learning plan for educators and students
Lesson Plans-Perinatal Weight Gain, Nutrition & Supportive Care for Those Living in Large Bodies
Educators are encouraged to pick and choose from the learning resources to develop a lesson plan for students.
1. Decide which background readings from the resources section. will help prepare students for the videos.
2. Decide which videos contain the core content students need. Midwifery students need to view all the videos to meet core midwifery competencies about weight gain and support for individuals with high weights during pregnancy.
3. Remind students that there are downloadable PowerPoint notes for each of the videos.
4. Choose which of the exercises might reinforce content for students.
5. Have students self-test using the questions covering perinatal weight gain and support for individuals with high weights during pregnancy and lactation.
6. Share the AdvantageMidwifery.org link with students and let them play in the sandbox.
7. The Image Gallery found in the More section has photos that educators may use in their own slides or teaching sites. These are available without charge.
Learning Objectives-Weight Gain, Nutrition & Supportive Care for Those Living in Large Bodies
Following completion of the videos BMI Measurement During Pregnancy, Nutritional Needs During Pregnancy and Weight Gain during Pregnancy, and related exercises the learner will be able to
- Assess the body mass index (BMI) measurement as used in research and recognize its measurement errors and limitations
- Advise prenatal weight gain following the 2009 United States Institute of Medicine Prenatal Weight Gain Guidelines
- Advise pregnant individuals about nutritious intake and food safety during pregnancy
- Advise pregnant individuals about physical activity during pregnancy and advantageous weight management strategies
Following completion of the videos Weight Related Perinatal Risks & Supportive Prenatal Care, Informed Consent Discussion about Obesity in Pregnancy and Support of Those with High Weights in Labor, Birth and Postpartum, the learner will
- Identify weight-related perinatal risks and discuss these with clients during informed consent discussions
- Assist clients with high weights to develop individualized care plans for prenatal, labor and birth
Video Lectures about Weight Gain & High Weights in Pregnancy
This video collection contains a series of video lectures. So that the material builds on previous lectures, we suggest this order for listening:
- BMI Measurement in Pregnancy and its limitations
- Nutritional Needs during Pregnancy
- Weight Gain during Pregnancy: too little, too much, just right
- Introduction to Pregnancy for Those with Large Bodies
- Weight-Related Perinatal Risks & Supportive Prenatal Care for Those with Large Bodies
- Informed Consent Discussion About High Weights and Obesity in Pregnancy
- Support of Those with Large Bodies in Labor, Birth and Postpartum
PowerPoint Notes
Downloadable PowerPoint slides from each of the lectures are contained in a section below the videos.
Reference Lists and Resources
Reference lists for the videos and printable resources such as the 2021 Joint International Consensus Statement on Weight Stigma are in a section below the PowerPoint slide files.
Exercises
Exercises posted here reinforce content presented in the videos.
1. Glycemic Index Exercise-manipulate food photos to think through glycemic index and food
costs
2. Mom's Prenatal Diet-a historical look at prenatal nutrition advice and changing food
availability
3. Refrigerator Reveal-hands-on practice with a tool that assists some clients talk about their
usual foods.
4. Weight-Related Prescriptions Exercise-review two weight-related prescriptions to consider
application of client-centered language and trauma informed care
Practice Questions and Answer Key
This section of the website contains a set of questions that check basic knowledge about weight gain during pregnancy and obesity during pregnancy. An answer key for the questions is included. Educators are encouraged to use these questions as part of course testing.
Image Gallery
The Image Gallery contains photos related to eating, physical activity, and perinatal weight gain. This site is growing. Individuals may use these photos for their own slides, lessons or learning platforms. Not all of the slides are examples of good nutrition or the best physical activity.
WHAT MAKES ADVANTAGE MIDWIFERY UNIQUE?
ALL OUR WORK IS BASED ON OUR BELIEFS THAT...
· Nutrition, activity and weight gain affects the health of two to three generations
during each pregnancy.
· Excess weight is an intergenerational physical, epigenetic adaptation to multiple
socio-economic disparities, social and physical environments that alter the
hypothalamic–pituitary–adrenal axis (HPA) through exposure to chronic stress
and endocrine-disrupting chemicals, and broken non-nutritive food systems.
· Obesity is a socio-cultural construct. Obesity has been defined as a chronic
disease in some countries. Obesity, defined by a body mass index >29.9, is the
term used in the medical research literature. The term obesity can be
stigmatizing. Large bodies or plus size pregnancy are terms preferred by some.
· Body weight regulation is not entirely under voluntary control. Individuals with
overweight and obesity face unfounded social stigma.
· Even in the highest Work Health Organization obesity classes, there are
metabolically healthy individuals who have no weight-related-related disease.
· Evidence-based counseling assists clients to manage their own nutrition, activity
and weight gain during pregnancy.
· Health care counseling is relational and most effective when client-centered and
trauma-informed.
· Managing nutrition, activity and weight gain reduces weight-related
complications of pregnancy.
REFRIGERATOR REVEAL EXERCISE
Looking for a way to talk about what people eat?
Looking for a way to talk about what people eat?
Looking for a way to talk about what people eat?
Filling out food logs is tedious. Diet recall can have a number of biases including what the client wants the provider to hear and what the provider expects to hear.
Put the technology to use. Consider asking your client to snap a photo of the inside of their refrigerator. It can be texted to the provider or shared at the next visit.
Caution: The inside of a refrigerator is as private as a closet for some people and the client may not be willing to share this. The provider also needs to remember when viewing a refrigerator that it might shared by multiple people, not just the client.
Look for refrigerator reveal photos in the image gallery.
Practice for students
Looking for a way to talk about what people eat?
Looking for a way to talk about what people eat?
In this exercise, students snap a photo of the inside of their refrigerator. In small groups, the students take turns sharing their refrigerator reveal. Students practice seeing what's in the refrigerator and practicing comments such as, "Your refrigerator has a lot of fruits. Which are your favorites?" or "I see there are eggs here. Tell me how you usually cook your eggs," or "Cheddar cheese. That's one of my favorites! Do you eat it often?"
Students should design and practice comments that are non-judgemental, client-centered and focus on the healthy foods in the photo.
Look for refrigerator reveal photos in the image gallery.
Breastfeeding, An Essential Link in Healthy WEIGHT PROMOTION
Chapter 11: Breastfeeding, An Essential Link In Healthy Weight Promotion and Obesity Prevention
This chapter is found in the new text Lactation, a Foundational Strategy for Health Promotion, by Suzanne Campbell, PhD, RN, IBCLC. Order from https://www.jblearning.com/catalog/productdetails/9781284197167#productInfo
Overview
This chapter reviews obesity as a chronic disease caused by and provoked by multiple socio-economic disparities and environmental disadvantages. The metabolic and mechanical changes that obesity imposes on the body can negatively affect breastfeeding; however, breastfeeding can be a powerful tool in ameliorating the metabolic impacts of obesity and reducing future risk for obesity in both the mother and infant.
Objectives
1. Apply new definitions of obesity as a disease and people-first language to breastfeeding support.
2. Identify socio-economic disparities that exacerbate obesity.
3. Develop techniques to support breastfeeding based on the physiology of obesity.
4. Promote the health benefits and obesity preventing effects of breastfeeding during lactation counseling.
