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Towards Prepared mums (TOP-mums) for a healthy start, a lifestyle intervention for women with overweight and a child wish: study protocol for a randomised controlled trial in the Netherlands.
BMJ Open
November 2019
Department of Paediatrics, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands
Introduction: Periconception obesity is associated with a higher risk for adverse perinatal outcomes such as gestational diabetes mellitus, preeclampsia, large for gestational age, operative delivery and preterm birth. Lifestyle interventions during pregnancy have resulted in insufficient effects on reducing these perinatal complications. A few reasons for this disappointing effect can be suggested: (1) the time period during pregnancy for improvement of developmental circumstances is too short; (2) the periconception period in which complications originate is not included; and (3) lifestyle interventions may not have been sufficiently multidisciplinary and customised.
View Article and Find Full Text PDFNeighborhood contextual factors, maternal smoking, and birth outcomes: multilevel analysis of the South Carolina PRAMS survey, 2000-2003.
J Womens Health (Larchmt)
August 2010
School of Human Sciences/Colorado School of Public Health, University of Northern Colorado, Greeley, Colorado 80639, USA.
Background: Previous studies investigating relationships among neighborhood contexts, maternal smoking behaviors, and birth outcomes (low birth weight [LBW] or preterm births) have produced mixed results.
Methods: We evaluated independent effects of neighborhood contexts on maternal smoking behaviors and risks of LBW or preterm birth outcomes among mothers participating in the South Carolina Pregnancy Risk Assessment and Monitoring System (PRAMS) survey, 2000-2003. The PRAMS data were geocoded to 2000 U.
Interventions for promoting smoking cessation during pregnancy.
Cochrane Database Syst Rev
July 2009
Mother and Child Health Research, La Trobe University, 324-328 Little Lonsdale Street, Melbourne, Victoria, Australia, 3000.
Background: Tobacco smoking in pregnancy remains one of the few preventable factors associated with complications in pregnancy, low birthweight, preterm birth and has serious long-term health implications for women and babies. Smoking in pregnancy is decreasing in high-income countries and increasing in low- to middle-income countries and is strongly associated with poverty, low educational attainment, poor social support and psychological illness.
Objectives: To assess the effects of smoking cessation interventions during pregnancy on smoking behaviour and perinatal health outcomes.
Explaining the social gradient in smoking in pregnancy: early life course accumulation and cross-sectional clustering of social risk exposures in the 1958 British national cohort.
Soc Sci Med
March 2006
School of Health and Social Studies and Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
Smoking in pregnancy is a major determinant of low birthweight and a range of adverse infant health outcomes. There is a well-established social gradient in smoking in pregnancy in the US and northern Europe. Social gradients in health-related behaviours may result from longitudinal accumulation and cross-sectional clustering of social risk exposures.
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