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Randomized Controlled Trial
. 2015 Feb 25;7(3):1464-79.
doi: 10.3390/nu7031464.

Reducing postpartum weight retention and improving breastfeeding outcomes in overweight women: a pilot randomised controlled trial

Julia Martin  1 , Lesley MacDonald-Wicks  2 , Alexis Hure  3 , Roger Smith  4 , Clare E Collins  5   6
Affiliations
Randomized Controlled Trial

Reducing postpartum weight retention and improving breastfeeding outcomes in overweight women: a pilot randomised controlled trial

Julia Martin et al. Nutrients. .

Abstract

Overweight and obesity is prevalent among women of reproductive age (42% BMI > 25 kg/m2) and parity is associated with risk of weight gain. Weight gain greater than that recommended by the Institute of Medicine (IOM )is also associated with lower rates of breastfeeding initiation and duration in women. The aim of this pilot randomised controlled trial is to examine the feasibility of recruiting and maintaining a cohort of pregnant women with the view of reducing postpartum weight retention and improving breastfeeding outcomes. Women (BMI of 25-35 kg/m2 (n = 36)) were recruited from the John Hunter Hospital antenatal clinic in New South Wales, Australia. Participants were stratified by BMI and randomised to one of three groups with follow-up to six months postpartum. Women received a dietary intervention with or without breastfeeding support from a lactation consultant, or were assigned to a wait-list control group where the dietary intervention was issued at three months postpartum. Feasibility and acceptability was assessed by participation rates and questionnaire. Analysis of variance and covariance was conducted to determine any differences between groups. Sixty-nine per cent of the participants were still enrolled at six months postpartum. This pilot demonstrated some difficulties in recruiting women from antenatal clinics and retaining them in the trial. Although underpowered; the results on weight; biomarkers and breastfeeding outcomes indicated improved metabolic health.

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Figures

Figure 1
Figure 1
Flow diagram of recruitment and randomisation for a pilot randomised controlled trial.
See this image and copyright information in PMC

References

    1. Statistics A.B.O. Australian Health Survey: First Results, 2011–12. [(accessed on 17th December 2014)];2012 Available online: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012011-12....
    1. Linne Y., Dye L, Barkeling B, Rossner S. Long-Term Weight Development in Women: A 15-Year Follow-up of the Effects of Pregnancy. Obesity. 2004;12:1166–1178. doi: 10.1038/oby.2004.146. - DOI - PubMed
    1. Olson C.M., Strawderman M.S., Hinton P.S., Pearson T.A. Gestational Weight Gain and Postpartum Behaviors Associated with Weight Change from Early Pregnancy to 1 y Postpartum. Int. J. Obes. Relat. Metab. Disord. 2003;27:117–127. doi: 10.1038/sj.ijo.0802156. - DOI - PubMed
    1. Schauberger C.W., Rooney B.L., Brimer L.M. Factors that influence weight loss in the puerperium. Obstet. Gynecol. 1992;79:424–429. doi: 10.1097/00006250-199203000-00020. - DOI - PubMed
    1. Rothberg B.E.G., Magriples U., Kershaw T.S., Rising S.S., Ickovics J.R. Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. Am. J. Obstet. Gynecol. 2011;204:1–11. doi: 10.1016/j.ajog.2010.11.002. - DOI - PMC - PubMed

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