Pregnancy and weight monitoring: a feasibility study of weightcharts and midwife support

Julia Sanders* (Corresponding Author), Sue Channon, Rebecca Cannings -John, Elinor Coulman, Billie Hunter, Shantini Paranjothy, Lucie Warren, Cheney Drew, Bethan Phillips

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Around half of pregnant women in the United Kingdom are overweight or obese. The antenatal period provides an opportunity for encouraging women to adopt positive lifestyle changes, and in recent years, this has included development of strategies to support women in avoiding excessive gestational weight gain. The objective of this interventional cohort study was to incorporate individualised gestational weight monitoring charts supported by motivational interviewing (MI)?based conversations into midwifery?led antenatal care and assess potential of the intervention for further development and evaluation. The study setting was a community midwifery team within a large maternity unit. The study explored the facilitators and barriers to engagement with the intervention as experienced by women and midwives; 52 women were recruited, of whom 48 were included in the analysis. A single training session was found adequate to prepare midwives to use antenatal weight charts but was insufficient to result in the incorporation of motivational interview techniques into clinical practice. We did not find sufficient evidence to recommend effectiveness testing of this intervention, and there is currently insufficient evidence to support reintroducing regular weighing of pregnant women into UK antenatal care. Given the public health importance of reducing rates of obesity, future interventions aimed at controlling gestational weight gain should continue to be developed but need to include innovative strategies particularly for women who are already obese or gain weight above that recommended.
Original languageEnglish
Article number12996
Number of pages10
JournalMaternal and Child Nutrition
Early online date28 Mar 2020
DOIs
Publication statusE-pub ahead of print - 28 Mar 2020

Keywords

  • antenatal care
  • gestational weight gain
  • motivational interviewing

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    Sanders, J., Channon, S., Cannings -John, R., Coulman, E., Hunter, B., Paranjothy, S., Warren, L., Drew, C., & Phillips, B. (2020). Pregnancy and weight monitoring: a feasibility study of weightcharts and midwife support. Maternal and Child Nutrition, [12996]. https://doi.org/10.1111/mcn.12996