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Preventing maternal and early childhood obesity: the fetal flaw in Australian perinatal care

Miller, Margaret, Hearn, Lydia, van der Pligt, Paige, Wilcox, Jane and Campbell, Karen J. 2014, Preventing maternal and early childhood obesity: the fetal flaw in Australian perinatal care, Australian journal of primary health, vol. 20, no. 2, pp. 123-127, doi: 10.1071/PY13080.

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Title Preventing maternal and early childhood obesity: the fetal flaw in Australian perinatal care
Author(s) Miller, Margaret
Hearn, Lydia
van der Pligt, PaigeORCID iD for van der Pligt, Paige
Wilcox, Jane
Campbell, Karen J.ORCID iD for Campbell, Karen J.
Journal name Australian journal of primary health
Volume number 20
Issue number 2
Start page 123
End page 127
Total pages 5
Publisher C S I R O Publishing
Place of publication Melbourne, Vic
Publication date 2014
ISSN 1448-7527
Keyword(s) gestational weight gain
Summary Almost half of Australian women of child-bearing age are overweight or obese, with a rate of 30–50% reported in early pregnancy. Maternal adiposity is a costly challenge for Australian obstetric care, with associated serious maternal and neonatal complications. Excess gestational weight gain is an important predictor of offspring adiposity into adulthood and higher maternal weight later in life. Current public health and perinatal care approaches in Australia do not adequately address excess perinatal maternal weight or gestational weight gain. This paper argues that the failure of primary health-care providers to offer systematic advice and support regarding women’s weight and related lifestyle behaviours in child-bearing years is an outstanding ‘missed opportunity’ for prevention of inter-generational overweight and obesity. Barriers to action could be addressed through greater attention to: clinical guidelines for maternal weight management for the perinatal period, training and support of maternal health-care providers to develop skills and confidence in raising weight issues with women, a variety of weight management programs provided by state maternal health services, and clear referral pathways to them. Attention is also required to service systems that clearly define roles in maternal weight management and ensure consistency and continuity of support across the perinatal period.
Language eng
DOI 10.1071/PY13080
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920501 Child Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, CSIRO Publishing
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Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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Created: Thu, 12 Jun 2014, 15:51:12 EST by Jane Moschetti

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