142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

296668
Postpartum Weight Retention Among Mothers of Children with Special Health Care Needs

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Laurel Hoffmann, BA , Department of Public Health and Preventive Medicine and School of Medicine, Oregon Health & Science Univeristy, Portland, OR
Elizabeth Adams, PhD, RD , Department of Public Health and Preventive Medicine, OIDD, Oregon Health & Science University, Portland, OR
Dawn Peters, PhD , Department of Public Health & Preventative Medicine, Oregon Health & Science University, Portland, OR
Kenneth D. Rosenberg, MD, MPH , Center for Prevention and Health Promotion, Oregon Public Health Division, Portland, OR
Emily Gallagher, MD, MPH , Department of Pediatrics, Oregon Health & Science University, Portland, OR
Background: Postpartum weight retention (PPWR) is a risk factor for subsequent obesity among women.  The perinatal period is a complex time for maternal and child health, as demands of parenting arise alongside dramatic changes in physiology.  We sought to assess whether there was an association between having a child with a special health care need (CSHCN), and maternal PPWR. 

Methods: This study uses data from the 2005 Oregon Pregnancy Risk Assessment Monitoring System (PRAMS). Oregon PRAMS is a stratified random sample of live births that asks women about their attitudes and experiences before, during, and after pregnancy. PRAMS-2 re-interviews PRAMS respondents shortly after the child turns 2 years old.  The primary predictor was CSHCN status.  The outcome was high PPWR, defined as retention of more than 4.5 kg.  Logistic regression modeling estimated the main association.

Results:  In the final sample of 978 subjects, 11.4% women reported having a CSHCN and 41.3% reported high PPWR.  The odds of reporting PPWR among subjects with CSHCN were 1.98 times those of subjects without CSHCN, after adjustment for parity, pregravid BMI, maternal race/ethnicity, maternal age, breastfeeding, physical activity, food security status, household income, and maternal depression in multivariate logistic regression analysis (OR: 1.98 95% CI: 1.07 – 3.66)

Conclusions:  Compared to women who did not have a CSHCN, women who had a CSHCN were less likely to return to their pre-pregnancy weight. Public health professionals can use these findings to develop ways to improve primary and secondary prevention of obesity in new mothers.

Learning Areas:

Epidemiology

Learning Objectives:
Compare postpartum weight retention patterns between mothers of children with special health care needs and mothers whose children do not have special health care needs

Keyword(s): Children With Special Needs, Maternal and Child Health

Presenting author's disclosure statement:

Not Answered