Self-weighing and simple dietary advice for overweight and obese pregnant women to reduce obstetric complications without impact on quality of life: A randomised controlled trial

Abstract

Objective To determine the effect of serial weighing and dietary advice compared with standard antenatal care on obstetric outcomes. Design Randomised controlled clinical trial. Setting Australian tertiary obstetric hospital. Population Three hundred and eighty-two overweight or obese non-diabetic pregnant women at less than 20 weeks gestation with a singleton pregnancy. Methods Women were randomised to targeted, serial self-weighing and simple dietary advice, (intervention), or standard antenatal care (control). Main outcomes measures The primary outcome was a reduction in a composite of obstetric complications: gestational hypertension, pre-eclampsia, diabetes, assisted or caesarean birth,..