Obesity levels in a national cohort of women 9 months after delivery

Turner, Michael J.; Layte, Richard

doi:10.1016/j.ajog.2013.04.020

Cited by 21 publications

(17 citation statements)

References 23 publications

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“…A large Irish national cohort study of 10,542 women highlighted that interventions are required to optimise a woman's weight, and suggested that this might best be done postnatally [19]. The authors reported that female obesity was associated with increasing parity in socioeconomically disadvantaged women, and suggested that this has implications for how lifestyle interventions might be designed.…”

Section: Discussionmentioning

confidence: 97%

Maternal obesity and physical activity and exercise levels as pregnancy advances: an observational study

et al. 2015

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We found that women decreased their PA and exercise levels significantly in the third trimester and, thus, in the absence of a medical contra-indication there is considerable scope for an exercise intervention to improve activity and exercise levels as pregnancy advances. However, an increase in PA levels in obese women needs further studies to determine whether it will improve the clinical outcomes for the woman and her offspring.

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Section: Discussionmentioning

confidence: 97%

Maternal obesity and physical activity and exercise levels as pregnancy advances: an observational study

et al. 2015

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“…Women with gestational diabetes, and their infants, are more likely to experience interventions and complications during pregnancy and birth which may inhibit breastfeeding, such as caesarean section and neonatal hypoglycaemia, and therefore are likely to require additional support postpartum. Further, Indigenous women are more likely to be categorised as having as having 'low socio-economic status', which is associated with a lower confidence with breastfeeding [102] and postpartum weight loss [103], suggesting positive encouragement and support may be helpful.…”

Section: Discussionmentioning

confidence: 99%

Low Rates of Postpartum Glucose Screening Among Indigenous and non-Indigenous Women in Australia with Gestational Diabetes

Chamberlain

McLean

Oats

et al. 2014

Matern Child Health J

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Women with gestational diabetes have a high risk of type 2 diabetes postpartum, with Indigenous women particularly affected. This study reports postpartum diabetes screening rates among Indigenous and non-Indigenous women with gestational diabetes, in Far North Queensland, Australia. Retrospective study including 1,012 women with gestational diabetes giving birth at a regional hospital from 1/1/2004 to 31/12/2010. Data were linked between hospital records, midwives perinatal data, and laboratory results, then analysed using survival analysis and logistic regression. Indigenous women had significantly longer times to first oral glucose tolerance test (OGTT) [hazards ratio (HR) 0.62, 95 % confidence interval (CI) 0.48-0.79, p < 0.0001) and 'any' postpartum glucose test (HR 0.81, 95 % CI 0.67-0.98, p = 0.03], compared to non-Indigenous women. Postpartum screening rates among all women were low. However, early OGTT screening rates (<6 months) were significantly lower among Indigenous women (13.6 vs. 28.3 %, p < 0.0001), leading to a persistent gap in cumulative postpartum screening rates. By 3 years postpartum, cumulative rates of receiving an OGTT, were 24.6 % (95 % CI 19.9-30.2 %) and 34.1 % (95 % CI 30.6-38.0 %) among Indigenous and non-Indigenous women, respectively. Excluding OGTTs in previous periods, few women received OGTTs at 6-24 months (7.8 vs. 6.7 %) or 2-4 years (5.2 vs. 6.5 %), among Indigenous and non-Indigenous women, respectively. Low rates of postpartum diabetes screening demonstrate that essential 'ongoing management' and 'equity' criteria for population-based screening for gestational diabetes are not being met; particularly among Indigenous women, for whom recent guideline changes have specific implications. Strategies to improve postpartum screening after gestational diabetes are urgently needed.

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“…In 1 Irish study, women of African origin had the highest risk of postpartum obesity at 9 months after delivery (adjusted OR = 2.18; 95% CI, 1.31-3.62), and women in the lowest quintile for income also had an elevated risk of postpartum obesity, with an adjusted OR of 2.00 (95% CI, 1.56-2.57). 12 Diet and exercise are also related to postpartum weight retention. 13 Østbye and colleagues evaluated predictors of postpartum weight change among 450 overweight and obese women and found that a lesshealthydietandlessphysicalactivityput overweight and obese women at risk of gaining more weight by 24 months postpartum, compared with their weight at 6 weeks postpartum.…”

Section: Postpartum Weight Retention: Risk Factorsmentioning

confidence: 99%

Postpartum Care and Contraception in Obese Women

Maclean

Thompson

2016

Clinical Obstetrics &Amp; Gynecology

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Postpartum obese women have an increased risk of breastfeeding difficulties and depression. Retaining the pregnancy weight at 6 months postpartum predicts long-term obesity. Risks for weight retention include excessive gestational weight gain, ethnicity, socioeconomic status, diet, exercise, depression, and duration of breastfeeding. Exercise and reducing total caloric intake promote postpartum weight loss. Intrauterine devices and contraceptive implants are the most effective contraceptives for obese women. Contraceptive pills, patches, and vaginal rings are effective options; however, obese women should be made aware of a potential increased risk of venous thromboembolism. Vasectomy and hysteroscopic sterilization carry the least surgical risk for obese women.

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Obesity levels in a national cohort of women 9 months after delivery

Cited by 21 publications

References 23 publications

Maternal obesity and physical activity and exercise levels as pregnancy advances: an observational study

Maternal obesity and physical activity and exercise levels as pregnancy advances: an observational study

Low Rates of Postpartum Glucose Screening Among Indigenous and non-Indigenous Women in Australia with Gestational Diabetes

Postpartum Care and Contraception in Obese Women

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