An integrative review of interventions for limiting gestational weight gain in pregnant women who are overweight or obese |
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| Affiliation: | 1. College of Medicine and Public Health, Flinders University, Australia;2. School of Nursing and Midwifery, Deakin University, Australia;3. Centre for Quality and Patient Safety Research, Western Health Partnership, Australia;1. La Trobe University, Melbourne, Australia;2. Australian Catholic University, Melbourne, Australia;3. Western Health, Melbourne, Australia;1. College of Nursing and Health Sciences, Flinders University, Australia;2. Medical Faculty, Cenderawasih University, Papua, Indonesia;3. School of Nursing and Midwifery, Deakin University, Australia;4. School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Australia;1. National Perinatal Epidemiology and Statistics Unit (NPESU), Centre for Big Data Research in Health and School of Women’s and Children’s Health, University of New South Wales, Sydney, NSW, 2052 Australia;2. Centre for Health Service Development, Australian Health Services Research Institute, University of Wollongong, NSW 2522, Australia;3. Perinatal and Women’s Mental Health Unit, St John of God Health Care, 23 Grantham St, Burwood NSW 2134, Australia;4. School of Psychiatry, University of New South Wales, Sydney, NSW 2052, Australia;5. Drug and Alcohol Services, South Eastern Sydney Local Health District, 591 South Dowling Street, Surry Hills, NSW 2010, Australia;6. Discipline of Addiction Medicine, University of Sydney, Camperdown, NSW 2006, Australia;7. School of Public Health and Community Medicine, Faculty of Medicine, University of NSW, Sydney 2052, Australia;8. Faculty of Nursing, University of Calgary, 2500 University Drive, NW, University of Calgary, Calgary, AB T2N 1N4, Canada;9. Royal Hospital for Women, Sydney, Barker Street, Randwick, NSW 2031, Australia;1. NHMRC Centre of Research Excellence in Stillbirth, Mater Research Institute — The University of Queensland (MRI-UQ), South Brisbane, Australia;2. Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia;3. Institute for Social Science Research, The University of Queensland, Brisbane, Australia;4. Griffith University, School of Medicine and Gold Coast University Hospital, Gold Coast, QLD, Australia;5. SAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, Australia;6. University of Auckland and Counties Manukau Health, Auckland, New Zealand;1. School of Health, Victoria University of Wellington, PO Box 600, Wellington 6140, New Zealand;2. New Zealand College of Midwives, 376 Manchester Street, Richmond, Christchurch 8014, New Zealand;3. Maternity Equity Action, Hawkes Bay, New Zealand;1. Faculty of Health, University of Canberra, University Drive, Belconnen, ACT 2617, Australia;2. Faculty of Health, University of Canberra and ACT Government Health Directorate, ACT, Australia |
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| Abstract: | ProblemExcessive gestational weight gain in women who are overweight or obese puts them at risk of poor short- and long-term outcomes for maternal and neonatal health. Several interventions have been trialled to encourage women who are overweight or obese to limit gestational weight gain during pregnancy.AimThe aim of this review was to analyse the evidence on interventions to limit gestational weight gain in pregnant women who are overweight or obese.MethodAn integrative review guided by the Joanna Briggs Institute approach was conducted. An unlabeled search query of pregnancy, weight, and obesity was conducted in Medline, Scopus and CINAHL, limited to English language, 2010–2020 publications, and primary research on humans. Unlabeled search query of “((pregnancy outcome) OR (prenatal care) OR (pregnancy complications)) AND ((weight loss) OR (weight gain) OR (weight management)) AND (obesity) was used. Additional 9 records were identified through reference lists. Following a critical appraisal, 21 primary research articles were included in this review. A thematic synthesis was undertaken.FindingsFour major themes were identified. These are (1) mixed findings of lifestyle interventions for weight management, (2) ineffectiveness of probiotics or metformin for weight management, (3) psycho-behavioural interventions for weight management, and (4) midwifery role as an integral component in multidisciplinary intervention for weight management.ConclusionThe literature suggests a need for longer duration of behavioural lifestyle intervention sessions led by the same midwife trained in motivational interviewing to limit weight gain in pregnant women who are overweight or obese. |
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| Keywords: | Pregnant women Maternal overweight Maternal obesity Midwifery Gestational weight gain Interventions |
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