Page 94 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

92 | Part 3 Lifestyle intervention
literature might have been missed for inclusion in the present review. Additionally, although studies reporting nonsignificant results were retrieved in the literature search, due to publication bias ineffective interventions might have been underreported. Another limitation is that we did not assess the quality of the included studies. However, all included studies incorporated a control group in their design, and most of them were RCTs. Since the participants of the included studies were diverse (e.g., they differed with regard to breast- feeding and baseline weight) and the interventions used were mostly unique across the included studies, we could not estimate overall mean effects in a meta-analysis.
CONCLUSION
In conclusion, existing postpartum lifestyle interventions might be used to achieve weight loss, smoking cessation, or to prevent smoking relapse in women who have experienced preeclampsia, intrauterine growth restriction, and/or gestational diabetes. Ideally, lifestyle interventions tailored for these high-risk women will be developed and tested. The interventions identified in this study could provide a solid starting point for the development of such tailored interventions. Future research should also focus on the long-term effectiveness of such interventions.