Cargando…

Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child

Latina women in the United States (U.S.) are disproportionately affected by obesity and are more likely to begin pregnancy overweight and gain excessive weight during pregnancy. The prenatal care period represents a window of opportunity for women to access the healthcare system and receive preventi...

Descripción completa

Detalles Bibliográficos
Autores principales: Cristina Lindsay, Ana, F. Wallington, Sherrie, L. Greaney, Mary, Tavares Machado, Marcia M., De Andrade, Gabriela P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5708051/
https://www.ncbi.nlm.nih.gov/pubmed/29156548
http://dx.doi.org/10.3390/ijerph14111412
_version_ 1783282576099639296
author Cristina Lindsay, Ana
F. Wallington, Sherrie
L. Greaney, Mary
Tavares Machado, Marcia M.
De Andrade, Gabriela P.
author_facet Cristina Lindsay, Ana
F. Wallington, Sherrie
L. Greaney, Mary
Tavares Machado, Marcia M.
De Andrade, Gabriela P.
author_sort Cristina Lindsay, Ana
collection PubMed
description Latina women in the United States (U.S.) are disproportionately affected by obesity and are more likely to begin pregnancy overweight and gain excessive weight during pregnancy. The prenatal care period represents a window of opportunity for women to access the healthcare system and receive preventive services, education, nutritional support, and other social services to improve pregnancy outcomes. Excessive gestational weight gain (GWG) has numerous negative short- and long-term consequences for both the mother and newborn. We explored nulliparous Latina women’s perceptions about their experiences communicating with their primary healthcare provider about GWG and physical activity (PA) to identify possible intervention targets using in-depth, semi-structured interviews. Bilingual, trained research staff conducted 23 interviews with first-time pregnant Latinas between 22 and 36 weeks of gestation. Interviews were transcribed verbatim and analyzed using content analysis. Salient text passages were extracted, shortened, coded, and grouped into categories. Women, including those who self-identified as being overweight or obese prior to pregnancy, reported receiving limited or no advice from their healthcare providers about GWG or PA. Additionally, analysis revealed that although participants value information received from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program counselors, they would like to receive more information from their primary healthcare providers about adequate GWG. Furthermore, study findings indicate that some participants received conflicting information regarding PA during pregnancy. Study findings suggest the need for increased integration of communication and counseling about GWG and PA into prenatal care services to promote healthy weight gain and PA among low-income Latina women.
format Online
Article
Text
id pubmed-5708051
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-57080512017-12-05 Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child Cristina Lindsay, Ana F. Wallington, Sherrie L. Greaney, Mary Tavares Machado, Marcia M. De Andrade, Gabriela P. Int J Environ Res Public Health Article Latina women in the United States (U.S.) are disproportionately affected by obesity and are more likely to begin pregnancy overweight and gain excessive weight during pregnancy. The prenatal care period represents a window of opportunity for women to access the healthcare system and receive preventive services, education, nutritional support, and other social services to improve pregnancy outcomes. Excessive gestational weight gain (GWG) has numerous negative short- and long-term consequences for both the mother and newborn. We explored nulliparous Latina women’s perceptions about their experiences communicating with their primary healthcare provider about GWG and physical activity (PA) to identify possible intervention targets using in-depth, semi-structured interviews. Bilingual, trained research staff conducted 23 interviews with first-time pregnant Latinas between 22 and 36 weeks of gestation. Interviews were transcribed verbatim and analyzed using content analysis. Salient text passages were extracted, shortened, coded, and grouped into categories. Women, including those who self-identified as being overweight or obese prior to pregnancy, reported receiving limited or no advice from their healthcare providers about GWG or PA. Additionally, analysis revealed that although participants value information received from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program counselors, they would like to receive more information from their primary healthcare providers about adequate GWG. Furthermore, study findings indicate that some participants received conflicting information regarding PA during pregnancy. Study findings suggest the need for increased integration of communication and counseling about GWG and PA into prenatal care services to promote healthy weight gain and PA among low-income Latina women. MDPI 2017-11-18 2017-11 /pmc/articles/PMC5708051/ /pubmed/29156548 http://dx.doi.org/10.3390/ijerph14111412 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cristina Lindsay, Ana
F. Wallington, Sherrie
L. Greaney, Mary
Tavares Machado, Marcia M.
De Andrade, Gabriela P.
Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child
title Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child
title_full Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child
title_fullStr Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child
title_full_unstemmed Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child
title_short Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child
title_sort patient–provider communication and counseling about gestational weight gain and physical activity: a qualitative study of the perceptions and experiences of latinas pregnant with their first child
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5708051/
https://www.ncbi.nlm.nih.gov/pubmed/29156548
http://dx.doi.org/10.3390/ijerph14111412
work_keys_str_mv AT cristinalindsayana patientprovidercommunicationandcounselingaboutgestationalweightgainandphysicalactivityaqualitativestudyoftheperceptionsandexperiencesoflatinaspregnantwiththeirfirstchild
AT fwallingtonsherrie patientprovidercommunicationandcounselingaboutgestationalweightgainandphysicalactivityaqualitativestudyoftheperceptionsandexperiencesoflatinaspregnantwiththeirfirstchild
AT lgreaneymary patientprovidercommunicationandcounselingaboutgestationalweightgainandphysicalactivityaqualitativestudyoftheperceptionsandexperiencesoflatinaspregnantwiththeirfirstchild
AT tavaresmachadomarciam patientprovidercommunicationandcounselingaboutgestationalweightgainandphysicalactivityaqualitativestudyoftheperceptionsandexperiencesoflatinaspregnantwiththeirfirstchild
AT deandradegabrielap patientprovidercommunicationandcounselingaboutgestationalweightgainandphysicalactivityaqualitativestudyoftheperceptionsandexperiencesoflatinaspregnantwiththeirfirstchild