Research
Adherence
Women with Class I or Class II obesity achieve better gestational weight gain outcomes with usual care compared to enhanced care interventions.
For pregnant women with Class I or II obesity, standard obstetric care and written educational materials are sufficient to achieve healthy weight gain. Adding intensive lifestyle interventions (dietitian visits, personalized charts) does not improve outcomes and may be unnecessary resource expenditure for these patients.
GoodRefutesHIGH confidence
Women with class I or II obesity had better GWG outcomes without these additional interventions.
Why this rating
RCT subgroup analysis with statistical significance for Class II (p=0.04).
Source
Encouraging appropriate gestational weight gain in high‐risk gravida: A randomized controlled trial
A. Dhanya Mackeen et al. · Obesity Science & Practice · 2021
DOI 10.1002/osp4.565
rct · n=236Cited 9×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Enhanced care interventions (physician letter, personalized chart, and registered dietitian counseling) do not significantly improve gestational weight gain outcomes compared to usual care in the aggregate population of women with pregestational obesity.Good
- Women with Class III obesity (BMI ≥40.0 kg/m2) are significantly more likely to achieve appropriate gestational weight gain when receiving enhanced care (physician letter, chart, RDN counseling) compared to usual care.Good
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