MedPath

Postpartum Weight Retention

Not Applicable
Completed
Conditions
Depression
Obesity
Hypertension
Registration Number
NCT02867631
Lead Sponsor
University of Pennsylvania
Brief Summary

The Postpartum Weight Management Study is a true community-academic collaboration, bringing together Maternity Care Coalition (MCC) staff and the investigator, Dr. Charmaine Smith Wright from the University of Pennsylvania to address the needs of postpartum moms. The project is an innovative intervention to help moms lose weight after the birth of their baby. Helping mothers control their weight during pregnancy and beyond can help both mother and baby avoid later obesity and cardiovascular disease. Although all women are at risk for retaining the weight gained during pregnancy, this problem is amplified for low-income, minority women. The holistic approach aims to prevent postpartum weight retention and increase breastfeeding duration with a multi-component, low-cost intervention that provides: 1) Motivational appeals delivered in text message format; 2) Environmental aides, such as a baby carrier to combine exercise with infant care, and a pedometer to accurately measure exercise at home; 3) Enhanced peer support, including home visits and group classes with other mothers; and 4) Task-oriented professional support from nutrition and lactation experts, who assist women in developing a personalized health plan. The effectiveness of the intervention will be evaluated using a randomized control methodology among clients of MCC.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
175
Inclusion Criteria
  • All women who speak English, and are within six weeks of delivering a live, term, single infants
Read More
Exclusion Criteria
  • Women who have multiple births or preterm (<38 weeks gestation) infants
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Postpartum weight changeBaseline and 1 year post intervention

Weight difference at one year post intervention and start of intervention

Secondary Outcome Measures
NameTimeMethod
Nutrition knowledge score changeBaseline, 6 weeks, 6 months, and 1 year post intervention start

Using validated nutrition knowledge scale at 6 weeks, 6 months, and 1 year post intervention, difference from baseline

Dietary qualityBaseline, 6 weeks, 6 months, and 1 year post intervention

Descriptive analysis of a food log from the time points proposed

Infant growthBaseline, 6 weeks, 6 months, and 1 year post intervention start

Infant weight for length percentile at 6 weeks, 6 months, and 1 year post intervention (weight in pounds and length in inches converted to weight for length percentile using World Health Organization software support http://www.who.int/childgrowth/software/readme_stata.pdf?ua=1)

DepressionBaseline, 6 weeks, 6 months, and 1 year post intervention start

Using Edinburgh perinatal depression screen score, as a continuous and dichotomous (Yes/No) variable

Postpartum weight changeBaseline and 6 months post intervention start

Weight difference at 6 months post intervention and start of intervention

Waist circumference as continuous measure, in inchesBaseline, 6 weeks, 6 months, and 1 year post intervention start

Acquired at study assessments at the proposed time points

Back to prepregnancy weightbaseline and 1 year post intervention

Dichotomous (yes/no) variable describing whether the subject returned to pre-pregnancy weight (difference between 1 year post and self-reported pre-pregnancy weight at baseline time point survey=0) or not

Back to pregnancy weight, continuousbaseline and 1 year postpartum

Continuous (difference in 1 year post-intervention weight and self-reported pre-pregnancy weight reported at baseline time point survey) variable describing the change in weight over time

Trial Locations

Locations (1)

Maternity Care Coalition

🇺🇸

Philadelphia, Pennsylvania, United States

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