Maternal weight acquire throughout being pregnant is among the few probably modifiable threat elements for a lot of adversarial maternal and little one well being outcomes. Defining the optimum being pregnant weight acquire vary is troublesome as a result of, whereas decrease weight acquire might forestall some outcomes, reminiscent of maternal and little one weight problems, it might improve the danger of others reminiscent of fetal development restriction and toddler demise. These well being outcomes range of their seriousness to moms and their well being care suppliers, and these variations in seriousness ought to be taken into consideration when figuring out optimum weight acquire ranges. Nonetheless, the relative seriousness that ladies and their care suppliers place on completely different well being outcomes is unknown.
We’ll decide the seriousness of 11 maternal and little one well being outcomes which were persistently related to being pregnant weight acquire. We’ll obtain this by participating sufferers and maternal and little one well being professionals utilizing a web based modified Delphi panel course of.
We purpose to recruit a racially/ethnically and geographically various group of 90 US maternal and little one well being professionals and 90 ladies who’re pregnant or lower than 2 years postpartum. We’ll conduct Three concurrent panels utilizing the ExpertLens system, a beforehand evaluated on-line modified Delphi system that mixes 2 rounds of score with 1 spherical of suggestions and moderated on-line dialogue. In Spherical 1, panelists are requested to price the seriousness of every well being end result on a scale of 0–100 and to supply a rationale for his or her scores. In Spherical 2, panelists will evaluate their responses relative to these of different panelists. They’ll talk about their seriousness rankings anonymously utilizing a moderated on-line dialogue board. In Spherical 3, contributors will revise their Spherical 1 responses based mostly on group suggestions and dialogue. Every spherical shall be open for 1–2 weeks.
The research protocol was reviewed by our ethics boards and didn’t require approval as human analysis. A pilot research of 6 professionals and seven sufferers was accomplished in December 2019.
Our numeric estimates of the seriousness of maternal and little one well being outcomes will allow future research to find out being pregnant weight acquire ranges that steadiness the dangers of high and low weight acquire for moms and kids.
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