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28/06/2017

Specialist Clinics Cut Pregnancy Problems For Obese Women

Specialist antenatal clinics for severely obese mothers-to-be can help cut rates of pregnancy complications, research published in BMJ Open has found.

Women who received the specialist care were eight times less likely to have a stillbirth.

The study, carried out by researchers at Tommy's Centre for Maternal and Fetal Health at the University of Edinburgh, found specialist clinics helped healthcare professionals to spot signs of complications earlier so that appropriate treatment could be given.

It also helped to identify those who need to be induced early or undergo an elective caesarean to help avoid problems during labour.

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The team tracked more than 1000 pregnant women classed as being severely obese during pregnancy (a body mass index of 40 or above). Around half of the women attended a specialist obesity clinic while the others received standard antenatal care.

Those that attended the specialist obesity clinic were treated by a team including obstetricians, specialist midwives, dieticians and other clinical experts.

Women who developed a complication could be treated in one visit rather than having to wait to be referred to a separate specialist clinic. These women were given healthy eating and weight management advice and tested for gestational diabetes.

Rona McCandlish, the RCM's guidelines and audit advisor, said that it has long been known that effective team-working by midwives, doctors and other health professionals results in better outcomes for women.

She said: "An increasing number of women are overweight or obese when they start having a family and midwives do know they have a critical role to play in promoting public health and supporting weight management.

"However, we also know that many midwives are tremendously pressed because of staff shortages and find they are unable to spend as much time as they need to support and advise women about their weight management."

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"Specialist antenatal clinics for severely obese mothers-to-be can help cut rates of pregnancy complications, research published in BMJ Open has found."