The role of nurse and midwifery in preconception weight management: An evidence-based approach
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Abstract: Weight management for women in the preconception period is an important, though often overlooked, aspect of healthcare that significantly impacts the health of both mother and fetus. The worldwide prevalence of overweight and obesity in women of childbearing age is increasing, positioning nurses and midwives in a key role to screen, counsel, and support women in achieving a healthy weight before pregnancy. Evidence shows that a woman's pre-pregnancy weight affects fertility and increases maternal health risks and long-term health risks for the child through complex mechanisms involving hormonal control, metabolic function, and epigenetic programming. Effective care for this group consists of comprehensive health and risk behavior assessment, motivational counseling, and the promotion of health behavioral changes, comprising nutritional management, physical activity management, and sleep and stress management, and the promotion of a proper diet, moderate exercise, and sleep and stress management, aiming for a 5-10% reduction in current body weight to increase the likelihood of conception. This article compiles evidence-based guidelines for nurses and midwives to apply in the care of women of reproductive age for effective preconception weight management.
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