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. 2021 Jun 21;17(2):e1150. doi: 10.1002/cl2.1150
Methods Study design: Randomized controlled trial
Unit of randomization: Individually randomised
Type of study: Obesity Prevention
Participants Location/setting: Antenatal care clinic, Center for Social and Preventive Medicine (CSPM), Pediatrics Hospital, Cairo University, Egypt
Population: Not specified
Sample size: 147
Drop outs/withdrawal:
Total = 31
Lost to follow‐up = 10
Unable to contact = 6
Exclusions = 15 (six due to miscarriage, four due to abortion and five due to stillbirth)
Socio‐demographics
Age range: 20 to 30 years
Occupation:
Intervention: n (%)
Housewife: 59 (73.7)
Working: 21 (26.3)
Control: n (%)
Housewife: 51 (63.7)
Working: 29 (36.3)
Race: Food Program
Education:
Intervention: n (%)
Illiterate (read and write): 24 (30.1)
Basic education: 41 (51.2)
Secondary and higher education: 15 (18.7)
Control: n (%)
Illiterate (read and write): 26 (32.5)
Basic education: 33 (41.2)
Secondary and higher education: 21 (26.3)
Family income: Not specified
Inclusion criteria:
Primigravidae aged between 20 and 30 years in their first trimester (<12 weeks of gestation) of pregnancy, attending the selected “Antenatal Care” clinic, free from history of any chronic medical problems were recruited to participate
Exclusion criteria:
Women younger than 18 years (to avoid natural linear growth), having the history of previous abortion or stillbirth, presence of any chronic disease, and taking any type of medications that might interfere with the body weight (steroids, diuretics and thyroid hormones)
Interventions Intervention (sample size):
Received standard of care and attended six extra counselling session with a nutrition counsellor and fortnightly face‐to‐face appointments for a duration of 9 months.
Intervention was delivered through a nutrition counsellor.
(n = 75)
Control (sample size):
Participants of the control group received the standard maternity care. Women in standard care attended their regularly scheduled visits for a duration of 9 months.
Intervention was delivered through a nutrition counsellor
(n = 72)
Training: Not specified
Follow‐up:
Women received standard nutrition counselling provided by the physicians and nurses based on the Maternal and child Health Program components along with prenatal care from 28 weeks of gestation till delivery
Outcomes Primary outcomes: Not specified
Secondary outcomes:
Overweight
Maternal anaemia
Preterm birth
Macrosomia
Timing of outcome assessment: Not specified
Notes Study start date: July 2015
Study end date: April 2016
Time period: 9 months
Study country: Egypt
Study limitations:
Sizable amount of participants were illiterate, materials provided to illiterate participants were advised to get help from their educated spouse. Dropouts at end of study endorsed difficulty in follow‐up of the studied participants throughout the pregnancy until labour
Funding source: Not specified
Conflict of interest: Not specified