‘Happy Mum Health Bump' a service designed to prevent excess gestational weight gain and promote a healthier lifestyle during and after pregnancy
PHE ePoster Library. Jones E. Sep 12, 2019; 274307; 118
Elizabeth Jones
Elizabeth Jones
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Abstract
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Abstract Obesity during pregnancy can have a significant impact on both mother and baby; including miscarriage, still birth, delivery complications, gestational diabetes and childhood obesity. The Specialist Weight Management Service Maternity Pathway was launched in January 2012 in Wigan and Leigh. This was as a result of growing public health issues surrounding obesity and the publication of NICE Guidelines for weight management before, during and after pregnancy. The multidisciplinary service is commissioned by Wigan Council and provided by Aintree University Hospital staff, including Physiotherapists and Dietitians. It is aimed at pregnant women with a BMI >35kg/m2 and helps them to introduce healthy lifestyle changes and safely minimise excess gestational weight gain. Service users are also supported for up to 18 months post-partum. A patient-centred behavioural change approach is used to help service-users implement positive lifestyle changes. Service effectiveness is measured by lifestyle questionnaires, weight monitoring and postpartum data such as baby feeding choices. The average weight change from referral to final ante-natal appointment between April 2018-2019 was +5.7kg. This indicates that service-users are achieving the recommended weight gain of 5-9kg in pregnancy. The average weight change from referral to 12 weeks post-partum between April 2018-2019 was -1.4kg. This indicates that on average service users' return to their pre-pregnancy weight within 12 weeks of delivery. Statistics show that engagement in the service also results in improved dietary balance, eating behaviours, physical activity levels and breast feeding initiation. External funding details
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