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SALT LAKE CITY -- Women tend to neglect health-promoting behaviors in the 12 months following delivery, reported Lorraine Walker, R.N., at the annual meeting of the Society of Behavioral Medicine.
Results from surveys given to 259 low-income women immediately after delivery and again 12 months later showed that their behaviors on 11 of 42 health-related items worsened significantly, while those on 4 items improved significantly. (See box.)
"There's a lot of emphasis on health promotion during pregnancy," said Dr. Walker, the Luci B. Johnson Centennial Professor of Nursing at the University of Texas, Austin.
"But women drop off the radar screen once they've delivered. The focus tends to be on the baby and promoting the baby's health," she added.
The women who participated in the study were all over 18 years of age, delivered at term, had no medical risks, and had Medicaid coverage for prenatal care. The investigators selected these criteria to reduce the effects of health status, age, length of gestation, and income on the results.
All women were given the 40-item Self-Care Inventory to which two additional items focusing on the quantity and frequency of alcohol use were added, Dr. Walker said.
The surveys asked women to think about their health-related behaviors within the previous month and to respond by using a 4-point scale ranging from "rarely or never" to "very often."