Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention
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 h...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Published: |
Wiley
2014
|
| Online Access: | https://eprints.nottingham.ac.uk/28476/ |
| _version_ | 1848793581147389952 |
|---|---|
| author | McGiveron, Ailsa Foster, Sally Pearce, Joanne Taylor, Moira A. McMullen, Sarah Langley-Evans, Simon C. |
| author_facet | McGiveron, Ailsa Foster, Sally Pearce, Joanne Taylor, Moira A. McMullen, Sarah Langley-Evans, Simon C. |
| author_sort | McGiveron, Ailsa |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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 (<0.001). This was associated with a 95% reduction in the risk of gestational hypertension during pregnancy and a general reduction in pregnancy complications. There was no effect of the intervention upon gestational diabetes or complications in labour other than post-partum haemorrhage (reduced 55%). The impact of the intervention on gestational weight gain was greater in women with BMI over 40 kg/m2 at booking. There were no adverse effects of the intervention, even though 21% of the intervention group lost weight during their pregnancy.
Conclusion: Intensive, personalised weight management intervention may be an effective strategy for prevention of hypertensive disorders during pregnancy. |
| first_indexed | 2025-11-14T19:02:34Z |
| format | Article |
| id | nottingham-28476 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:02:34Z |
| publishDate | 2014 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-284762024-08-15T15:15:37Z https://eprints.nottingham.ac.uk/28476/ 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. 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 (<0.001). This was associated with a 95% reduction in the risk of gestational hypertension during pregnancy and a general reduction in pregnancy complications. There was no effect of the intervention upon gestational diabetes or complications in labour other than post-partum haemorrhage (reduced 55%). The impact of the intervention on gestational weight gain was greater in women with BMI over 40 kg/m2 at booking. There were no adverse effects of the intervention, even though 21% of the intervention group lost weight during their pregnancy. Conclusion: Intensive, personalised weight management intervention may be an effective strategy for prevention of hypertensive disorders during pregnancy. Wiley 2014-05-09 Article PeerReviewed McGiveron, Ailsa, Foster, Sally, Pearce, Joanne, Taylor, Moira A., McMullen, Sarah and Langley-Evans, Simon 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). pp. 29-37. ISSN 0952-3871 http://onlinelibrary.wiley.com/doi/10.1111/jhn.12240/abstract doi:10.1111/jhn.12240 doi:10.1111/jhn.12240 |
| spellingShingle | McGiveron, Ailsa Foster, Sally Pearce, Joanne Taylor, Moira A. McMullen, Sarah Langley-Evans, Simon C. Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention |
| title | Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention |
| title_full | Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention |
| title_fullStr | Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention |
| title_full_unstemmed | Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention |
| title_short | Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention |
| title_sort | limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention |
| url | https://eprints.nottingham.ac.uk/28476/ https://eprints.nottingham.ac.uk/28476/ https://eprints.nottingham.ac.uk/28476/ |