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subsequent obesity; * the pattern of sequential weight gain and the distribution of the weight are important clinical observations in addition to total weight gain; * everything that goes into the pregnant woman's mouth is important including food, tobacco, alcohol, drugs, and medications. The clinical challenge is how to convey this information to the patient in such a way that she will understand its value and pertinence, will be motivated to change behaviors, and will benefit from this effort in a tangible supportative way. As reflected in the article by Taffel and Keppel in this issue of the Journal,5 this is a considerable challenge that in many instances remains unmet. It is appropriate to remind ourselves that the patient does not come to use with a blank slate. With regard to both diet and weight gain, she has an abundance of input. There is the panoply of educational, cultural, societal, economic, and familial influences. There is the official and unofficial health-related media in all of its variations. And-by the way-there is the nurse and the doctor the patient is seeing for prenatal care. Our beliefs are difficult to change. A pregnant woman is aware the pregnancy is not
American Journal of Public Health – American Public Health Association
Published: Dec 1, 1986
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