Healthy Eating and Lifestyle in Pregnancy

怀孕期间的肥胖与母亲和孩子的不良结局有关。它还与怀孕期间和分娩时的并发症有关，比如剖腹产的风险增加或怀孕期间患糖尿病的风险增加。怀孕后保持体重增加会导致长期肥胖。我们已经开发了一种针对肥胖孕妇的干预方法，以减肥世界的方法为基础，结合助产士的意见，以饮食和身体活动为目标。现在需要进行科学评估，以确定这是否有效。我们计划通过在全英国招募20个产前单位来做到这一点。我们将培训来自一半单位的助产士如何提供干预。参加干预单位的妇女将参加由？减肥的世界?还有个助产士。这些女性将被鼓励吃得更健康，并通过散步计划增加运动量。到控制单位就诊的妇女将得到常规护理和关于饮食和运动建议的传单。我们将观察的主要结果是干预组和对照组妇女分娩后12个月的身体质量指数（BMI）的差异。我们还将测量饮食和运动水平的变化，心理健康，生活质量，儿童？体重、自信、社会支持和自我调节。将评估妊娠和分娩结果以及干预措施的成本效益。妇女将在怀孕第36周，然后在分娩后6周，6个月和1年进行随访。其中一些妇女将被邀请参加一个采访，询问她们对干预的经历。这种干预可以减少妊娠和分娩期间的并发症，并对妇女产生影响。从长远来看，这些健康行为不仅对女性有影响？不仅是她的健康，还有她家人的健康。如果研究成功，我们将为助产士开发一个培训包，可以在英国各地推广。我们将开发一个研究网站，每个人都可以访问，它将描述研究结果。我们还将向所有参与者发送结果摘要，我们将寻找创造性的方式通过媒体宣传结果。我们将使用我们与Slimming World的链接来公布结果，包括在他们的网站上。

Obesity in pregnancy is linked to poorer outcomes for both mother and child. It is also linked to complications during the pregnancy and at birth such as increased risk of caesarean section or diabetes that develops during the pregnancy. Retaining weight gain following pregnancy can lead to longer term obesity. We have developed an intervention for obese pregnant women based around the Slimming World approach combined with input from midwives which targets diet and physical activity. A scientific evaluation is now needed to determine whether or not this is effective. We plan to do this by recruiting 20 antenatal units across the UK. We will train midwives from half the units in how to deliver the intervention. Women attending intervention units will attend groups run by ?Slimming World? and a midwife. These women will be encouraged to eat more healthily and increase their levels of exercise using a walking programme. Women attending control units will receive usual care and a leaflet giving advice on diet and exercise. The main outcome we will look at is the difference in Body Mass Index (BMI), 12 months from giving birth, between the women in intervention and control groups. We will also measure changes in diet and exercise levels, mental health, quality of life, child?s weight, self confidence, social support and self regulation. Pregnancy and birth outcomes will be assessed as well as the cost effectiveness of the intervention. Women will be followed up at the 36th week of pregnancy, then at 6 weeks, 6 months and one year after giving birth. Some of these women will be invited to take part in an interview which will ask them about their experiences of the intervention. This intervention could reduce complications during pregnancy and childbirth as well as influence women?s health behaviours in the longer term which could impact not only on the woman?s health but that of her family as well. If the study is successful we will develop a training package for midwives which could be rolled out across the UK. We will develop a study website which is accessible to everyone which will describe the study results. We will also offer to send all participants a summary of the results and we will look for creative ways to publicise the results via the media. We will use our links with Slimming World to publicise the results, including on their website.