Health coaching is an emerging behavioral intervention to improve outcomes in chronic disease management and prevention; however, no studies have investigated its utility in postpartum women who have gained excess weight during pregnancy. A 32-year-old primigravida woman who was overweight at conception and gained 23 lbs more than Institute of Medicine recommendations for her pre-pregnancy body mass index participated in a 6-month personalized health planning with integrative health coaching (PHPIHC) intervention. The intervention included a baseline health risk assessment review with a healthcare provider and eight biweekly, 30-minute telephonic health coaching sessions. The participant demonstrated improvement in physical activity, energy expenditure, knowledge, and confidence to engage in healthpromoting behaviors. Although the participant did not reach the target weight by completion of the health coaching sessions, follow up 8 months later indicated she achieved the target goal (within 5% of prepregnancy weight). This case report suggests that PHP-IHC can support postpartum women in returning to pre-pregnancy weight after gaining excess gestational weight. Future research and clinical trials are needed to determine the best timing, length, and medium (online, in-person, telephonic) of PHP-IHC for postpartum women.

应用综合健康辅导的个性化健康计划降低女性在怀孕过程中超重的肥胖风险Plan sanitario personalizado con formación de salud integradora para reducir el riesgo de obesidad entre las mujeres con un aumento de peso excesivo durante el embarazo ABStRACtHealth coaching is an emerging behavioral intervention to improve outcomes in chronic disease management and prevention; however, no studies have investigated its utility in postpartum women who have gained excess weight during pregnancy. A 32-year-old primigravida woman who was overweight at conception and gained 23 lbs more than Institute of Medicine recommendations for her pre-pregnancy body mass index participated in a 6-month personalized health planning with integrative health coaching (PHP-IHC) intervention. The intervention included a baseline health risk assessment review with a healthcare provider and eight biweekly, 30-minute telephonic health coaching sessions. The participant demonstrated improvement in physical activity, energy expenditure, knowledge, and confidence to engage in healthpromoting behaviors. Although the participant did not reach the target weight by completion of the health coaching sessions, follow up 8 months later indicated she achieved the target goal (within 5% of prepregnancy weight). This case report suggests that PHP-IHC can support postpartum women in returning to pre-pregnancy weight after gaining excess gestational weight. Future research and clinical trials are needed to determine the best timing, length, and medium (online, in-person, telephonic) of PHP-IHC for postpartum women. SINOPSISLa formación de salud es una nueva intervención conductual para mejorar los resultados en la prevención y el tratamiento de la enfermedad crónica; sin embargo, ningún estudio ha examinado su utilidad en las mujeres puérperas que han aumentado excesivamente de peso durante el embarazo. Una mujer primigesta de 32 años de edad que presentaba sobrepeso en el momento de la concepción y había engordado 10,5 kg más que las recomendaciones establecidas por el Instituto de Medicina (IOM, por sus siglas en inglés) para su índice de masa corporal previo al embarazo participó en un plan sanitario de 6 meses de duración con una intervención de formación de salud integradora (PHP-IHC, por sus siglas en inglés). La intervención incluyó una revisión de evaluación basal del riesgo para la salud con un profesional sanitario y 8 sesiones telefónicas de formación de salud de 30 minutos de duración cada quince días. La participante demostró mejorías en la actividad física, el consumo de energía, el conocimiento y en la confianza a la hora de implicarse en comportamientos que favorecían su salud. A pesar de que la participante no logró alcanzar el peso objetivo al finalizar las sesiones de formación de salud, una visita de seguimiento 8 meses después confirmó que lo había alcanzado (dentro del 5 % del peso previo al embarazo). Este caso clíni-co sugiere que el PHP-IHC puede ayudar a las mujeres puérperas a recuperar el peso previo al embarazo tras el aumento de peso excesivo durante la gestación. Se nec...