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Intervention during pregnancy to reduce excessive gestational weight gain-a randomised controlled trial
Örebro University Hospital, Sweden.
Örebro University Hospital, Sweden.
Örebro University Hospital, Sweden.
Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
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2015 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 122, no 4, 537-544 p.Article in journal (Refereed) Published
Abstract [en]

ObjectiveTo evaluate if a feasible, low-cost intervention could decrease the percentage of women gaining weight above the Institute of Medicine (IOM) recommendations on gestational weight gain (GWG) compared with standard maternity care. DesignA randomised controlled interventional design. SettingAntenatal clinics (n=14) in orebro county, Sweden, participated. PopulationHealthy women with a body mass index (BMI) 19kg/m(2), age 18years and adequate knowledge of Swedish language who signed in for maternity care at 16weeks of gestation. MethodsStandard care was compared with a composite intervention consisting of education on recommended GWG according to IOM, application of personalised weight graph, formalised prescription of exercise and regular monitoring of GWG at every antenatal visit. OutcomeThe proportion of women gaining weight above IOM guidelines (1990) and mean GWG (kg) was compared between groups. ResultsIn all, 445 women were randomised and 374 women remained for analysis after delivery. A majority of the women analysed were normal weight (72%). The intervention reduced the proportion of women who exceeded the IOM guidelines (41.1% versus 50.0%). The reduction was, however, not statistically significant (P=0.086). Mean GWG was significantly lower among women receiving the intervention, 14.2kg (SD 4.4) versus 15.3kg (SD 5.4) in the standard care group (P=0.029). ConclusionsThe low-cost intervention programme tested did significantly reduce the mean GWG but the proportion of women who exceeded the IOM recommendations for GWG was not significantly lower. ClinicalTrials.gov Id NCT00451425

Place, publisher, year, edition, pages
Wiley: 12 months , 2015. Vol. 122, no 4, 537-544 p.
Keyword [en]
Gestational weight gain; maternal health; pregnancy; prevention of obesity
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:liu:diva-116818DOI: 10.1111/1471-0528.13131ISI: 000350139300022PubMedID: 25367823OAI: oai:DiVA.org:liu-116818DiVA: diva2:800760
Note

Funding Agencies|Research Committee at Orebro County Council

Available from: 2015-04-07 Created: 2015-04-07 Last updated: 2017-12-04

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Department of Gynaecology and Obstetrics in LinköpingDivision of Clinical SciencesFaculty of Medicine and Health Sciences
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British Journal of Obstetrics and Gynecology
Obstetrics, Gynecology and Reproductive Medicine

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