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The purpose of this study is to evaluate the effect of access to nutrition services on pregnancy outcomes in the obese urban population. There are many studies that have shown that obesity has a negative impact on pregnancy. However, currently there are only a few small studies that specifically look at ease of access to nutrition services in an obese urban population and the effect this has on maternal weight gain and pregnancy outcomes. This study will compare two groups of pregnant women with a BMI of 30 or greater. The investigators hypothesize that access to nutritional services will lead to decreased weight gain during pregnancy and improved pregnancy outcomes.
The purpose of this study is to evaluate the effect of access to nutrition services on pregnancy outcomes in the obese urban population. Approximately one fourth of women in the United States are overweight and nearly one third are considered to be obese. Pregnancy places obese women at increased risk for several adverse events in the antepartum, intrapartum, and postpartum period. There are many studies that have shown that obesity in pregnancy has a negative impact on pregnancy. However, currently there are few studies in the United States that specifically look at ease of access to nutrition services in an obese urban population and the effect this has on pregnancy outcomes. This study will be a randomized controlled study that will compare two groups of pregnant women with a BMI of 30 or greater one of which has access to nutritional services along with routine prenatal care while the other gets only routine prenatal care. The investigators hypothesize that the obese parturient who has access to nutritional services will have decreased weight gain during pregnancy and ultimately have improved pregnancy outcomes. This will help to guide future care for the obese parturient in the urban population who may have limited access to services.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Routine Obstetric Care | No Intervention | ||
| Nutritional Counseling | Experimental | Patients will receive an initial 90 minute nutritional consult followed by 60 minute follow up consults every 2 weeks to monitor weight gain and nutritional status. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nutritional Counseling | Behavioral | Patients will keep a daily diary of nutritional intake as well as physical activity. They will also follow up with the nutritional counselor six weeks postpartum. |
| Measure | Description | Time Frame |
|---|---|---|
| Weight gain | change in weight from baseline prepregnancy weight | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Birth weight | Weight of infant at the time of birth | 40 weeks |
| Fetal anomalies | Ultrasound findings of fetal anomalies or those detected at birth |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Erin M Murphy, MD | Contact | 215-481-4211 | emmurphy@amh.org | |
| Bethany Perry, MD | Contact | 215-481-4211 | bperry@amh.org |
| Name | Affiliation | Role |
|---|---|---|
| Erin M Murphy, MD | Abington Memorial Hospital | Principal Investigator |
| Bethany Perry, MD | Abington Memorial Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Abington Memorial Hospital | Recruiting | Abington | Pennsylvania | 19001 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D015596 | Nutrition Assessment |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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| 40 weeks |
| Hypertensive disease of pregnancy | Development of hypertensive disease during pregnancy | 40 weeks |
| Gestational diabetes | Development of gestational diabetes | 40 weeks |
| Neonatal intensive care admission | Admission to neonatal intensive care unit | 28 days |
| APGAR scores | Measurement at birth | At birth |
| Mode of delivery | vaginal delivery or cesarean section | 40 weeks |
| Intrauterine Fetal Demise | Death of fetus prior to delivery | 40 weeks |
| Neonatal Death | Death of neonate from birth to 28 days of life | 28 days |
| Abington Memorial Hospital | Recruiting | Abington | Pennsylvania | 19001 | United States |
|
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D015991 | Epidemiologic Measurements |
| D011634 | Public Health |
| D004778 | Environment and Public Health |