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The Health Roundtable Pregnancy Weight Matters Presenter: Glyn Teale Hospital Code Name: Wombat Innovation Poster Session HRT1104b – Maternity March 10-11.

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Presentation on theme: "The Health Roundtable Pregnancy Weight Matters Presenter: Glyn Teale Hospital Code Name: Wombat Innovation Poster Session HRT1104b – Maternity March 10-11."— Presentation transcript:

1 The Health Roundtable Pregnancy Weight Matters Presenter: Glyn Teale Hospital Code Name: Wombat Innovation Poster Session HRT1104b – Maternity March

2 The Health Roundtable KEY PROBLEM  63% of our pregnant women have a BMI over 25  >30% > BMI 30  Lack of standardisation of care for high risk group  Stopped routine weighing of antenatal women  Resistance to re-introduction of routine weighing  Clinical incidents  Late diagnosis of diabetes, failed epidurals, severe missed IUGR

3 The Health Roundtable AIM OF THIS INNOVATION  Establishing weight as an important issue in antenatal care  Risk management  Reduced incidents  Improved detection of diabetes  Improved detection of growth restriction  OH&S

4 The Health Roundtable Change management strategy… Commence working group Develop plans Develop guidelineDevelop handout Implement training to staff Implement program

5 Please ask your midwife or doctor for information about the importance to your baby of appropriate weight gain throughout your pregnancy and beyond A new program for pregnant women delivering at Goulburn Valley Health from 1st February 2010

6 BMI >35 BMI BMI < weeks – reassess weight – advise if outside target weight change weeks – reassess weight – advise if outside target weight change Advise about weight management after pregnancy 35 weeks: US/S for growth 36 weeks: Specialist review 28 weeks: repeat OGTT Refer to dietitian Arrange early OGTT Refer to dietitian Booking - Calculate BMI / establish target weight gain range Increased surveillance 32 weeks – primip/high risk multip – PAC Post-natal - Advise about weight management after pregnancy

7 The Health Roundtable AIM OF THIS INNOVATION – Achieved?  Establishing weight as an important issue in antenatal care  Risk management  Reduced incidents  Improved detection of diabetes  8 ‘type II’ diabetics diagnosed < 20 weeks  Improved detection of growth restriction  OH&S

8 The Health Roundtable LESSONS LEARNT  Multidisciplinary team  Present the risks before suggesting change  Obesity risks > Smoking risk brings home the message  Time involved in counselling can be an issue


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