University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Obstetrics and Gynecology


Dr. Elyse Watkins, DHSc, PA-C, DFAAPA


In pregnant patients with a Body Mass Index (BMI) greater than 30, does providing ten-minute obesity counseling with an exercise prescription versus no exercise prescription at the initial obstetrics visit help to manage maternal weight gain and decrease adverse perinatal risks? Most patients who present for obstetric (OB) care are overweight and obese, which can lead to adverse maternal and fetal outcomes. Discussing the issue of being obese during pregnancy can be a very sensitive conversation for both patients and clinical providers. Providing ten minutes of counseling on weight gain management and an exercise prescription at the initial prenatal visit and at subsequent antenatal visits could help motivate the maternal obese patients to engage in some physical activity and help to manage their weight gain during pregnancy. Antenatal counseling for weight management can benefit patients even after delivery. Reducing perinatal risks such as hypertension, gestational diabetes, pre-eclampsia, and large fetal birth weight can be safer for maternal obese patients, the fetus and for obstetric providers.


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