Relationship between body mass index and course of pregnancy in women

Nutritional management and suitable weight control during pregnancy are very important. However, in clinical practice, it is difficult to determine in detail precisely what pregnant women are eating. We investigated nutritional balance and nutritional requirements in pregnant women and their relationship to the course of pregnancy. A Food Frequency Questionnaire Based on Food Groups (FFQg) was distributed to 223 women at 12 weeks gestation attending one obstetrics clinic. We observed the women’s statuses until delivery and obtained information on pregnancy, delivery, and newborn from their medical records. One hundred and forty-seven (65.9%) of the subjects had problem-free pregnancies. Only 2 (0.9%) subjects developed pregnancy-induced hypertension syndrome. Participants were classified by pre-pregnancy BMI (body mass index;kg/m2) as follows: 44 (19.7%) were underweight (BMI the three groups. However, the underweight group consumed significantly more fat than the normal group and gained significantly more weight before delivery than the others. Blood pressure was significantly higher in the overweight group than in the other groups at some points of gestation, although it remained within the normal range. Fat intake overall was more than the recommended value, especially in the underweight group. The relationship between course of pregnancy and nutritional intake was unclear. However, pre-pregnancy BMI may influence the course of pregnancy in terms of infant weight, gestational weight gain, and blood pressure.

Preconception Care Health Education for Female Workers of Reproductive Age in Japan Evaluation up to 6 Months after the Program

Objectives: The aim of this study was to implement a health education program for education of preconception care (PCC) for female workers of reproductive age through a seminar and to evaluate the program based on PCC knowledge and awareness and behaviors before the seminar and at 3 and 6 months after the seminar. Methods: A small group health education seminar was implemented using leaflets for 84 female workers of reproductive age, age 20 to 35 years old, and an intervention by group discussion and feedback was provided. Of these participants, 60 (71%) who provided valid survey responses were included in the analysis. The primary outcome indicators were PCC knowledge, PCC awareness and behaviors, and a food frequency questionnaire, and the secondary outcome indicators were self-efficacy and the health awareness and stress management subscales of the Health-Promotion Lifestyle Profile scale. The survey was conducted three times, before the seminar and at 3 and 6 months after the seminar, and the results were compared. Results: The percentage of individuals with PCC knowledge was significantly increased at 3 months after the seminar as compared with before the seminar, and it remained at this level even at 6 months after the seminar. The percentage of individuals with PCC awareness and behaviors was significantly increased for the items actively eat foods containing folic acid, prevent sexually transmitted diseases, and conduct self-examinations for breast cancer at 3 months after the seminar and for the items eat well-balanced meals, make the mind active, prevent sexually transmitted diseases, and conduct self-examinations for breast cancer at 6 months after the seminar. Furthermore, the score for the health awareness subscale of the Health-Promotion Lifestyle Profile scale was significantly increased at 6 months after the seminar. Conclusion: The health education program established PCC knowledge at 6 months after the seminar and improved some PCC awareness and behaviors. Therefore, it was suggested that the program would be effective for education of PCC for female workers of reproductive age.