286272
Integrating obstetrical care and WIC nutritional services to address maternal obesity and postpartum weight retention
Tuesday, November 5, 2013
: 9:32 AM - 9:52 AM
Matthew Goldshore, MPH
,
Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD
Susan M. Gross, PhD, MPH, RD
,
Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Erika Werner, MD
,
Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD
Janice Henderson, MD
,
Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD
Marycatherine Augustyn, PhD
,
Department of Population, Family, and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD
Emily Newport, BA
,
Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD
Patricia Waddy
,
Department of Population, Family, and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD
David M. Paige, MD MPH
,
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
Introduction Obese women are prone to high postpartum weight retention increasing their risk of pregnancy-related complications, accelerated weight gain, and long-term negative outcomes. Evidence supports that an integrated system of targeted and pre/postnatal nutrition counseling, health care, and support services results in return to pre-pregnancy weight. An innovative and collaborative model of linked and complimentary obstetric care, lactation and peer counselor support, and nutrition education has been established between the Johns Hopkins WIC program (JHWIC) and the Johns Hopkins Nutrition in Pregnancy clinic (NIP). Methodology NIP provides obese pregnant/postpartum women targeted services to limit postpartum weight retention and improve peri-conceptional health. A JHWIC clinic, fully integrated in NIP, enrolls eligible NIP patients to ensure that they receive targeted obstetric/gynecologic care and on-site WIC services. WIC and NIP nutritionists, NIP obstetricians, lactation consultants, and peer counselors provide direct intra-partum services utilizing an integrated health record to track participant progress to inform decision-making and target education and counseling. Results Extensive evidence exists as to WICs benefits. Data also shows that NIP is effective at assisting obese women achieve and maintain a healthy pregnancy weight and return to pre-pregnancy weight. The above model, comprised of two highly effective programs appears feasible and cost-effective. Discussion Pregnancy weight gain and post-partum weight retention in obese women warrants targeted interventions to avoid immediate and long-term consequences. This collaborative effort addresses this problem by establishing an innovative model of an integrated health record and linked nutritional, clinical, and social care and support
Learning Areas:
Administer health education strategies, interventions and programs
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Learning Objectives:
Explain the consequences of high pregnancy weight gain and post-natal weight retention for obese women
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am an MD\PhD student in the Department Of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, focusing on maternal and child health. I am leadership staff in the Nutrition in Pregnancy Clinic (NIP) at the Johns Hopkins Hospital. I work closely with Women, Infants and Children (WIC) Program staff located in the clinic site and coordinate the collaborative WICNIP Project
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
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