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Consumer satisfaction with a weight-gain intervention programme for obese pregnant women.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
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2008 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 24, no 2, 163-167 p.Article in journal (Refereed) Published
Abstract [en]

Objective: to investigate women's attitudes and satisfaction with a weight-gain intervention programme during pregnancy.

Design: exploratory, descriptive study. Data were collected via interviews.

Setting: University hospital.

Participants: 56 obese pregnant women who attended antenatal care at the University Hospital of Linköping's obstetrical department and took part in an intervention programme aimed at reducing weight gain during pregnancy, between November 2003 and August 2004.

Findings: the interviews comprised several questions concerning attitudes and opinions of the programme. Most of the women expressed positive experiences with the treatment and would attend the programme if they became pregnant again. Most of the women stated that they had changed their eating and exercise habits during pregnancy, and almost all of them had continued with these new habits. Even though the weight gain goal of a maximum 6.9 kg was reached by less than half of the participants, most of the women were satisfied with their weight gain. A total of 71.4% of the women participated in aqua aerobics classes. They stated that they were most satisfied with this form of exercise, and that it also was a good social experience.

Key conclusions and implications for practice: a pregnant woman herself must be actively involved in setting her own goals to prevent excessive weight gain during pregnancy. Considerable effort and support must be placed on discussing strategies, pitfalls and risks. In order for the woman to maintain the change in attitude and habits, she must probably be given continuous feedback and reinforcement over the long term.

Place, publisher, year, edition, pages
2008. Vol. 24, no 2, 163-167 p.
Keyword [en]
obesity, pregnancy, intervention
Identifiers
URN: urn:nbn:se:liu:diva-15902DOI: 10.1016/j.midw.2006.10.007PubMedID: 17316933OAI: oai:DiVA.org:liu-15902DiVA: diva2:128177
Note
Original Publication:Ing-Marie Claesson, Ann Josefsson, Marie Cedergren, Jan Brynhildsen, Annika Jeppsson, Fredrik Nyström, Adam Sydsjö and Gunilla Sydsjö, Consumer satisfaction with a weight-gain intervention programme for obese pregnant women, 2008, Midwifery, (24), 163-7.http://dx.doi.org/10.1016/j.midw.2006.10.007Copyright: Elsevier Science B.V., Amsterdamhttp://www.elsevier.com/Available from: 2008-12-15 Created: 2008-12-12 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Weight gain restriction for obese pregnant women: An Intervention study
Open this publication in new window or tab >>Weight gain restriction for obese pregnant women: An Intervention study
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Introduction: Obesity is a growing global public health problem and is as prevalent among pregnant women as in the general population. It is well known that obese women have an increased risk for several complications during pregnancy and delivery and this is also true for the neonate. Excessive gestational weight gain among obese women seems to further increase these risks for adverse outcomes. It has not been known up to the time of this study whether a behavioral intervention program designed for obese pregnant women could result in a reduction of gestational weight gain.

Aim: The overall aim of the present thesis was to study the effect of an intervention program designed to control weight gain among obese pregnant women during pregnancy and to then observe the outcomes of their pregnancies. In addition we wanted to learn if this behavioral intervention program could result in a weight gain of less than seven kilograms.

Material and methods: The intervention group consisted of 155 obese (BMI >30 kg/m2) pregnant women at the antenatal care clinic (ANC) in Linköping; the control group consisted of 193 obese pregnant women in two other cities. The women in the intervention group were offered, in addition to regular care at the ANC, motivational interviewing in weekly visits to support them in making this behavioral change. They were also offered aqua aerobic class once or twice a week. The women in the control group attended the routine antenatal program in their respective ANCs. Outcome measures were: weight in kg, pregnancy-, delivery and neonatal outcomes, prevalence of anxiety- and depressive symptoms and attitudes and experiences of participating in an intervention program.

Results: The women in the intervention group had a significantly lower gestational weight gain and also had a lower postnatal weight than the women in the control group. The percentage of women in the intervention group who gained <7 kg was greater than the percentage in the control group. There were no differences between the two groups in pregnancy-, delivery- and neonatal outcomes. In addition, there was no difference in prevalence of symptoms of anxiety and depressions between the intervention- and control group and the gestational weight gain did not have any effect on symptoms of depression or anxiety. The women in the intervention group with gestational weight gain <7 kg, weighed less at the two years follow-up than the women in the control group. Most of the women who participated in the intervention program expressed positive attitudes and were positive towards their experiences with the intervention program and their efforts to manage the gestational weight gain.

Conclusion: The intervention program was effective in controlling weight gain during pregnan-cy and did not change the pregnancy, delivery or neonatal outcomes or the prevalence of anxie-ty- and depressive symptoms. The group with a gestational weight gain <7 kg showed the same distribution of complications as the group with a higher weight gain. The intervention program seems to influence the development of weight in a positive direction up to two years after childbirth. The women were also satisfied with their participation in the intervention program.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2010. 75 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1186
Keyword
Obesity, pregnancy, weight gain, intervention, outcome, anxiety, depression, postnatal/postpartum
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-56390 (URN)978-91-7393-386-5 (ISBN)
Public defence
2010-06-04, Berzeliussalen, Ingång 65, Campus US, Linköpings universitet, Linköping, 09:00 (Swedish)
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Supervisors
Available from: 2010-05-25 Created: 2010-05-09 Last updated: 2010-05-25Bibliographically approved

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Claesson, Ing-MarieJosefsson, AnnCedergren, MarieBrynhildsen, JanJeppsson, AnnikaNyström, FredrikSydsjö, AdamSydsjö, Gunilla

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Faculty of Health SciencesObstetrics and gynecologyDepartment of Gynecology and Obstetrics in LinköpingInternal MedicineDepartment of Endocrinology and Gastroenterology UHL
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