STructured Education for overweight/obese Pregnant women (STEP)

• Research type

  Research Study

• Full title

  A randomised control trial to investigate effectiveness of dietetic led structured education for over weight/obese women in preventing excess weight gain and reducing risk of developing Gestational Diabetes Mellitus (GDM)during pregnancy

• IRAS ID

  136214

• Contact name

  Sri Devi Gandham

• Contact email

  sri.gandham@wales.nhs.uk

• Sponsor organisation

  University of Liverpool

• Duration of Study in the UK

  1 years, 0 months, 1 days

• Research summary

  A randomised control trial to investigate the effectiveness of dietetic led structured education for over weight/obese pregnant women aimed at healthy lifestyle, to prevent excess weight gain during pregnancy and to prevent developing Gestational Diabetes Mellitus. This will reduce referrals to secondary care.
  The structured education is delivered in a centrally located venue Glan Clwyd hospital and NHS community hospitals, where pregnant women can be attended from 3 main areas of BCUHB (Conwy, Denbighshire and Flintshire areas)
  Gestational weight gain is associated with maternal and neonatal morbidity and mortality. Further to these risks, maternal obesity is also associated with developing Gestational Diabetes Mellitus (GDM) during pregnancy. To reduce these risks, a dietetic led structured education (SE) is offered to all overweight/obese women to prevent excess weight gain during pregnancy and to reduce risk of developing GDM.
  Our audit showed that there has been a steady increase in GDM referrals to secondary care since 2005 and this structured education could be the tool in reducing referrals to secondary care.

  The structured education consists of:
  -Energy balance
  -Carbohydrate types and portions
  -Balance Of Good Health (BOGH)
  -Glycaemic Index (GI)
  -Labelling
  -Benefits of low impact physical activity

  Subjects will be randomised to control group and intervention group.

  A 2 hours deitetic led structured education at first visit and an one hour follow up after 8 weeks. Participants will be asked to complete a simple Healthy lifestyle questionnaire at first and second visit to compare their awareness before and after SE
  Inclusion Criteria:
  Women who has BMI >30
  Essential data is collected and analysed. Positive results could be implemented across BCUHB to redesign services to improve quality of patient care. Improving quality of care can produce cost savings without compromising patient care.

• REC name

  Wales REC 5

• REC reference

  15/WA/0212

• Date of REC Opinion

  30 Jul 2015

• REC opinion

  Further Information Favourable Opinion