ปัจจัยทำนายน้ำหนักคงค้างหลังคลอด
คำสำคัญ:
น้ำหนักคงค้างหลังคลอด, มารดาหลังคลอดบทคัดย่อ
การวิจัยครั้งนี้มีวัตถุประสงค์ เพื่อศึกษาปัจจัยทำนายของน้ำหนักที่เพิ่มขึ้นระหว่างตั้งครรภ์ การบริโภคอาหารหลังคลอด การเลี้ยงลูกด้วยนมแม่ ภาวะซึมเศร้าหลังคลอด และการอยู่ไฟต่อน้ำหนักคงค้างหลังคลอด 4-6 สัปดาห์ กลุ่มตัวอย่างคือมารดาที่มา รับบริการตรวจสุขภาพหลังคลอด ที่โรงพยาบาลวารินชำราบและโรงพยาบาลสรรพสิทธิประสงค์ จำนวน 87 ราย เครื่องมือที่ใช้ใน การวิจัย คือ แบบสอบถามข้อมูลส่วนบุคคล แบบบันทึกการบริโภคอาหารย้อนหลังใน 24 ชั่วโมง และแบบสอบถามภาวะซึมเศร้า หลังคลอด วิเคราะห์ข้อมูลโดยใช้การวิเคราะห์ถดถอยพหุคูณ ผลการวิจัยพบว่า มารดามีน้ำหนักคงค้างหลังคลอด 4-6 สัปดาห์ เฉลี่ย 5.77 กิโลกรัม (S.D. = 3.55) น้ำหนักที่เพิ่มขึ้น ระหว่างตั้งครรภ์และการอยู่ไฟสามารถร่วมกันทำนายน้ำหนักคงค้างหลังคลอดได้ร้อยละ 62.8 อย่างมีนัยสำคัญทางสถิติ (F = 30.063, p < .001, adjusted R2 = .628) โดยน้ำหนักที่เพิ่มขึ้นระหว่างตั้งครรภ์สามารถทำนายน้ำหนักคงค้างหลังคลอดได้สูงสุด (β = .465, t = 5.840, p < .001) รองลงมาคือการอยู่ไฟ (β = .444, t = 5.571, p < .001)
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เอกสารอ้างอิง
1. Phillips J, King R, Skouteris H. The influence of psychological distress during pregnancy on early postpartum weight retention. Journal of Reproductive and Infant Psychology. 2014; 32:25-40.
2. Cunningham FG, Leveno KJ, Bloom SL, Spong CV, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24th ed. New York: Mcgraw-Hill; 2014.
3. Bogaerts A, De Baetselier E, Ameye L, Dilles T, Van Rompaey B, Devlieger R. Postpartum weight trajectories in overweight and lean women. Midwifery. 2017; 49:134-141.
4. Ma D, Szeto IM, Yu K, Ning Y, Li W, Wang J, et al. Association between gestational weight gain according to prepregnancy body mass index and short postpartum weight retention in postpartum women. Clinical Nutrition. 2017; 34:291-295.
5. Sunanta T, Xuto P, Sriareporn P. Factors predicting fat diet intake behavior among postpartum women. Nursing Journal. 2017; 44:47-56. (In Thai)
6. Cheng HR, Walker LO, Tseng YF, Lin PC. Post-partum weight retention in women in Asia: A systematic review. International Association for the Study of Obesity. 2011; 12:770-780.
7. Xuto P. A causal model of postpartum weight retention among Thai women in Bangkok. Pacific Rim International Journal of Nursing Research. 2011; 16:48-63.
8. Kew S, Ye C, Hanley AJ, Connelly PW, Sermer M, Zinman B, et al. Cardiometabolic implications of postpartum weight changes in the first year after delivery. Diabetes Care. 2014; 37:1998-2006.
9. Luke S, Kirby RS, Wright L. Postpartum weight retention and subsequent pregnancy outcomes. The Journal of Perinatal & Neonatal Nursing. 2016; 34:292-301.
10. Erbil N, Senkul A, Basara GF, Saglam Y, Gezer M. Body image among Turkish women during the first year postpartum. Health Care for Women International. 2012; 33:125-137.
11. Silveira ML, Ertel KA, Dole N, Chasan-Taber L. The role of body image in prenatal and postpartum depression: a critical review of the literature. Archives of Women’s Mental Health. 2015; 18:409-421.
12. Phillips J, King R, Skouteris H. A conceptual model of psychological predictors of postpartum weight retention. Journal of Reproductive and Infant Psychology. 2012; 30:278-288.
13. Thasanoh P. Northeast Thai women’s experiences in following traditional postpartum practices. Doctoral dissertation. University of California, Sanfrancisco. 2010.
14. Siriphan S. Nursing of postpartum mothers with a cross-cultural. 2nd ed. Narathiwat. 2014 (In Thai)
15. Podstawski R, Boraczynski T, Boraczynski M, Choszcz D, Mankowski S, Markowski P. Sauna-induced body mass loss in young sedentary women and men. The Scientific World Journal. 2014.
16. Zanotti J, Capp E, Wender MO. Factors associated with postpartum weight retention in a Brazilian cohort. Revista Brasileira Ginecologia Obstetrícia. 2015; 37: 164-171.
17. Endres LK, Straub H, McKinney C, Plunkett B, Minkovitz CS, Schetter CD, et al. Postpartum weight retention risk factors and relationship to obesity at 1 year. Obstetrics and Gynecology. 2015; 125:144-152.
18. Huang TT, Wang HS, Dai FT. Effect of pre-pregnancy body size on postpartum weight retention. Midwifery. 2010; 26:222-231.
19. Althuizen E, Poppel MN, Vries JH, Seidell JC, Mechelen W. Postpartum behaviour as predictor of weight change from before pregnancy to one year postpartum. BioMed Central Public Health. 2011; 11:165-171.
20. Thame MM, Jackson MD, Manswell IP, Osmond C, Antoine MG. Weight retention within the puerperium in adolescents: a risk factor for obesity?. Public Health Nutrition. 2010; 13: 283-288.
21. Turner MJ, Layte R. Obesity levels in a national cohort of women 9 months after delivery. American Journal of Obstetrics and Gynecology. 2013; 209:124-130.
22. Jarlenski MP, Bennett WL, Bleich SN, Barry CL, Stuart EA. Effects of breastfeeding on postpartum weight loss among US women. Preventive Medicine. 2014; 69:146-150.
23. Biesmans K, Franck E, Ceulemans C, Jacquemyn Y, Van Bogaert P. Weight during the postpartum period: What can health care workers do?. Maternal and Child Health Journal. 2013; 17: 996-1004.
24. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry. 1987; 150:782-786.
25. Vacharaporn K, Pitanupong J, Samangsri N. Development of the Edinburgh Postnatal Depression Scale Thai version. Journal of Mental Health of Thailand. 2003; 11:164-169.
26. Kaewsarn P, Moyle W, Creedy D. Traditional postpartum practices among Thai women. Journal of Advanced Nursing. 2003; 41:358-366.
27. Pumtong S, Wirasathien L, Sitthithaworn W, Rungmekarat A, Paeratakul O. Postpartum care through traditional Thai medicine in Amnat Charoen Province. Journal of Health Systems Research. 2010; 4:281-195. (In Thai)
28. Westerterp-Plantenga MS, Lemmens SG, Westerterp KR. Dietary protein–its role in satiety, energetics, weight loss and health. British Journal of Nutrition. 2012; 108:105-112.
29. Tongswas T, Somboon L, Prasitwattanaseree P. Selected factors related to weight changes among postpartum women. Nursing Journal. 2013; 40:126-136. (In Thai)
30. Moontito W, Sriarporm P, Baosoung C. Postpartum depression, social support, and functional status among adolescent mothers. Nursing Journal. 2017; 44:23-33. (In Thai)
31. Wongphinit U, Sinsuksai N, Yusamran C. Personal factors, social support and effective suckling at discharge in predicting exclusive breastfeeding at one month among first-time mothers. Journal of Royal Thai Army Nurses. 2016; 17:88-95. (In Thai)
32. Siega-Riz AM, Herring AH, Carrier K, Evenson KR, Dole N, Deierlein A. Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum. Obesity. 2010; 18: 1996-2003.
2. Cunningham FG, Leveno KJ, Bloom SL, Spong CV, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24th ed. New York: Mcgraw-Hill; 2014.
3. Bogaerts A, De Baetselier E, Ameye L, Dilles T, Van Rompaey B, Devlieger R. Postpartum weight trajectories in overweight and lean women. Midwifery. 2017; 49:134-141.
4. Ma D, Szeto IM, Yu K, Ning Y, Li W, Wang J, et al. Association between gestational weight gain according to prepregnancy body mass index and short postpartum weight retention in postpartum women. Clinical Nutrition. 2017; 34:291-295.
5. Sunanta T, Xuto P, Sriareporn P. Factors predicting fat diet intake behavior among postpartum women. Nursing Journal. 2017; 44:47-56. (In Thai)
6. Cheng HR, Walker LO, Tseng YF, Lin PC. Post-partum weight retention in women in Asia: A systematic review. International Association for the Study of Obesity. 2011; 12:770-780.
7. Xuto P. A causal model of postpartum weight retention among Thai women in Bangkok. Pacific Rim International Journal of Nursing Research. 2011; 16:48-63.
8. Kew S, Ye C, Hanley AJ, Connelly PW, Sermer M, Zinman B, et al. Cardiometabolic implications of postpartum weight changes in the first year after delivery. Diabetes Care. 2014; 37:1998-2006.
9. Luke S, Kirby RS, Wright L. Postpartum weight retention and subsequent pregnancy outcomes. The Journal of Perinatal & Neonatal Nursing. 2016; 34:292-301.
10. Erbil N, Senkul A, Basara GF, Saglam Y, Gezer M. Body image among Turkish women during the first year postpartum. Health Care for Women International. 2012; 33:125-137.
11. Silveira ML, Ertel KA, Dole N, Chasan-Taber L. The role of body image in prenatal and postpartum depression: a critical review of the literature. Archives of Women’s Mental Health. 2015; 18:409-421.
12. Phillips J, King R, Skouteris H. A conceptual model of psychological predictors of postpartum weight retention. Journal of Reproductive and Infant Psychology. 2012; 30:278-288.
13. Thasanoh P. Northeast Thai women’s experiences in following traditional postpartum practices. Doctoral dissertation. University of California, Sanfrancisco. 2010.
14. Siriphan S. Nursing of postpartum mothers with a cross-cultural. 2nd ed. Narathiwat. 2014 (In Thai)
15. Podstawski R, Boraczynski T, Boraczynski M, Choszcz D, Mankowski S, Markowski P. Sauna-induced body mass loss in young sedentary women and men. The Scientific World Journal. 2014.
16. Zanotti J, Capp E, Wender MO. Factors associated with postpartum weight retention in a Brazilian cohort. Revista Brasileira Ginecologia Obstetrícia. 2015; 37: 164-171.
17. Endres LK, Straub H, McKinney C, Plunkett B, Minkovitz CS, Schetter CD, et al. Postpartum weight retention risk factors and relationship to obesity at 1 year. Obstetrics and Gynecology. 2015; 125:144-152.
18. Huang TT, Wang HS, Dai FT. Effect of pre-pregnancy body size on postpartum weight retention. Midwifery. 2010; 26:222-231.
19. Althuizen E, Poppel MN, Vries JH, Seidell JC, Mechelen W. Postpartum behaviour as predictor of weight change from before pregnancy to one year postpartum. BioMed Central Public Health. 2011; 11:165-171.
20. Thame MM, Jackson MD, Manswell IP, Osmond C, Antoine MG. Weight retention within the puerperium in adolescents: a risk factor for obesity?. Public Health Nutrition. 2010; 13: 283-288.
21. Turner MJ, Layte R. Obesity levels in a national cohort of women 9 months after delivery. American Journal of Obstetrics and Gynecology. 2013; 209:124-130.
22. Jarlenski MP, Bennett WL, Bleich SN, Barry CL, Stuart EA. Effects of breastfeeding on postpartum weight loss among US women. Preventive Medicine. 2014; 69:146-150.
23. Biesmans K, Franck E, Ceulemans C, Jacquemyn Y, Van Bogaert P. Weight during the postpartum period: What can health care workers do?. Maternal and Child Health Journal. 2013; 17: 996-1004.
24. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry. 1987; 150:782-786.
25. Vacharaporn K, Pitanupong J, Samangsri N. Development of the Edinburgh Postnatal Depression Scale Thai version. Journal of Mental Health of Thailand. 2003; 11:164-169.
26. Kaewsarn P, Moyle W, Creedy D. Traditional postpartum practices among Thai women. Journal of Advanced Nursing. 2003; 41:358-366.
27. Pumtong S, Wirasathien L, Sitthithaworn W, Rungmekarat A, Paeratakul O. Postpartum care through traditional Thai medicine in Amnat Charoen Province. Journal of Health Systems Research. 2010; 4:281-195. (In Thai)
28. Westerterp-Plantenga MS, Lemmens SG, Westerterp KR. Dietary protein–its role in satiety, energetics, weight loss and health. British Journal of Nutrition. 2012; 108:105-112.
29. Tongswas T, Somboon L, Prasitwattanaseree P. Selected factors related to weight changes among postpartum women. Nursing Journal. 2013; 40:126-136. (In Thai)
30. Moontito W, Sriarporm P, Baosoung C. Postpartum depression, social support, and functional status among adolescent mothers. Nursing Journal. 2017; 44:23-33. (In Thai)
31. Wongphinit U, Sinsuksai N, Yusamran C. Personal factors, social support and effective suckling at discharge in predicting exclusive breastfeeding at one month among first-time mothers. Journal of Royal Thai Army Nurses. 2016; 17:88-95. (In Thai)
32. Siega-Riz AM, Herring AH, Carrier K, Evenson KR, Dole N, Deierlein A. Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum. Obesity. 2010; 18: 1996-2003.
ดาวน์โหลด
เผยแพร่แล้ว
21-08-2019
รูปแบบการอ้างอิง
1.
สกุลนิธิวัฒน์ ณ. ปัจจัยทำนายน้ำหนักคงค้างหลังคลอด. J Royal Thai Army Nurses [อินเทอร์เน็ต]. 21 สิงหาคม 2019 [อ้างถึง 7 ธันวาคม 2025];20(2):112-2. available at: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/182784
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