Specialist clinics reduce pregnancy risks for obese women
Antenatal clinics can spot signs of complications sooner.
Specialist antenatal clinics for severely obese pregnant women can cut rates of pregnancy complications, research has found.
Women who received specialist care were eight times less likely to have a stillbirth, according to University of Edinburgh researchers.
The team tracked more than 1,000 pregnant women with a body mass index of 40 or above. Half the women attended a specialist clinic while the others received standard antenatal care.
Women who attended the obesity clinic were treated by a multidisciplinary specialist team and given tailored advice about healthy eating and weight management, and were tested for diseases such as gestational diabetes.
The researchers say the clinic helps to spot signs of complications sooner so that women can be given appropriate treatment. It also helps pinpoint those who need to be induced early or undergo an elective caesarean to avoid problems during labour.
Denison FC et al (2017) Does attendance at a specialist antenatal clinic improve clinical outcomes in women with class III obesity compared with standard care? A retrospective case-note analysis. BMJ Open. doi: 10.1136/bmjopen-2016-015218