SynthesisThe Cochrane database of systematic reviews2013
Antenatal interventions for reducing weight in obese women for improving pregnancy outcome.
Synthesis in The Cochrane database of systematic reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- The effect of methods used in the management of maternal obesity on pregnancy and birth outcomes: a systematic review with meta-analysis.International journal of obesity (2005) · 2025Pooled it
- Metformin for women who are overweight or obese during pregnancy for improving maternal and infant outcomes.The Cochrane database of systematic reviews · 2018Pooled it
- Directed preconception health programs and interventions for improving pregnancy outcomes for women who are overweight or obese.The Cochrane database of systematic reviews · 2015Pooled it
- Pooled it
- Acceptability and feasibility of a planned preconception weight loss intervention in women with long-acting reversible contraception: the Plan-it mixed-methods study.Health technology assessment (Winchester, England) · 2023Trial
- Healthcare related barriers and enablers for weight management among pregnant women with overweight and obesity: a rapid scoping review.BMC pregnancy and childbirth · 2025Article
- Influence of maternal α-lipoic acid supplementation in Sprague Dawley rats on maternal and fetal metabolic health in pregnancies complicated by obesity.The Journal of nutritional biochemistry · 2024Article
- The acceptability of asking women to delay removal of a long-acting reversible contraceptive to take part in a preconception weight loss programme: a mixed methods study using qualitative and routine data (Plan-it).BMC pregnancy and childbirth · 2022Article
- Effects of nutritional interventions during pregnancy on birth, child health and development outcomes: A systematic review of evidence from low- and middle-income countries.Campbell systematic reviews · 2021Article
- Impact of Dietary Interventions during Pregnancy on Maternal, Neonatal, and Child Outcomes in Low- and Middle-Income Countries.Nutrients · 2020Review
- Perceived Barriers to Exercise in the First Trimester of Pregnancy.The Journal of perinatal education · 2018Article
- Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala.Reproductive health · 2018Article
- Obesity and Weight Gain in Pregnancy and Postpartum: an Evidence Review of Lifestyle Interventions to Inform Maternal and Child Health Policies.Frontiers in endocrinology · 2018Review
- Modelling stillbirth mortality reduction with the Lives Saved Tool.BMC public health · 2017Article
- Come On! Using intervention mapping to help healthy pregnant women achieve healthy weight gain.Public health nutrition · 2017Article
- Engagement with and outcomes of a Midwifery-led intervention group for pregnant women of high body mass index.Obstetric medicine · 2016Article
- The impact of group prenatal care on pregnancy and postpartum weight trajectories.American journal of obstetrics and gynecology · 2015Article
- Pandemic of Pregnant Obese Women: Is It Time to Re-Evaluate Antenatal Weight Loss?Healthcare (Basel, Switzerland) · 2015Review
- Genetic and epigenetic catalysts in early-life programming of adult cardiometabolic disorders.Diabetes, metabolic syndrome and obesity : targets and therapy · 2014Review
- Preconception counseling for preventable risks.Canadian family physician Medecin de famille canadien · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundBeing obese and pregnant is associated with substantial risks for the mother and her child. Current weight management guidance for obese pregnant women is limited. The latest recommendations suggest that obese pregnant women should gain between 5.0 and 9.1 kg during the pregnancy period, and weight loss is discouraged. However, observational studies indicate that some obese pregnant women, especially those who are heavier, lose weight during pregnancy. Furthermore, some obese pregnant women may intentionally lose weight. The safety of weight loss when pregnant and obese is not substantiated; some observational studies suggest that risks associated with weight loss such as pre-eclampsia are improved, but others indicate that the incidence of small- for-gestational infants are increased. It is important to evaluate interventions that are designed to reduce weight in obese pregnant women so that the safety of weight loss during this period can be established.
objectivesTo evaluate the effectiveness of interventions that reduce weight in obese pregnant women. SEARCH
methodsWe searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 July 2012) and contacted experts in the field. SELECTION CRITERIA: Randomised controlled trials, 'quasi-random' studies and cluster-randomised trials comparing a weight-loss intervention with routine care or more than one weight loss intervention. Cross-over trials were not eligible for inclusion. DATA COLLECTION AND ANALYSIS: We identified no studies that met the inclusion criteria for this review. MAIN
resultsThere were no included trials. AUTHORS'
conclusionsThere are no trials designed to reduce weight in obese pregnant women. Until the safety of weight loss in obese pregnant women can be established, there can be no practice recommendations for these women to intentionally lose weight during the pregnancy period. Further study is required to explore the potential benefits, or harm, of weight loss in pregnancy when obese before weight loss interventions in pregnancy can be designed. Qualitative research is also required to explore dietary habits of obese pregnant women, especially those who are morbidly obese.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.