- Women can gain too much weight or develop diabetes during pregnancy. If the mother is
overweight or has diabetes during pregnancy, her baby may also be at risk of being overweight
or developing diabetes. A woman s chance of getting diabetes increases if her parents or
family members are overweight or have diabetes. Poor diet and exercise habits can also lead
to weight gain and diabetes. Researchers want to study how best to improve the health of
pregnant women and their children. They will do so by providing healthy lifestyle counseling
for women receiving prenatal care at the Phoenix Indian Medical Center.
- To study the effectiveness of healthy lifestyle counseling for overweight and/or diabetic
- Women at least 18 years of age who will receive pregnancy care at the Phoenix Indian
- Participants must be overweight or obese. They may or may not have diabetes.
- Participants will receive standard prenatal care from the midwives, doctors, and
dietitians at the Phoenix Indian Medical Center.
- Participants will work with National Institutes of Health staff for about 2 hours every
week. These sessions may include phone calls, home visits, or group meetings.
- Participants will have a total of nine measurement visits. The first visit will be at or
before 16 weeks of pregnancy. The next three visits will be within a week of the first
visit. Another four visits will take place between 23 and 28 weeks of pregnancy.
- Participants will have different tests through their pregnancy. They will wear heart
monitors and wrist monitors to measure heart rate and movement. They will provide
information on their eating habits, physical activity, and mood and feelings during
pregnancy. Blood samples will be collected to measure blood glucose (sugar) levels.
- Participants will receive counseling on healthy eating and physical activity habits.
They will be encouraged to invite friends or family members to learn more about healthy
- The study will end with the final visit about 6 to 8 weeks after giving birth. A final
blood sample will be collected. Participants will be asked questions about mood and