Page 90 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

88 | Part 3 Lifestyle intervention
Participants were recruited as early as 1 day after delivery160 and up to 12 months postpartum154. Of the 6 effective intervention studies, 5 had specific participant inclusion criteria: 1 intervention included exclusively breast-feeding women157, 2 interventions recruited breast-feeding, overweight women155 161, 1 intervention included non-breast-feeding, overweight women154, and another intervention included overweight women irrespective of breast-feeding159.
Effective diet interventions consisted of a high-protein diet160, group sessions154 159, correspondence materials (e.g., homework assignments)154, telephone contact154, food diaries154 159, and individual counseling sessions153 161. In some interventions, food was provided in preweighed amounts155 157 161. Diet interventions were delivered by a dietician159, a public health nurse153, or a trained graduate research assistant161.
Effective physical activity interventions consisted of self-supervised exercise sessions157, an aerobic exercise program154, an individualized activity plan159, correspondence materials154, telephone contact154, physical activity diaries154 159, individual counseling sessions153 and individualized exercise sessions161. Physical activity interventions were delivered by an exercise physiologist159, a public health nurse153, or a research assistant161.
Smoking Cessation and Smoking Relapse Prevention
A smoking cessation and smoking relapse prevention intervention that was found effective was office-based, delivered by a pediatrician, and implemented during 4 routine "well baby" office visits (from 2 weeks to 6 months postpartum)168 169. This intervention consisted of a hospital packet (containing written information about passive smoking and a letter advising women to quit), a videotape, and a brief discussion. Another effective intervention consisted of a home counseling session and 2 telephone counseling sessions, and was based