Optimising health prior to pregnancy

Almost half of mothers are overweight or obese at their first antenatal visit2.

While talking about body weight is a very sensitive issue for many women, it is essential to discuss important benefits for the mother and her baby of being a healthy weight before pregnancy and provide information about the appropriate amount of weight once pregnant. By reaching a healthy weight prior to pregnancy, a woman is protecting her health and baby’s wellbeing1.

Obesity in pregnancy contributes to increased morbidity and mortality for both mother and baby. Pregnant women who are obese have increased risk for pregnancy complications including GDM, pre-eclampsia and thromboembolism. They are more likely to deliver via caesarean section. Babies of mothers who are obese have higher rates of congenital anomaly, stillbirth and neonatal death compared with babies of mothers not obese2.

A woman’s BMI > 30kg/m2 at her first antenatal visit has been defined as obesity in pregnancy2.

It is important that women with an elevated BMI are offered nutritional and exercise information, preconception, during pregnancy and post pregnancy from appropriate specialist services to ensure they are supported appropriately1.

1 Management of Obesity in pregnancy RANZCOG Statement 2016

2 Australian Mothers and Babies 2015 in brief AIHW 2017

Did you know there are a number of local services providing preconception care and promotion of a healthy lifestyle for women who are considering pregnancy or are pregnant?

 

RPA Hospital – Pregnancy planning Clinic, Charles Perkins Centre/RPA Hospital

 

This multidisciplinary service provides comprehensive assessment of preconception health for women and couples planning a pregnancy (within SLHD).

Clinic Times

When: Monday 1.00 pm-5.00 pm
Where: RPA Clinic Charles Perkins Centre

Referral Process

  • Complete online referral form or contact clinic directly ph. 9562 5600 or ph. 9562 5607
  • Provide detailed GP letter for patient to bring to appointment

Further information including referral criteria and exclusions view pdf patient information brochure (563 KB) or/and HealthPathways Sydney – Search: Preconception and pregnancy assessment services

 

RPA Hospital - Healthy Lifestyle and Diabetes Prevention Clinic

 

This clinic provides a one-stop-shop for enhancing your patient’s lifestyle related factors. Including both dietary and exercise assessment and support, this service has been designed to support GPs, to offer a free service for your patients for weight management and prevention of chronic disease.

 

Clinic Times

When: Monday & Thursday 1.00 pm-5.00 pm
Where : RPA Clinic Charles Perkins Centre

Referral Process

Contact clinic ph. 9562 5600 or ph. 9562 5607 to make an appointment for your patient. Complete document referral form (160 KB) and either fax 8627 0141 or email Kyra.Sim@health.nsw.gov.au For further information view: patient information brochure

 

RPA Hospital - Metabolic Health in Early Pregnancy Clinic , Charles Perkins Centre/RPA Hospital

 

Comprehensive service to manage your patient’s risk of gestational diabetes through diet and exercise.

Clinic Time

When: Thursday 1.00 pm -5.00 pm
Where: RPA Clinic Charles Perkins Centre

Referral Process

Contact clinic ph. 9562 5600 or ph. 9562 5607 to make an appointment for your patient. Complete document referral form (161 KB) and either fax 8627 0141 or email Kyra.Sim@health.nsw.gov.au

For further information view: pdf patient information brochure (228 KB)

 

Royal Hospital for Women - PlaN

 

PLaN (Pregnancy Planning Lifestyle and Nutrition) is a free service for women and their partners who are thinking about having a baby. The service has been extended to women with complex health or fertility issues requiring specialist care, including from medical physicians, geneticists, and obstetricians including fertility specialists. GP referral is required and Medicare billing is available.

Email referrals to SESLHD-PlanRHW@health.nsw.gov.au. More information is available in this document flyer (34 KB) .

 

St George and Sutherland Hospitals – Planning for pregnancy: Health & wellbeing in pregnancy seminar

 

Monthly seminars (that rotate bi-monthly between the two hospitals) that teach skills to promote health and strength during pregnancy and strong role modelling as a parent.

Further information is available in this pdf flyer (253 KB) .

Women can register online here.

 

Additional information and resources

 

1. SLHD Healthpathways Sydney: Search following pathways

 

  • Preconception assessment
  • Weight management in obese adults; Adult weight management

2. NSW Health- “ Get Healthy” and “ Get Healthy in pregnancy”

Phone counselling services are provide through the “Get Healthy” and “Get healthy in pregnancy” programs. These programs offer FREE personalised health coaching services to help your patients - eat healthily and make healthy lifestyle choices; get active; and achieve and maintain a healthy weight.

The program offers up to 10 FREE confidential coaching calls (over 6 months) provided by university qualified personal health coaches to help motivate and support individuals to set personalised healthy lifestyle goals and provide information to help track goals, actions and help overcome any problem areas.

Phone counselling services are provide through the “Get Healthy” and “Get healthy in pregnancy” programs. These programs offer FREE personalised health coaching services to help your patients - eat healthily and make health lifestyle choices; get active; achieve and maintain a healthy weight.

The program offers up to 10 FREE confidential coaching calls (over 6months) provided by university qualified personal health coach to help motivate and support individuals to set personalised healthy lifestyle goals and provide information to help track goals, actions and help overcome any problem areas.

3. RACGP Clinical guidelines – Preventative activities prior to pregnancy

4. RANZCOG Statements - Management of Obesity in pregnancy