Health in Preconception, Pregnancy and Postpartum Global Alliance: International Network Pregnancy Priorities for the Prevention of Maternal Obesity and Related Pregnancy and Long-Term Complications
by
Briony Hill 1
, Helen Skouteris 1,2, Jacqueline A. Boyle 1, Cate Bailey 1, Ruth Walker 1, Shakila Thangaratinam 3, Hildrun Sundseth 4, Judith Stephenson 5, Eric Steegers 6, Leanne M. Redman 7, Cynthia Montanaro 8, Siew Lim 1, Laura Jorgensen 3, Brian Jack 9, Ana Luiza Vilela Borges 10, Heidi J. Bergmeier 1, Jo-Anna B. Baxter 11,12, Cheryce L. Harrison 1,† and Helena J. Teede 1,13,14,*,†
Briony Hill 1, Helen Skouteris 1,2, Jacqueline A. Boyle 1, Cate Bailey 1, Ruth Walker 1, Shakila Thangaratinam 3, Hildrun Sundseth 4, Judith Stephenson 5, Eric Steegers 6, Leanne M. Redman 7, Cynthia Montanaro 8, Siew Lim 1, Laura Jorgensen 3, Brian Jack 9, Ana Luiza Vilela Borges 10, Heidi J. Bergmeier 1, Jo-Anna B. Baxter 11,12, Cheryce L. Harrison 1,† and Helena J. Teede 1,13,14,*,†
1
Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia
2
Warwick Business School, Warwick University; Coventry CV47AL, UK
3
Barts Research Centre for Women’s Health (BARC), Women’s Health Research Unit, Centre for Primary Care and Public Health, Blizard Institute, Barts and The London School of Medicine and Dentistry, 58 Turner Street, London E1 2AB, UK
4
European Institute of Women’s Health, 33 Pearse Street, Dublin 2, Ireland
5
Institute for Women’s Health, University College London, EGA Institute for Women’s Health, 74 Huntley St, London WC1E 6AU, UK
6
Department of Obstetrics and Gynaecology, Erasmus Medical Centre–Sophia Children’s Hospital, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands
7
Reproductive Endocrinology and Women’s Health Laboratory, Pennington Biomedical Research Center, 6400 Perkins Rd, Baton Rouge, LA 70808, USA
8
Wellington-Dufferin-Guelph Public Health, 160 Chancellors Way, Guelph, ON N1G 0E1, Canada
9
Department of Family Medicine, Boston University School of Medicine, 771 Albany St, Boston, MA 02118, USA
10
Public Health Nursing Department, University of Sao Paulo, 419 Cerqueira Cesar, Sao Paulo 05403000, Brazil
11
Centre for Global Child Health, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, 686 Bay Street, Toronto, ON MG5 0A4, Canada
12
Department of Nutritional Sciences, University of Toronto, Medical Sciences Building, 1 King’s College Circle, Toronto, ON M5S 1A8, Canada
13
Monash Partners Advanced Health Research Translation Centre, Locked Bag 29, Clayton, VIC 3168, Australia
14
Monash Health, 246 Clayton Road, Clayton, VIC 3168, Australia
*
Author to whom correspondence should be addressed.
†
Joint senior authors.
J. Clin. Med. 2020, 9(3), 822; https://doi.org/10.3390/jcm9030822
Received: 17 January 2020 / Revised: 12 March 2020 / Accepted: 14 March 2020 / Published: 18 March 2020
(This article belongs to the Special Issue Health in Preconception Pregnancy and Postpartum)
In this article, we describe the process of establishing agreed international pregnancy research priorities to address the global issues of unhealthy lifestyles and rising maternal obesity. We focus specifically on the prevention of maternal obesity to improve related clinical pregnancy and long-term complications. A team of multidisciplinary, international experts in preconception and pregnancy health, including consumers, were invited to form the Health in Preconception, Pregnancy and Postpartum (HiPPP) Global Alliance. As an initial activity, a priority setting process was completed to generate pregnancy research priorities in this field. Research, practice and policy gaps were identified and enhanced through expert and consumer consultation, followed by a modified Delphi process and Nominal Group Technique, including an international workshop. Research priorities identified included optimising: (1) healthy diet and nutrition; (2) gestational weight management; (3) screening for and managing pregnancy complications and pre-existing conditions; (4) physical activity; (5) mental health; and (6) postpartum (including intrapartum) care. Given extensive past research in many of these areas, research priorities here recognised the need to advance pregnancy research towards pragmatic implementation research. This work has set the agenda for large-scale, collaborative, multidisciplinary, implementation research to address the major public health and clinical issue of maternal obesity prevention.
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Keywords:
pregnancy; antenatal care; obesity prevention; lifestyle behaviours; consensus; research priorities
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MDPI and ACS Style
Hill, B.; Skouteris, H.; Boyle, J.A.; Bailey, C.; Walker, R.; Thangaratinam, S.; Sundseth, H.; Stephenson, J.; Steegers, E.; Redman, L.M.; Montanaro, C.; Lim, S.; Jorgensen, L.; Jack, B.; Borges, A.L.V.; Bergmeier, H.J.; Baxter, J.-A.B.; Harrison, C.L.; Teede, H.J. Health in Preconception, Pregnancy and Postpartum Global Alliance: International Network Pregnancy Priorities for the Prevention of Maternal Obesity and Related Pregnancy and Long-Term Complications. J. Clin. Med. 2020, 9, 822.
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