The healthy eating and lifestyle in pregnancy (HELP) feasibility study
| Autor: | Karen Jewell, Amanda Avery, Sharon Anne Simpson, Jenny Barber |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | British Journal of Midwifery. 22:727-736 |
| ISSN: | 2052-4307 0969-4900 |
| DOI: | 10.12968/bjom.2014.22.10.727 |
| Popis: | Obesity and excess gestational weight gain (GWG) are linked to increased complications during pregnancy, birth and postpartum. This study aimed to explore the feasibility of group-based weight management for obese pregnant women. At booking, pregnant women with a body mass index (BMI) >30 kg/m2 were invited to weekly weight management groups, facilitated by a midwife and Slimming World consultant, providing diet and lifestyle, goal setting and general pregnancy advice. Attendance was until 6 weeks postpartum. 148 women with a mean age of 32 years (5.3 SD) and BMI of 37.4 kg/m2 (5.5 SD) attended. 85% (n=126) went to >3 and 65% (n=96) >6 sessions. The mean birth weight for 132 newborns was 3.53 kg (0.49 SD) and for the 39 women losing weight, 3.59 kg (0.35 SD). Of the 132 births, 48% were spontaneous vaginal delivery; 89% (115) initiated breastfeeding; 70% were still breastfeeding 28 days post-delivery. The healthy eating and lifestyle in pregnancy (HELP) group proved to be an acceptable intervention providing women with the ability to control weight gain during pregnancy, as well as maintaining a healthy lifestyle postpartum. Although the study was underpowered and exploratory, restricting GWG did not have a negative impact on the birth weights or other birth outcomes. Indeed, more babies were born in the healthy weight range to those women who lost weight during pregnancy. |
| Databáze: | OpenAIRE |
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