Intervention Review

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Interconception care for women with a history of gestational diabetes for improving maternal and infant outcomes

  1. Joanna Tieu*,
  2. Emily Bain,
  3. Philippa Middleton,
  4. Caroline A Crowther

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 5 JUN 2013

Assessed as up-to-date: 26 FEB 2013

DOI: 10.1002/14651858.CD010211.pub2


How to Cite

Tieu J, Bain E, Middleton P, Crowther CA. Interconception care for women with a history of gestational diabetes for improving maternal and infant outcomes. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD010211. DOI: 10.1002/14651858.CD010211.pub2.

Author Information

  1. The University of Adelaide, ARCH: Australian Research Centre for Health of Women and Babies, The Robinson Institute, Discipline of Obstetrics and Gynaecology, Adelaide, South Australia, Australia

*Joanna Tieu, ARCH: Australian Research Centre for Health of Women and Babies, The Robinson Institute, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Women's and Children's Hospital, 1st floor, Queen Victoria Building, 72 King William Road, Adelaide, South Australia, 5006, Australia. joanna.tieu@gmail.com. joanna.tieu@mh.org.au.

Publication History

  1. Publication Status: New
  2. Published Online: 5 JUN 2013

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Characteristics of ongoing studies [ordered by study ID]
NCT00924599

Trial name or title

MethodsRandomised controlled trial.

ParticipantsInclusion criteria

  • 18-40 year old women.
  • English or Spanish speaking.
  • GDM in last pregnancy.
  • BMI 30-40.
  • 1-5 years since last pregnancy.
  • Non-smoking.
  • Planning to have a baby but willing to use birth control during a 3-month weight loss program.


Exclusion criteria

  • 3 or more miscarriages.
  • History of infertility.
  • Type 1 or type 2 diabetes mellitus.
  • Any weight loss since last pregnancy (based on last pre-pregnancy weight).
  • History of major psychiatric illness, drug abuse, or unsafe dieting practices.
  • History of bariatric surgery, major medical conditions that prohibit physical activity or dietary intervention.

InterventionsWomen are randomised to receive 1 of 2 interventions: weight loss and exercise intervention or lifestyle education.

Weight loss and exercise intervention

  • Participants attend sessions focused on healthy weight loss, healthy eating and exercise.
  • Weekly sessions for 12 weeks followed by monthly group meetings until conception.
  • Aim for loss of 7% of body weight and increased physical activity to 2.5 hours per week.


Lifestyle education

  • Education focusing on learning about healthy eating and healthy activity, stress reduction techniques, ways of increasing activity.
  • Once a month for 3 months, then once a month until conception.

OutcomesPrimary outcome: GDM not present in pregnancy.

Starting dateJune 2009 (estimated completion August 2013).

Contact informationSuzanne Phelan, Associate Professor, California Polytechnic State University-San Luis Obispo.

Notes