Healthy Eating and Lifestyle in Pregnancy

怀孕期间的肥胖与母亲和孩子的结局都较差有关。它还与怀孕期间和出生时的并发症有关，例如增加剖腹产的风险或在怀孕期间发展为糖尿病。怀孕后保持体重增加可能会导致长期肥胖。我们基于减肥世界的方法，结合助产士的意见，针对饮食和体力活动，开发了一种针对肥胖孕妇的干预措施。现在需要科学的评估来确定这是否有效。我们计划通过在英国各地招募20个产前单元来做到这一点。我们将培训一半单位的助产士如何提供干预。参加干预单位的女性将参加瘦身世界组织的小组。还有一个助产士。这些妇女将被鼓励吃得更健康，并通过步行计划增加锻炼水平。参加控制单元的妇女将得到常规护理，并将收到一份关于饮食和锻炼建议的传单。我们将观察的主要结果是干预组和对照组之间的身体质量指数(BMI)，即从分娩起12个月的差异。我们还将测量饮食和锻炼水平、心理健康、生活质量、S儿童体重、自信、社会支持和自我调节方面的变化。将评估怀孕和分娩结果以及干预措施的成本效益。女性将在怀孕36周，然后在分娩后6周、6个月和一年进行随访。其中一些妇女将被邀请参加采访，询问她们干预的经历。该干预措施可减少孕产期并发症的发生，长期影响妇女S的健康行为，不仅对妇女S的健康有影响，而且对其家庭健康也有影响。如果这项研究成功，我们将为助产士开发一套培训方案，并将在英国推广。我们将开发一个学习网站，每个人都可以访问，其中将描述研究结果。我们还将向所有参与者发送一份结果摘要，并将寻找创造性的方式通过媒体公布结果。我们将使用我们与减肥世界的链接来宣传结果，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.