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KMID : 0892720050090010019
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Journal of the Korean Society of Maternal and Child Health
2005 Volume.9 No. 1 p.19 ~ p.32
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Postpartum Weight Retention: Patterns and Related Factors during 3 Months Postpartum
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Ahn Suk-Hee
Kim Mi-Ok
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Abstract
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Objectives: The purpose of this prospective study was to explore the pattern of postpartum weight retention during 3 months postpartum period and to examine demographic and obstetric factors that influence weight retention in the postpartum.
Methods: The study used a correlational, longitudinal design to address the Questions posed. After delivery, a convenience sample of 77 mothers with newborn infants was recruited at three hospitals in P city and followed for 3 months postpartum. The mothers postpartum weight loss and obstetric and demographic variables were measured at three time points: during hospitalization (T1: 1∼2 days following delivery), 6 weeks (T2), and 3 months (T3) postpartum.
Results: Mean total weight gain during pregnancy was 12.8±3.4kg (range: 6∼24kg). At 6 weeks (T2) weight loss compared to weight at term pregnancy was 8.7±2.3kg and range was wide from 5 to 15kg. Weight retention was 4.1±3.0kg at 6 weeks and 2.6±3.3kg at 3 months postpartum. The difference in body weight between 6 weeks and 3 months bodyweight was only 1.6kg, indicating weight loss was progressed very slowly after the 6 weeks of postpartum. Weight change was different by measurement time and group of Body Mass Index (BMI) at pre-pregnancy. Weight retention at 6 weeks postpartum was greater when woman was primipara, and woman had low or normal BMI at pre-pregnancy, infants with no health problem, and breastfeeding. Significant predictors for more weight retention were greater weight gain during pregnancy and lower BMI at pre-pregnancy.
Conclusions: The first 6 weeks of postpartum is the most critical time to lose weight that gained during pregnancy and there is a need to develop well-designed weight control program for puerperal women in the context of Korean postpartum care style.
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KEYWORD
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puerperium, weight retention, Body Mass Index, weight gain
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