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Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention

McGiveron, Ailsa; Foster, Sally; Pearce, Joanne; Taylor, Moira A.; McMullen, Sarah; Langley-Evans, Simon C.

Authors

Ailsa McGiveron

Sally Foster

Joanne Pearce

Moira A. Taylor

Sarah McMullen



Abstract

Background: Antenatal obesity in pregnancy is associated with complications of pregnancy and poor obstetric outcomes. Although most guidance on pregnancy weight is focused on the pre-pregnancy period, pregnancy is widely viewed as a period where women are open to lifestyle change to optimise their health.

Method: The hospital-based Bumps and Beyond intervention invited all pregnant women with a BMI of over 35 kg/m2 to take part in a programme of health education around diet and exercise, accompanied by one-to-one guidance and monitoring of dietary change. This service evaluation compares 89 women who completed at a programme of 7 sessions with healthy lifestyle midwives and advisors (intervention) with a group of 89 women who chose not to attend (non-intervention).

Results: Weight gain in the intervention group (4.5±4.6 kg) was less than in the non-intervention group (10.3±4.4 kg) between antenatal booking and 36 weeks gestation (

Citation

McGiveron, A., Foster, S., Pearce, J., Taylor, M. A., McMullen, S., & Langley-Evans, S. C. (2014). Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention. Journal of Human Nutrition and Dietetics, 28(S1), https://doi.org/10.1111/jhn.12240

Journal Article Type Article
Acceptance Date Feb 1, 2014
Publication Date May 9, 2014
Deposit Date Mar 16, 2015
Publicly Available Date Mar 16, 2015
Journal Journal of Human Nutrition and Dietetics
Print ISSN 0952-3871
Electronic ISSN 0952-3871
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 28
Issue S1
DOI https://doi.org/10.1111/jhn.12240
Public URL http://eprints.nottingham.ac.uk/id/eprint/28476
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/jhn.12240/abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is the pre-peer reviewed version of the following article: McGiveron A., Foster S., Pearce J., Taylor M.A., McMullen S. & Langley-Evans S.C. (2015) Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention. Journal of Human Nutrition and Dietetics. 28 (Suppl. 1), 29–37, which has been published in final form at http://onlinelibrary.wi...1111/jhn.12240/abstract

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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