Health behaviour and pregnancy: a time for change

Olander, Ellinor K.; Smith, Debbie; Darwin, Zoë

doi:10.1080/02646838.2018.1408965

Cited by 64 publications

(55 citation statements)

References 9 publications

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“…Thus, it is imperative that health professionals possess the necessary capabilities to implement change, which may include knowledge of the most appropriate route to refer a woman for lifestyle behaviour change support. 5,8,20,21 Together these findings suggest that the COM-B model may be a useful framework to understand not only women's behaviour changes, but also GPs behaviour in initiating and addressing these issues during consultations.…”

Section: Comparison With Existing Literaturementioning

confidence: 82%

Behaviour change opportunities at mother and baby checks in primary care: a qualitative investigation of the experiences of GPs

et al. 2018

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Although GPs recognise the postnatal check as a potential opportunity for health-related behaviour change, it is underutilised as they do not perceive this to be the purpose of the check and are uncertain as to their role in facilitating lifestyle changes. To enable this long-term lifestyle behaviour change opportunity to be utilised more fully, further research is needed to understand women's expectations of the postnatal checks and the scope for further recommendations, guidance, and communication training around behaviour change.

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Section: Comparison With Existing Literaturementioning

confidence: 82%

Behaviour change opportunities at mother and baby checks in primary care: a qualitative investigation of the experiences of GPs

et al. 2018

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“…62 It is also a unique opportunity to identify women at high risk and make lifestyle changes, as women are often highly motivated, especially when they perceive associated benefits to their offspring. 63,64 Finally, public health actions that promote weight control throughout life need to be reinforced as a way to prevent complications related to obesity, such as NAFLD.…”

Section: Discussionmentioning

confidence: 99%

Overweight and obesity status from the prenatal period to adolescence and its association with non‐alcoholic fatty liver disease in young adults: cohort study

Cantoral

Montoya

Luna-Villa

et al. 2020

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Objective To examine the associations of maternal and child overweight status across multiple time‐points with liver fat content in the offspring during young adulthood. Design Cohort study. Setting ELEMENT Cohort in Mexico City. Population Pregnant women with singleton births (n = 97). Methods We quantified hepatic triglyceride content (liver fat content) by proton magnetic resonance spectroscopy (1H MRS) and conventional T2‐weighted MRIs (3T scanner) in 97 young adults from the ELEMENT birth cohort in Mexico City. Historical records of the cohort were used as a source of pregnancy, and childhood and adolescence anthropometric information, overweight and obesity (OWOB) were defined. Adjusted structural equation models were run to identify the association between OWOB in different life stages with liver fat content (log‐transformed) in young adulthood. Main outcome Maternal OWOB at the time of delivery was directly and indirectly associated with the liver fat content in the offspring at young adulthood. Results Seventeen percent of the participants were classified as having NAFLD. We found a strong association of OWOB between all periods assessed. Maternal OWOB at time of delivery (β = 1.97, 95% CI 1.28–3.05), and OWOB status in the offspring at young adulthood (β = 3.17, 95% CI 2.10–4.77) were directly associated with the liver fat content in the offspring. Also, maternal OWOB was indirectly associated with liver fat content through offspring OWOB status. Conclusion We found that maternal OWOB status is related to fatty liver content in the offspring as young adults, even after taking into account OWOB status and lifestyle factors in the offspring. Tweetable abstract There was an association between pre‐pregnancy overweight and the development of NAFLD in adult offspring.

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“…In addition, pregnant patients are also more motivated, engaged, and active in their own health care compared with the general population. [11][12][13] Thus, incorporating early regular DR screenings into comprehensive prenatal care is especially important for pregnant patients at safety net hospitals.…”

Section: Introductionmentioning

confidence: 99%

Nonmydriatic Photographic Screening for Diabetic Retinopathy in Pregnant Patients with Pre-Existing Diabetes in a Safety Net Population: 1 Year Results from the Diabetic Retinopathy in Pregnant Patients Study

Pasricha

Myung

et al. 2020

Women's Health Reports

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Background: Pregnant patients with pre-existing diabetes mellitus (DM) are at increased risk for development or progression of existing diabetic retinopathy (DR). A quality improvement project was initiated to improve DR screening during pregnancy at a safety net hospital. This article highlights the utility and generalizability of our telemedicine-based screening model. Materials and Methods: In April 2018, we implemented a photographic retinal screening system in the Maternal Fetal Medicine (MFM) clinic at Santa Clara Valley Medical Center in San Jose, CA. The system is intended to screen all pregnant patients with pre-existing diabetes (type 1 and 2). Retinal images are automatically uploaded to a secure server and interpreted by a retina specialist (C.K.P.). Results: A total of 71 pregnant patients with pre-existing DM were seen in the MFM clinic during the study period. Sixty-six of 71 patients (93.0%) were screened compared with 69.1% in the year prior. Of the 64 patients screened with readable images 11 (17.2%) had DR, whereas 53 did not. Forty-nine of the 64 (74.2%) patients screened underwent screening using the new nonmydriatic system in the MFM clinic. Only 7 out of 47 (14.9%) patients with readable images in the MFM clinic required referral to the ophthalmology clinic. Conclusion: Our model for DR screening in pregnant patients in safety net hospitals is effective in improving screening rates and expediting evaluation and treatment for those in need. This system can prevent irreversible vision loss in pregnant patients and provides an effective framework for ophthalmic care in a safety net hospital system.

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Health behaviour and pregnancy: a time for change

Cited by 64 publications

References 9 publications

Behaviour change opportunities at mother and baby checks in primary care: a qualitative investigation of the experiences of GPs

Behaviour change opportunities at mother and baby checks in primary care: a qualitative investigation of the experiences of GPs

Overweight and obesity status from the prenatal period to adolescence and its association with non‐alcoholic fatty liver disease in young adults: cohort study

Nonmydriatic Photographic Screening for Diabetic Retinopathy in Pregnant Patients with Pre-Existing Diabetes in a Safety Net Population: 1 Year Results from the Diabetic Retinopathy in Pregnant Patients Study

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