Please use this identifier to cite or link to this item:


File Size Format  
Phillips hawii 0085A 10133.pdf 2.65 MB Adobe PDF View/Open

Item Summary

Authors:Phillips, Nora
Contributors:Shannon, Maureen (advisor)
Nursing Practice (department)
Diet in Pregnancy
Excessive Gestational Weight Gain
show 4 moreExercise in Pregnancy
Nutrition in Pregnancy
Physical Activity in Pregnancy
Weight Gain in Pregnancy
show less
Date Issued:2019
Publisher:University of Hawai'i at Manoa
Abstract:Despite guidelines published by the Institute of Medicine (IOM) for weight gain in pregnancy, many women in Hawaii and the United States (US) gain more than what is recommended. It is widely accepted that excessive gestational weight gain (EGWG) is linked to poor health outcomes for mothers and babies, therefore, efforts should be made to help women avoid gaining too much weight during pregnancy. This final project for the Doctor of Nursing Practice (DNP) degree is an evidenced-based nutrition and exercise program that aimed to reduce EGWG using educational and motivational strategies to monitor and provide guided feedback to pregnant patients in a women’s health clinic on O’ahu.
All eligible patients at the project site were exposed to the practice change, and half of the patients at a different site for the practice did not receive the intervention. Data collection was done through chart review (baseline and post-implementation), and pre and post-implementation surveys. Baseline data collected from a sample of 1003 patients at both sites demonstrated that 39.9% of patients in the clinic experienced EGWG pre-implementation. For determination of change in EGWG after the project change, a total of 84 patients were included. Results demonstrated that EGWG was reduced from 39.9% to 26.2% in six months in the whole patient population (both sites, n=84). Further, 22.2% (n=45) patients that were exposed to the practice change at the implementation had EGWG compared to 30.8% (n=39) of patients not participating in the program. Results suggest that the DNP project contributed to a reduction in the number of women with EGWG at the project site.
A total of 85 women completed the diet and exercise surveys focusing on what women thought about gestational weight gain and nutrition and exercise during pregnancy. Results from the surveys revealed that the majority of patients felt the program helped to create positive attitudes toward recommended weight gain (94.2%), nutrition (87%) and physical activity (89.9%) during pregnancy. Most of the patients (86%) reported an increase in physical activity intensity, duration, and/or frequency due to the intervention; and all participants responded that this program would benefit other pregnant women. These results suggest that pregnant women in other clinical practices could benefit from this or a s similar intervention to help reduce the incidence of EGWG.
Description:D.N.P. Thesis. Ph.D. Thesis. University of Hawaiʻi at Mānoa 2019
Pages/Duration:44 pages
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing Practice

Please email if you need this content in ADA-compliant format.

Items in ScholarSpace are protected by copyright, with all rights reserved, unless otherwise indicated.