Hill Briony, Skouteris Helen, Boyle Jacqueline A, Bailey Cate, Walker Ruth, Thangaratinam Shakila, Sundseth Hildrun, Stephenson Judith, Steegers Eric, Redman Leanne M, Montanaro Cynthia, Lim Siew, Jorgensen Laura, Jack Brian, Borges Ana Luiza Vilela, Bergmeier Heidi J, Baxter Jo-Anna B, Harrison Cheryce L, Teede Helena J
Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia.
Warwick Business School, Warwick University; Coventry CV47AL, UK.
J Clin Med. 2020 Mar 18;9(3):822. doi: 10.3390/jcm9030822.
In this article, we describe the process of establishing agreed international pregnancy research priorities to address the global issues of unhealthy lifestyles and rising maternal obesity. We focus specifically on the prevention of maternal obesity to improve related clinical pregnancy and long-term complications. A team of multidisciplinary, international experts in preconception and pregnancy health, including consumers, were invited to form the Health in Preconception, Pregnancy and Postpartum (HiPPP) Global Alliance. As an initial activity, a priority setting process was completed to generate pregnancy research priorities in this field. Research, practice and policy gaps were identified and enhanced through expert and consumer consultation, followed by a modified Delphi process and Nominal Group Technique, including an international workshop. Research priorities identified included optimising: (1) healthy diet and nutrition; (2) gestational weight management; (3) screening for and managing pregnancy complications and pre-existing conditions; (4) physical activity; (5) mental health; and (6) postpartum (including intrapartum) care. Given extensive past research in many of these areas, research priorities here recognised the need to advance pregnancy research towards pragmatic implementation research. This work has set the agenda for large-scale, collaborative, multidisciplinary, implementation research to address the major public health and clinical issue of maternal obesity prevention.
在本文中，我们描述了确立国际公认的妊娠研究重点的过程，以应对不健康生活方式和孕产妇肥胖率上升等全球性问题。我们特别关注预防孕产妇肥胖，以改善相关的临床妊娠情况及长期并发症。一个由孕前和孕期健康领域的多学科国际专家组成的团队，包括消费者代表，受邀组建了孕前、孕期及产后健康（HiPPP）全球联盟。作为一项初步活动，完成了一个确定优先事项的过程，以生成该领域的妊娠研究重点。通过专家和消费者咨询，以及随后的改良德尔菲法和名义群体技术（包括一次国际研讨会），确定并强化了研究、实践和政策方面的差距。确定的研究重点包括优化：（1）健康饮食与营养；（2）孕期体重管理；（3）妊娠并发症及既往疾病的筛查与管理；（4）身体活动；（5）心理健康；以及（6）产后（包括分娩期）护理。鉴于过去在许多这些领域已有广泛研究，此处的研究重点认识到有必要将妊娠研究推进到务实的实施研究。这项工作为大规模、协作性、多学科的实施研究设定了议程，以解决预防孕产妇肥胖这一重大公共卫生和临床问题。
