Gestasyonel kilo alımı ve postpartum 12. ayda kilo retansiyonu

Amaç: Bu araştırma, Tıp Enstitüsü (IOM) 2009 yılı rehberine göre gestasyonel kilo alımı (GKA) ve postpartum 12. ay kilo retansiyonu belirleme ve bunları etkileyen faktörleri araştırmayı amaçlamıştır. Gereç ve Yöntem: Araştırma; tanımlayıcı ve kesitsel tipte postpartum 12. ayda olan 216 kadında yapılmıştır. Verilerin toplanmasında soru formu kullanılmıştır. Bulgular: Kadınların %64.8’nin 2009 yılı IOM rehber önerileri dışında GKA belirlenmiş (%44 aşırı GKA) ve %69.5’inde postpartum kilo retansiyonu (% 27.8’si 5 ≥ kg; %41.7’si 0.5-5kg arası) saptanmıştır. Postpartum 12. aydaki kadınların obezite oranı gebelik başlangıç obezite oranına göre 9.3% oranında artmıştır. Gebelik başlangıç beden kitle indeksi kilolu ve obez olan, > 8 yıl eğitim alan, gelir düzeyi iyi olan, bebek doğum ağırlığı ≥4000 gram olan (p

Anahtar Kelimeler:

pregnancy, weight gain, weight retention, obesity, perinatal care

Gestational weight gain and weight retention at postpartum 12th month

Purpose: This study aimed to determine gestational weight gain (GWG) according to the Institute of Medicine (IOM) 2009 guidelines and postpartum 12th month weight retention, and to investigate the factors affecting it. Materials and Methods: This is a descriptive cross-sectional study of 216 postpartum women at 12 month. Questionnaire was used to collect the research data.. Results: 64.8% of women have been determined except for the 2009 IOM guideline recommendations (44% excessive GWG), postpartum weight retention was identified in 69.5% of the women (27.8% having ≥5 kg; 41.7% between 0.5-5kg). Obesity ratio increased by 9.3% in postpartum women at 12 month when compared to pre-pregnancy. Excessive GWG were found in women whose pre-pregnancy body mass index was overweight and obese, had education for> 8 years, had a good income level, and a baby birth weight of ≥4000 grams and had a primipara. Postpartum 12 month weight retention rates were observed in women with excessive GWG, and in women whose physical activity perceptions were immobile, with breastfeeding periods of ≤6 months. Conclusion: Approximately half of the participating women had excessive GWG, while two-thirds had postpartum weight retention at 12th month. There was 9.3% increase in the rate of obesity between pre-pregnancy and 12 months postpartum in the participating women. Prenatal care provider (midwife-nurse, obstetrician, family doctor etc.) should make recommendations for GWG according to IOM guidelines and weight management counseling to prevent excessive GWG and postpartum weight retention.

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