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J Reprod Med. 2013 Nov-Dec;58(11-12):463-8.

Practice and perceptions of obstetrics and gynecology providers and the treatment of overweight and obese women.

Author information

1
Department of Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, Washington, USA. bruce.pier1@us.army.mil
2
Department of Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, Washington, USA.

Abstract

OBJECTIVE:

To verify how frequently obstetrics-gynecology providers documented the diagnosis and treatment of overweight/obese patients during routine examinations. These results were compared to a survey administered to this group of providers that measured their perceived practice patterns regarding weight management.

STUDY DESIGN:

A retrospective chart review was performed of well woman and routine postpartum exams of patients with a body mass index (BMI) > 25. Patient encounters were reviewed for a diagnosis of overweight or obese and weight management interventions offered. In addition, a survey was administered to obstetrics-gynecology providers who performed these exams in order to measure their perceived obesity diagnosis and treatment patterns.

RESULTS:

A total of 1,145 patient encounters were reviewed of patients with a BMI > 25. Providers documented 77 of the 1,145 (6.7%) as overweight or obese. Only 70 of 1,145 (6.1%) had documented interventions (i.e., recommending weight loss or exercise). In contrast, a majority of providers surveyed reported they appropriately diagnosed and counseled patients with obesity.

CONCLUSION:

The majority of obstetrics and gynecology providers surveyed perceived that weight management was an important part of their clinical practice; however documentation of patient encounters did not match their perceived clinical

PMID:
24568039
[Indexed for MEDLINE]
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