Effectiveness of regular weighing and feedback by community midwives in preventing excessive gestational weight gain

Conditions

Topic: Primary Care, Reproductive health and childbirth

Amanda Daley, Kate Jolly, Susan A. Jebb, Andrea Roalfe, Lucy Mackilllop et al. (12 authors)

BMJ Open2019-09-0123 citations

10.1136/bmjopen-2019-030174

Effectiveness of regular weighing, weight target setting and feedback by community midwives within routine antenatal care in preventing excessive gestational weight gain: randomised controlled trial.

Daley AJ, Jolly K, Jebb SA, Roalfe AK, Mackillop L, Lewis AL, Clifford S, Kenyon S, MacArthur C, Aveyard P.

2015-01-0111 citations

10.1186/s40608-016-0086-4

Interventions

Women will be randomised to receive usual care from their midwife or usual care plus the intervention. Intervention: 1. Self-monitoring -The intervention will actively

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: 1. Aged at least 18 years 2. Between 10+0 and 14+6 weeks of pregnancy. 3. Low risk singleton pregnancy. 4. BMI =18.5 kg/m2 receiving community midwife led care

Exclusion criteria

Exclusion criteria: 1. Obese women receiving consultant led care. 2. Unable to understand English or provide informed consent. 3. Women who are attending a weight management programme (i.e. Slimming World) whilst pregnant. 4. Current severe mental illness, known history of eating disorders or dependent on illicit drugs or alcohol.

Design outcomes

Primary

Measure	Time frame
Proportion who exceed IOM guidelines for pregnancy weight gain. Timepoint(s): 38 weeks of pregnancy	—

Secondary

Measure	Time frame
1. Difference in change in weight from baseline to 38 weeks of pregnancy between groups.Timepoint(s): 38 weeks of pregnancy 2. Difference in change in weight gain per week of pregnancy between groups.Timepoint(s): 38 weeks of pregnancy. 3. Differences in changes in psychological health, QoL, physical activity and diet quality. Timepoint(s): 38 weeks of pregnancy 4. Maternal and neonatal complications. Timepoint(s): After birth of baby	—

Measure

Time frame

1. Difference in change in weight from baseline to 38 weeks of pregnancy between groups.Timepoint(s): 38 weeks of pregnancy 2. Difference in change in weight gain per week of pregnancy between groups.Timepoint(s): 38 weeks of pregnancy. 3. Differences in changes in psychological health, QoL, physical activity and diet quality. Timepoint(s): 38 weeks of pregnancy 4. Maternal and neonatal complications. Timepoint(s): After birth of baby

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Countries

United Kingdom

Outcome results

None listed