{"doi":"10.1002/oby.24102","title":"A group prenatal care intervention reduces gestational weight gain and gestational diabetes in <scp>American Samoan</scp> women","abstract":"OBJECTIVE: The objective of this study was to determine the preliminary effectiveness of an intervention to mitigate adverse pregnancy outcomes associated with pre-pregnancy obesity in American Samoa. METHODS: We enrolled n = 80 low-risk pregnant women at <14 weeks' gestation. A complete case analysis was conducted with randomized group assignment (group prenatal care-delivered intervention vs. one-on-one usual care) as the independent variable. Primary outcomes were gestational weight gain and postpartum weight change. Secondary outcomes included gestational diabetes screening and exclusive breastfeeding at 6 weeks post partum. Other outcomes reported include gestational diabetes incidence, preterm birth, mode of birth, infant birth weight, and macrosomia. RESULTS: Gestational weight gain was lower among group versus usual care participants (mean [SD], 9.46 [7.24] kg vs. 14.40 [8.23] kg; p = 0.10); postpartum weight change did not differ between groups. Although the proportion of women who received adequate gestational diabetes screening (78.4% group; 65.6% usual care) was similar, there were clinically important between-group differences in exclusive breastfeeding (44.4% group; 25% usual care), incidence of gestational diabetes (27.3% group; 40.0% usual care), and macrosomia (8.3% group; 29.0% usual care). CONCLUSIONS: It may be possible to address multiple risk factors related to intergenerational transmission of obesity in this high-risk setting using a group care-delivered intervention.","journal":"Obesity","year":2024,"id":445504,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9126,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":372274,"name":"Kima Faasalele‐Savusa","orcid":"0000-0002-5359-2842","position":1,"is_corresponding":false},{"id":1131606,"name":"Mata’uitafa Faiai","orcid":"0000-0002-3125-8624","position":2,"is_corresponding":false},{"id":1262368,"name":"Lynette Suiaunoa‐Scanlan","orcid":null,"position":3,"is_corresponding":false},{"id":1262369,"name":"Miracle Loia","orcid":null,"position":4,"is_corresponding":false},{"id":251563,"name":"Jeannette R. Ickovics","orcid":"0000-0001-5361-8160","position":5,"is_corresponding":false},{"id":546058,"name":"Erica Kocher","orcid":"0000-0001-7014-0576","position":6,"is_corresponding":false},{"id":1262370,"name":"Christopher Piel","orcid":null,"position":7,"is_corresponding":false},{"id":917015,"name":"Madison Mahoney","orcid":null,"position":8,"is_corresponding":false},{"id":916594,"name":"Rachel Suss","orcid":"0000-0002-0537-6694","position":9,"is_corresponding":false},{"id":1261893,"name":"Marcela Trocha","orcid":"0000-0002-9143-9929","position":10,"is_corresponding":false},{"id":713145,"name":"Rochelle K. Rosen","orcid":"0000-0003-1598-667X","position":11,"is_corresponding":false},{"id":794474,"name":"Bethel Muasau-Howard","orcid":null,"position":12,"is_corresponding":false},{"id":24968,"name":"Nicola L. Hawley","orcid":"0000-0002-2601-3454","position":0,"is_corresponding":true}],"reference_count":41,"raw_metadata":null,"created_at":"2026-07-19T02:01:46.243344Z","pmid":"39256170","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}