Postpartum Weight Loss and Sleep Amongst Obese Women

Postpartum Weight Loss in Obese Women Using a Sleep Intervention in a Group Prenatal Care Setting

This study will be a randomized controlled trial involving obese women obtaining prenatal care at an obstetric care clinic. Study subjects will undergo prenatal care in a group setting or prenatal care with a behavioral intervention to improve sleep. Anthropometric measurements, blood draws, questionnaires and at home sleep studies will be completed at three specified times (two antepartum and one postpartum). Primary outcome will be a comparison of postpartum weight loss amongst the intervention and control groups.

Inclusion Criteria:

• • Pregnant female patients

  • Currently receiving obstetrical care at the TGH Health Park Genesis Clinic
  • Between in the second trimester at entry into the study
  • Overweight or obese defined as a pre-pregnancy body mass index greater than or equal to 25.0 kg/msquared
  • Over 18 years of age
  • Able to speak and understand as well as give informed consent in English
  • Have access to internet services
  • Have reported nightly sleep duration of <6.5 hours

Exclusion Criteria:

• • Under 18 years of age

  • Pre-existing type 1 or 2 diabetes mellitus
  • Pre-existing obstructive sleep apnea
  • Current use of sleep medication
  • Serious physical or mental illness or condition that would substantially interfere with participation in, or completion of, the entire intervention