Hanson, M; Barker, M; Dodd, J; Kumanyika, S; Norris, S; Steegers, E; Thangaratinam, S; Hanson, M; Barker, M; Dodd, J; Kumanyika, S; Norris, S; Steegers, E; Thangaratinam, S; Yang, H; - view fewer (2017) Interventions to prevent maternal obesity prior to conception, during pregnancy andpostpartum. The Lancet Diabetes & Endocrinology , 5 (1) pp. 65-76. 10.1016/S2213-8587(16)30108-5.

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Abstract

It is now widely recognised that prevention of obesity in women of reproductive age is important both for their health and for that of their offspring. At present, weight control interventions in overweight or obese pregnant women, including drug treatment, have not been shown to produce sufficient impact on pregnancy and birth outcomes. This suggests that the focus for intervention should be on the preconception or post partum periods. Further research is needed on the longer-term effects of nutritional and lifestyle interventions before conception. Improving preconception health requires an integrated approach to pregnancy prevention, planning and preparation, involving more than just the primary healthcare sector and adopting an ecological approach to risk reduction which addresses personal to societal and cultural levels of influence. Raising awareness of the period prior to pregnancy will require a new social movement involving generating ‘bottomup’ mobilisation of communities and individuals complemented by a ‘top-down’ approach from policy initiatives. Intervening to reduce or prevent obesity at this time in the life course may contribute substantially to achieving the global Sustainable Development Goals, in terms of health, wellbeing, productivity and equity in the present and future generations.

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