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Title:

Weight management

Description:

Additional information: Concern about obesity or weight gain in pregnancy might lead some women to try to lose weight. – PowerPoint PPT presentation

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Slides: 17
Provided by: JayneR4
Learn more at: http://www.nice.org.uk
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Title: Weight management


1
Weight management before, during and after
pregnancy
Implementing NICE guidance
2010
NICE public health guidance 27
2
What this presentation covers
  • Background
  • Scope
  • Recommendations
  • Common myths
  • Costs and savings
  • Discussion
  • Find out more

3
Background
  • Women who are obese when they become pregnant
    face an increased risk of - miscarriage, -
    pre-eclampsia, - induced or prolonged labour,
    instrumental delivery or caesarean section
  • Babies of women who are obese are more likely to
    be stillborn or have congenital abnormalities

4
Scope
  • This guidance aims to help women achieve and
    maintain a healthy weight before, during and
    after pregnancy by
  • eating healthily
  • being physically active
  • losing weight gradually

5
Recommendations
  • There are 6 recommendations
  • Preparing women with a BMI of 30 or more for
    pregnancy (R1)
  • Helping women to eat healthily and stay active
    during their pregnancy (R2)
  • Supporting all women after childbirth (R3 4)
  • Community-based services (R5)
  • Professional skills (R6)
  • Community-based services
  • Professional skills

6
  Preparing for pregnancywomen with a BMI of
30 or more 
  • Provide information about the health benefits of
    losing weight prior to pregnancy and on the
    risks of obesity in pregnancy
  • Advise, encourage and support women to lose
    weight by eating a balanced healthy diet and
    being physically active
  • Ensure weight-loss programmes are tailored to
    individual needs and include evidence-based
    behaviour change techniques

7
Pregnant women
  • Measure weight and height at the first contact
  • Do not rely on self reported measures of weight
    and height
  • Do not routinely weigh women repeatedly during
    pregnancy unless important to the clinical
    management of their care
  • Discuss eating habits and physical activity

8
Pregnant women with a BMI of 30 or more
  • Explain how their weight poses a risk to their
    health and that of their unborn child
  • Explain that they should not try to diet while
    pregnant as this may harm the unborn child
  • Offer a referral for specialist advice on healthy
    eating and physical activity

9
Supporting all women after childbirth
  • Use the 68 week postnatal check as an
    opportunity to discuss weight issues.
  • Then or during the follow-up appointment, provide
    advice on how to lose weight gradually and safely
  • Discuss how the family could help women have a
    healthy diet and be physically active

10
Women with a BMI of 30 or more after childbirth
  • Explain the increased risks that being obese
    poses and encourage women to lose weight
  • Offer a structured weight-loss programme or
    referral for specialist help
  • Use evidence-based behaviour change techniques to
    motivate and support them
  • Encourage them to breastfeed

11
Community-based services
  • Local authority leisure and community services
    should offer affordable, accessible activities
    for women with children and babies, including
    provision for women who wish to breastfeed
  • Health and fitness advisers should encourage
    those with weight concerns to get help
  • The NHS and local authorities should work
    together to offer weight management groups or
    slimming clubs

12
Professional skills
  • Health workers should be able to
  • broach weight management sensitively and advise
    on the health benefits
  • advise on the risks of being obese or overweight,
    including when pregnant
  • advise on womens nutritional needs
  • use behaviour change techniques
  • dispel common myths

13
Addressing common myths
  • Moderate physical activity will not harm women or
    their unborn child
  • There is no need to eat for two or drink full
    fat milk
  • Gradual weight loss and moderate intensity
    physical activity will not affect breastfeeding
    or the quality of breast milk

14
Costs and savings
  • Recommendations on the following may result in
    additional costs or savings
  • weighing all women at the ante-natal booking
  • appointment
  • provision of effective weight management services
  • helping women and babies to avoid health
  • problems

15
Discussion
  • How are the risks of being overweight or obese
    explained to women before, during or after
    pregnancy?
  • What weight management services are available for
    women before, during or after pregnancy?
  • How can we ensure the 68 week appointment is
    used effectively to discuss health and weight?

16
Find out more
  • Visit www.nice.org.uk/guidance/PH27 for the
  • guidance
  • quick reference guide
  • costing report
  • self-assessment tool for local planning
  • commissioning guide
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