1. Small steps to a healthy pregnancy

2. Delivering Now, Improving for the Future!
Baby Steps is a fun, free, interactive 8 week programme fully supported by a midwife
Aims:
Raise awareness of the risks of BMI>30 in pregnancy
Empower, motivate and support women to take steps to reduce these risks and improve their health and wellbeing
Delivering Now, Improving for the Future!

3. The Improvement Science in Action – Plus (ISIA) Programme
The Drivers
National directives
Local priorities
The Improvement Science in Action – Plus (ISIA) Programme
Health intelligence

4. Pregnant women with BMI>30
Percentage of pregnant women with BMI>30

5. Why ?
There are many risks associated with having BMI >30 in pregnancy, women want to know these risks
Extra costs to the NHS
No dedicated programme in NHS Grampian

6. Risks to Mum Risks to Baby
Miscarriage
Stillbirth
Mortality rates
Gestational diabetes
High blood pressure
Pre-eclampsia
Thrombosis
Complications in labour
Assisted delivery
Antenatal+postnatal depression
Ultrasound scanning; accuracy
Prematurity
Intrauterine death
Congenital anomalies
Fetal growth restriction
Birth Injury
Lower breastfeeding rates
In later life:
Childhood obesity
Asthma
Type 2 diabetes
Cardiovascular disease

8. Community Support .

11. 100% of women attending reported:
An increased awareness of the risks of BMI >30
Increased knowledge & confidence in how to take steps to improve health & wellbeing
Feeling healthier and more active
A clearer understanding of how to read food labels
Increased awareness of support available in the
community

12. https://youtu.be/KacrdCoJNQc

13. Achievements to date:
6 cycles of the programme completed and evaluated
Number of women invited increasing
20% of eligible women actually attend, we would like this to increase so more women benefit
Baby Steps toolkit developed
NHS Grampian colleagues – testing toolkit
Collaboration with innovation hub

14. No longer a project - now a service
Longer term
Longer term:
No longer a project - now a service
Postnatal follow up to monitor long term lifestyle changes/impact of Baby Steps programme at 2 months, 6 months and 1 year postnatal
Delivering Now, Improving for the Future!

15. Thank you, Any Questions?