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Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives

BACKGROUND: Obesity during pregnancy is a serious health problem for women and their children. Despite the high prevalence of high body mass index (BMI) among women of reproductive age in high-income countries, there is insufficient evidence to inform practice and policy about weight management for...

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Autores principales: Holton, Sara, East, Christine, Fisher, Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637069/
https://www.ncbi.nlm.nih.gov/pubmed/29020931
http://dx.doi.org/10.1186/s12884-017-1538-7
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author Holton, Sara
East, Christine
Fisher, Jane
author_facet Holton, Sara
East, Christine
Fisher, Jane
author_sort Holton, Sara
collection PubMed
description BACKGROUND: Obesity during pregnancy is a serious health problem for women and their children. Despite the high prevalence of high body mass index (BMI) among women of reproductive age in high-income countries, there is insufficient evidence to inform practice and policy about weight management for women with high BMI who are pregnant. The aim of this project was to describe women’s and midwives’ experiences and perspectives of care for weight management during pregnancy in Melbourne, Australia. METHODS: A qualitative study. Semi-structured interviews were conducted with pregnant women and midwives. Transcripts were analysed thematically. RESULTS: A total of 17 women and 2 midwives were interviewed. Five themes were identified: 1. Reluctance to and difficulties discussing weight and its implications; 2. Barriers to providing appropriate pregnancy care for women with high BMI; 3. Inconsistent weighing practices; 4. Beliefs about the causes of obesity; and 5. Opportunities to assist women to manage their weight. Although most women were satisfied with the pregnancy care they had received, both women and midwives expressed concerns about effective weight management during pregnancy. These included constraints on discussing weight, difficulties accessing appropriate resources and additional support from other health care providers, and inconsistent weighing practices. CONCLUSIONS: The findings suggest that women with high BMI would benefit from additional information and support about weight management prior to conception, during pregnancy, and postnatally.
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spelling pubmed-56370692017-10-18 Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives Holton, Sara East, Christine Fisher, Jane BMC Pregnancy Childbirth Research Article BACKGROUND: Obesity during pregnancy is a serious health problem for women and their children. Despite the high prevalence of high body mass index (BMI) among women of reproductive age in high-income countries, there is insufficient evidence to inform practice and policy about weight management for women with high BMI who are pregnant. The aim of this project was to describe women’s and midwives’ experiences and perspectives of care for weight management during pregnancy in Melbourne, Australia. METHODS: A qualitative study. Semi-structured interviews were conducted with pregnant women and midwives. Transcripts were analysed thematically. RESULTS: A total of 17 women and 2 midwives were interviewed. Five themes were identified: 1. Reluctance to and difficulties discussing weight and its implications; 2. Barriers to providing appropriate pregnancy care for women with high BMI; 3. Inconsistent weighing practices; 4. Beliefs about the causes of obesity; and 5. Opportunities to assist women to manage their weight. Although most women were satisfied with the pregnancy care they had received, both women and midwives expressed concerns about effective weight management during pregnancy. These included constraints on discussing weight, difficulties accessing appropriate resources and additional support from other health care providers, and inconsistent weighing practices. CONCLUSIONS: The findings suggest that women with high BMI would benefit from additional information and support about weight management prior to conception, during pregnancy, and postnatally. BioMed Central 2017-10-11 /pmc/articles/PMC5637069/ /pubmed/29020931 http://dx.doi.org/10.1186/s12884-017-1538-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Holton, Sara
East, Christine
Fisher, Jane
Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives
title Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives
title_full Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives
title_fullStr Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives
title_full_unstemmed Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives
title_short Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives
title_sort weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637069/
https://www.ncbi.nlm.nih.gov/pubmed/29020931
http://dx.doi.org/10.1186/s12884-017-1538-7
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