Midwives' strategies in challenging dietary and weight counselling situations

Conclusions The results indicate that Swedish midwives' counselling strategies are quite ambiguous and need to be questioned and that counselling of vulnerable groups of women should be highlighted. We could identify a need for education of practicing midwives to develop person-centred counselling skills.
Source: Sexual and Reproductive Healthcare - Category: Reproduction Medicine Source Type: research

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Objectives: Either maternal gestational diabetes mellitus (GDM) or hypertensive disorder of pregnancy (HDP) is associated with an increased risk of obesity in the offspring. However, their joint associations with obesity in offspring remain unclear. We investigated the joint associations of maternal GDM and HDP with childhood overweight in offspring.Methods: We performed a large study in 1967 mother-child pairs. Maternal GDM was diagnosed according to the 1999 World Health Organization (WHO) criteria. HDP was defined as self-reported doctor-diagnosed hypertension or treatment of hypertension (including gestational hyperten...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
To the Editor The LifeCycle Project-Maternal Obesity and Childhood Outcomes Study Group compiled 196  670 participant records from 25 cohorts to estimate optimal pregnancy weight gain ranges. We are concerned that the methods used to establish the optimal weight gain ranges have several serious shortcomings.
Source: JAMA - Category: General Medicine Source Type: research
CONCLUSIONS: There is insufficient evidence to assess the effectiveness of physical interventions, or multiple methods of support (social, educational or physical) for supporting the initiation or continuation of breastfeeding in women who are overweight or obese. We found no RCTs comparing one type of support to another type of support. All of our GRADE assessments resulted in very low-certainty evidence, with downgrading decisions based on limitations in trial design (e.g. risk of attrition bias), imprecision, inconsistency. The available trials were mostly of variable quality with small numbers of participants, confound...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Earlier pubertal timing has been observed in many countries. We aimed to explore if prenatal exposure to maternal obesity, smoking, and alcohol intake was associated with timing of puberty by use of a novel ma...
Source: BMC Pediatrics - Category: Pediatrics Authors: Tags: Research article Source Type: research
SummaryAlthough considerable research is being conducted with a view to improve outcomes for pregnant women with obesity and their babies, much of this research is compromised by the quality of outcome reporting. Our aim is to determine how outcomes have been reported and measured in obesity in pregnancy studies, as a first step towards developing a core outcome set to standardize outcome reporting in future trials. We conducted a systematic review of clinical trials and systematic reviews on obesity in pregnancy in accordance with the Preferred Reporting in Systematic Reviews and Meta ‐analyses guidelines. We searched M...
Source: Clinical Obesity - Category: Eating Disorders & Weight Management Authors: Tags: REVIEW ARTICLE Source Type: research
Abstract The study aimed to verify the association between birthweight of Terena children living in the urban area of Campo Grande, Mato Grosso do Sul State, Brazil, and demographic, socioeconomic, and health variables and to describe the prevalence of low birthweight. Data were collective through home visits with a form completed with the mothers and based on records from the prenatal and neonatal cards. The sample included all the Terena women who gave birth to liveborn children from June 1, 2017, to July 31, 2018, and living in the Água Bonita, Darcy Ribeiro, Marçal de Souza, and Tarsila do Amaral...
Source: Cadernos de Saude Publica - Category: International Medicine & Public Health Authors: Tags: Cad Saude Publica Source Type: research
Starting the night shift and this case came in 2 hours prior to my arrival: 25 yo G1P0 @ 39 week gestation, BMI 77, 210 kg, admitted for attempted IOL for fetal macrosomia and super morbid obesity. PMH: - Likely OSA, PSG scheduled in 3 weeks. Can lie flat and breathe comfortably if awake but sleeps on side at night due to waking up from obstruction. Worse since pregnancy. - Mild intermittent asthma, uses inhaler 1-2x every 2 weeks. Worse since being pregnant. - Chiari 1 malformation dx'd 2... OB Case
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
The aim of the current study was to examine whether there was an association between maternal adiposity and fetal kidney growth in late gestation (>28  weeks) and kidney function in infants,28  weeks) and kidney function in infants,28  weeks gestation by bioelectrical impedance analysis. Fetal kidney structure was assessed by ultrasound. Renal function indicators (urinary albumin:creatinine and protein:creatinine) were measured in infants from a spot urine collection from nappies. Multiple linear regression and multi‐level mix ed effects linear regression models with clustering were used to account for ...
Source: Physiological Reports - Category: Physiology Authors: Tags: Original Research Source Type: research
The report of 714,000 mothers-to-be across Britain found 50.4 per cent tipped the scales at their first appointment between 2016 and 2017 - up from 47.3 per cent the previous year.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
CONCLUSION: Long-acting reversible contraceptives [progestin-only implants, levonorgestrel-intra-uterine devices (IUDs) and copper IUDs] and progestin-only methods in general are excellent options for many categories of patients, including obese ones. LEVEL OF EVIDENCE: V, narrative review. PMID: 31515745 [PubMed - as supplied by publisher]
Source: Eating and weight disorders : EWD - Category: Eating Disorders & Weight Management Authors: Tags: Eat Weight Disord Source Type: research
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