Andrea R. Deussen
University of Adelaide
ObstetricsRandomized controlled trialPhysical therapyPediatricsPrenatal careGestational agePregnancyGestational diabetesChildbirthBody mass indexWeight gainMetforminOverweightGestationObesityAnthropometryBirth weightMedicineRelative riskEnvironmental health
62Publications
16H-index
1,041Citations
Publications 61
Newest
#1Madeleine Benton (University of Adelaide)H-Index: 3
#2Nicole Tape (University of Adelaide)H-Index: 2
Last. Jodie M Dodd (University of Adelaide)H-Index: 50
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Abstract Background Obesity is a significant global health issue, especially for reproductive-aged women. Women who enter pregnancy overweight or obese are at increased risk of a range of adverse reproductive, maternal, and child health outcomes. The preconception period has been recognised as a critical time to intervene to improve health outcomes for women and their children. Despite this recognition, adequate information is significantly lacking in relation to women’s health experiences, beha...
1 CitationsSource
#1Jennie Louise (University of Adelaide)H-Index: 11
#2Amanda Poprzeczny (University of Adelaide)H-Index: 3
Last. Jodie M Dodd (University of Adelaide)H-Index: 50
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BACKGROUND The impact of maternal obesity extends beyond birth, being independently associated with an increased risk of child obesity. Current evidence demonstrates that women provided with a dietary intervention during pregnancy improve their dietary quality and have a modest reduction in gestational weight gain. However, the effect of this on longer-term childhood obesity-related outcomes is unknown. METHODS We conducted an individual participant data meta-analysis from RCTs in which women wi...
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#1Andrea R. Deussen (University of Adelaide)H-Index: 16
#2Pat Ashwood (University of Adelaide)H-Index: 9
Last. Luke E. Grzeskowiak (University of Adelaide)H-Index: 18
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Background Women may experience differing types of pain and discomfort following birth, including cramping pain (often called after-birth pain) associated with uterine involution, where the uterus contracts to reduce blood loss and return the uterus to its non-pregnant size. This is an update of a review first published in 2011. Objectives To assess the effectiveness and safety of pharmacological and non-pharmacological pain relief/analgesia for the relief of after-birth pains following vaginal ...
1 CitationsSource
Worldwide, half of women begin a pregnancy with overweight or obesity, which increases the risk of pregnancy and birth complications and adversely affects the lifelong health of the offspring. In order for metabolic changes to influence the gestational environment, research suggests that weight loss should take place before conception. This study aimed to understand women’s emotional and social contexts, knowledge, motivations, skills and self-efficacy in making healthy change. Semi-structured i...
1 CitationsSource
#1Amanda Poprzeczny (University of Adelaide)H-Index: 3
#2Rosalie M Grivell (Flinders University)H-Index: 24
Last. Jodie M Dodd (University of Adelaide)H-Index: 50
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BACKGROUND Wound infection is a common complication following caesarean section. Factors influencing the risk of infection may include the suture material for skin closure, and closure of the subcutaneous fascia. We assessed the effect of skin closure with absorbable versus non-absorbable suture, and closure versus non-closure of the subcutaneous fascia on risk of wound infection following Caesarean section. METHODS Women undergoing caesarean birth at an Adelaide maternity hospital were eligible...
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#1Amanda Poprzeczny (University of Adelaide)H-Index: 3
#2Jennie Louise (University of Adelaide)H-Index: 11
Last. Jodie M Dodd (University of Adelaide)H-Index: 50
view all 4 authors...
The infants born to women who are overweight or obese in pregnancy are at an increased risk of being born macrosomic or large for gestational age. Antenatal dietary and lifestyle interventions have been shown to be ineffective at reducing this risk. Our aim was to examine the effects of metformin in addition to a diet and lifestyle intervention on fetal growth and adiposity among women with a BMI above the healthy range. Women who had a body mass index ≥25 kg/m2 in early pregnancy, and a singlet...
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#1Jennie Louise (University of Adelaide)H-Index: 11
#2Andrea R. Deussen (University of Adelaide)H-Index: 16
Last. Jodie M Dodd (University of Adelaide)H-Index: 50
view all 3 authors...
Our aim was to investigate the underlying assumptions of the current gestational weight gain (GWG) paradigm, specifically that—(1) GWG is modifiable through diet and physical activity; (2) optimal GWG and risk of excess GWG, vary by pre-pregnancy body mass index (BMI) category and (3) the association between GWG and adverse pregnancy outcomes is causal. Using data from three large, harmonized randomized controlled trials (RCTs) of interventions to limit GWG and improve pregnancy outcomes and wit...
1 CitationsSource
#1Cecelia M. O'Brien (University of Adelaide)H-Index: 6
#2Jennie Louise (University of Adelaide)H-Index: 11
Last. Jodie M Dodd (University of Adelaide)H-Index: 50
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Introduction: The aim of this secondary analysis was to investigate the relationship between maternal body mass index (BMI) and fetal biometry, body composition, and velocity measurements at 28 and 36 weeks gestation.Materials and methods: The current analysis involves 911 overweight or obese women who were randomized to the Standard Care group of the LIMIT randomized trial.Results: The fetus of women with Class 3 obesity (BMI ≥ 40.0) showed the greatest increase in all biometry z-scores, abdomi...
2 CitationsSource
#1Jodie M Dodd (University of Adelaide)H-Index: 50
#2Andrea R. Deussen (University of Adelaide)H-Index: 16
Last. Jennie Louise (University of Adelaide)H-Index: 11
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While the effects of an antenatal dietary intervention for women with obesity or overweight on pregnancy and newborn health have been extensively studied, the longer-term effects into childhood are unknown. We followed children born to women who participated in the LIMIT randomised trial, where pregnant women were randomised to an antenatal dietary and lifestyle intervention or standard antenatal care. Our aim was to assess the effect of the intervention, on child outcomes at 3–5 years of age on...
6 CitationsSource
#1Cecelia M. O'Brien (University of Adelaide)H-Index: 6
#2Jennie Louise (University of Adelaide)H-Index: 11
Last. Jodie M Dodd (University of Adelaide)H-Index: 50
view all 4 authors...
INTRODUCTION: The aim of this study was to evaluate the association between fetal ultrasound and newborn biometry and adiposity measures in the setting of maternal obesity. MATERIAL AND METHODS: The study population involved 845 overweight or obese pregnant women, who participated in the Standard Care Group of the LIMIT randomised trial (ACTRN12607000161426, 9/03/2007). At 36 weeks gestation, fetal biometry, estimated fetal weight (EFW) and adiposity measures including mid-thigh fat mass (MTFM),...
3 CitationsSource