; 14: 23.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Kim SY, Sharma AJ, Sappenfield W, Wilson HG, Salihu HM . Association of maternal body mass index, excessive weight gain, and gestational diabetes mellitus with large-for-gestational-age births. Obstet Gynecol 2014; 123 (4): 737–744.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Gould Rothberg BE, Magriples U, Kershaw TS, Rising SS, Ickovics JR . Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. Am J Obstet Gynecol 2011; 204 (1): 52 e51–11.

    Article  Google Scholar 

  31. McDonald SD, Pullenayegum E, Taylor VH, Lutsiv O, Bracken K, Good C et al. Despite 2009 guidelines, few women report being counseled correctly about weight gain during pregnancy. Am J Obstet Gynecol 2011; 205 (4): 333 e331–333 e336.

    Article  Google Scholar 

  32. McDonald SD, Pullenayegum E, Bracken K, Chen AM, McDonald H, Malott A et al. Comparison of midwifery, family medicine, and obstetric patients' understanding of weight gain during pregnancy: a minority of women report correct counselling. J Obstet Gynaecol Can 2012; 34 (2): 129–135.

    Article  PubMed  Google Scholar 

  33. Institute of Medicine and National Research Council Weight Gain in Pregnancy: Re-examing the Guidelines. National Academic Press: Washington, USA, 2009.

  34. Shin HB, Ortman J . Language projections: 2010 to 2020. Federal Forecasters Conference. Annual Meeting of the American Sociological Association, 20–23 August 2011; Las Vegas, NV, USA American Sociological Association: Las Vegas, NV, USA, 2011.

    Google Scholar 

  35. Karliner LS, Jacobs EA, Chen AH, Mutha S . Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Serv Res 2007; 42 (2): 727–754.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Flores G . The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev 2005; 62 (3): 255–299.

    Article  PubMed  Google Scholar 

  37. Flores G, Laws MB, Mayo SJ, Zuckerman B, Abreu M, Medina L et al. Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics 2003; 111 (1): 6–14.

    Article  PubMed  Google Scholar 

  38. Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T . Physician advice for smoking cessation. Cochrane Database Syst Rev 2013; 5: Cd000165.

    Google Scholar 

  39. Mehrotra C, Naimi TS, Serdula M, Bolen J, Pearson K . Arthritis, body mass index, and professional advice to lose weight: implications for clinical medicine and public health. Am J Prev Med 2004; 27 (1): 16–21.

    Article  PubMed  Google Scholar 

  40. Ferrari RM, Siega-Riz AM . Provider advice about pregnancy weight gain and adequacy of weight gain. Matern Child Health J 2013; 17 (2): 256–264.

    Article  PubMed  PubMed Central  Google Scholar 

  41. 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 (6): 518–524.

    Article  PubMed  Google Scholar 

  42. Chu SY, Callaghan WM, Bish CL, D'Angelo D . Gestational weight gain by body mass index among US women delivering live births, 2004-2005: fueling future obesity. Am J Obstet Gynecol 2009; 200 (3): 271–e271-277.

    Article  PubMed  Google Scholar 

  43. Hampers LC, McNulty JE . Professional interpreters and bilingual physicians in a pediatric emergency department: effect on resource utilization. Arch Pediatr Adolesc Med 2002; 156 (11): 1108–1113.

    Article  PubMed  Google Scholar 

  44. Soto Mas F, Cordova C, Murrietta A, Jacobson HE, Ronquillo F, Helitzer D . A multisite community-based health literacy intervention for Spanish speakers. J Community Health 2014 e-pub ahead of print, 16 October 2014.

  45. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Viera A, Crotty K et al. Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess (Full Rep) 2011; 199: 1–941.

    Google Scholar 

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Acknowledgements

We thank Kimberly Kilfoyle for her assistance with this manuscript.

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Correspondence to M C Smid.

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Smid, M., Dorman, K. & Boggess, K. Lost in translation? English- and Spanish-speaking women’s perceptions of gestational weight gain safety, health risks and counseling. J Perinatol 35, 585–589 (2015). https://doi.org/10.1038/jp.2015.24

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