(Rural midwife 2)" When midwives were prompted to identify important implications of excess GWG, the most common responses related to gestational diabetes, preeclampsia, inability to palpate the foetus and complicated deliveries.
Common themes emerged relating to awareness of the implications of excess GWG, advice regarding weight gain, regularity of gestational weighing by GPs, options for GPs to seek support to provide healthy lifestyle behaviour advice and barriers to engaging pregnant women about their weight.
We simply do not yet understand the potential of diverting cell differentiation toward adipogenesis, the relative importance of fat depot locations, or the implications of excess fat storage early in life on the later development of chronic insulin resistance.
General Practitioners identified that excess GWG and gestational overweight and obesity adversely affects both the mother and child and the majority of GPs reported that gestational diabetes was one of the most important implications of excess GWG, overweight or obesity in pregnancy.
While the health implications of excess weight are most severe for those who are obese [ 51], in some ways the more mildly overweight group poses the most concern for future health care [ 52], given the far greater numbers of affected children and the high likelihood of progression to an obese state [ 53, 54].
If the association is real, its public health and clinical implications might be substantial, despite the fact that the magnitude of the excess risk is small.
The short and long-term implications of excess GWG on both mother and child are increasingly evident [ 9].
(Paediatrician, #106, 15 years, no H&W The future implications of excess weight were also highlighted, for example: I am more concerned about the future rather than in the immediate year or two, but it is important that he loses weight.
General Practitioners frequently identified pre - eclampsia, hypertension and delivery complications as major implications of excess GWG and maternal overweight and obesity.
