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Opportunities for primary and secondary prevention of excess gestational weight gain : General Practitioners’ perspectives

van der Pligt, Paige, Campbell, Karen, Willcox, Jane, Opie, Jane and Denney-Wilson, Elizabeth 2011, Opportunities for primary and secondary prevention of excess gestational weight gain : General Practitioners’ perspectives, BMC Family Practice, vol. 12, no. 124, Article number 124, pp. 1-9.

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Title Opportunities for primary and secondary prevention of excess gestational weight gain : General Practitioners’ perspectives
Author(s) van der Pligt, Paige
Campbell, Karen
Willcox, Jane
Opie, Jane
Denney-Wilson, Elizabeth
Journal name BMC Family Practice
Volume number 12
Issue number 124
Season Article number 124
Start page 1
End page 9
Total pages 9
Publisher BioMedCentral Ltd
Place of publication London, England
Publication date 2011-11
ISSN 1471-2296
Keyword(s) General Practitioner
Gestational weight gain
Pregnancy
Qualitative
Antenatal
body-mass index
maternal obesity
primary-care
complications
risk
Summary Background

The impact of excess gestational weight gain (GWG) on maternal and child health outcomes is well documented. Understanding how health care providers view and manage GWG may assist with influencing healthy gestational weight outcomes. This study aimed to assess General Practitioner's (GPs) perspectives regarding the management and assessment of GWG and to understand how GPs can be best supported to provide healthy GWG advice to pregnant women.
Methods

Descriptive qualitative research methods utilising semi - structured interview questions to assess GPs perspectives and management of GWG. GPs participating in shared antenatal care in Geelong, Victoria and Sydney, New South Wales were invited to participate in semi - structured, individual interviews via telephone or in person. Interviews were digitally recorded and transcribed verbatim. Data was analysed utilising thematic analysis for common emerging themes.
Results

Twenty eight GPs participated, 14 from each state. Common themes emerged relating to awareness of the implications of excess GWG, advice regarding weight gain, regularity of gestational weighing by GPs, options for GPs to seek support to provide healthy lifestyle behaviour advice and barriers to engaging pregnant women about their weight. GPs perspectives concerning excess GWG were varied. They frequently acknowledged maternal and child health complications resulting from excess GWG yet weighing practices and GWG advice appeared to be inconsistent. The preferred support option to promote healthy weight was referral to allied health practitioners yet GPs noted that cost and limited access were barriers to achieving this.
Conclusions

GPs were aware of the importance of healthy GWG yet routine weighing was not standard practice for diverse reasons. Management of GWG and perspectives of the issue varied widely. Time efficient and cost effective interventions may assist GPs in ensuring women are supported in achieving healthy GWG to provide optimal maternal and infant health outcomes.
Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Language eng
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920507 Women's Health
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2011, van der Pligt et al
Persistent URL http://hdl.handle.net/10536/DRO/DU:30046195

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.