{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:37:10Z","timestamp":1747183030295,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,9,18]],"date-time":"2022-09-18T00:00:00Z","timestamp":1663459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The DIAMOND antenatal clinic was established to provide multidisciplinary continuity of care to pregnant women living with morbid (body mass index (BMI) \u226540\u2009kg\/m<jats:sup>2<\/jats:sup>) or super\u2010obesity (BMI \u226550\u2009kg\/m<jats:sup>2<\/jats:sup>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim was to describe clinic processes, demographics, clinical outcomes and women's perceptions of the clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women who received antenatal care in the clinic between 2016 and 2019 (<jats:italic>n<\/jats:italic>\u00a0=\u2009257) had routine data collected for retrospective analysis. A patient satisfaction survey was conducted for women who received care in 2019 (<jats:italic>n<\/jats:italic>\u00a0=\u200989).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median BMI was 49\u2009kg\/m<jats:sup>2<\/jats:sup> (max\u00a0=\u00a081\u2009kg\/m<jats:sup>2<\/jats:sup>). The mean age was 32\u2009years. The largest proportion of women (27.6%) resided in the most disadvantaged suburbs of the region. Primipara comprised 29.6%, and 4.7% of women identified as Aboriginal or Torres Strait Islander. Diabetes was present in 47.5%, and 9.3% developed pre\u2010eclampsia. Half (49.4%) had their labour induced (49.8% required cervical ripening), and 37% had an elective caesarean section. Almost a quarter (24.1%) of women underwent emergency caesarean section. One in six women had a measured blood loss of more than 1000\u2009mL. The unadjusted stillbirth rate was 0.8%. Blood transfusions were required by 3.9%, and 1.9% of women required intensive care admission. Survey responses showed women valued the clinic for the enhanced surveillance, continuity, care coordination and respectful care. Improvements to waiting times were recommended.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Establishing a dedicated clinic for women living with high BMI provides a well\u2010liked environment for a high\u2010risk cohort of women. Our review identified opportunities for improvement in clinic processes. We plan to assess overall impact on perinatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13612","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T06:39:46Z","timestamp":1663569586000},"page":"635-642","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A dedicated antenatal clinic for pregnant women with morbid and super\u2010obesity: Patient characteristics, outcomes, perceptions and lessons learnt from establishing the <scp>DIAMOND<\/scp> clinic"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2443-9045","authenticated-orcid":false,"given":"Kate","family":"Tyson","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology Western Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glyn","family":"Teale","sequence":"additional","affiliation":[{"name":"Women's and Children's Services Western Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vidanka","family":"Vasilevski","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Centre for Quality and Patient Safety Research Deakin University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kahli","family":"Cassells","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Western Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0605-1186","authenticated-orcid":false,"given":"Linda","family":"Sweet","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Deakin University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,18]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Welfare AIoHa.Australia's mothers and babies.2021. 28th June 2021.https:\/\/www.aihw.gov.au\/reports\/mothers\u2010babies\/australias\u2010mothers\u2010babies(accessed 5th Oct 2021)."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12288"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.01.044"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.npls.2016.01.001"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015218"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0227325"},{"volume-title":"Inequalities in Overweight and Obesity and the Social Determinants of Health","year":"2021","author":"Health AIo, 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