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

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journal contribution
posted on 2017-10-11, 00:00 authored by Sara Holton, C East, J Fisher
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.

History

Journal

BMC pregnancy and childbirth

Volume

17

Article number

351

Pagination

1 - 10

Publisher

BioMed Central

Location

London, Eng.

ISSN

1471-2393

eISSN

1471-2393

Language

eng

Publication classification

C Journal article; C1.1 Refereed article in a scholarly journal

Copyright notice

2017, The Authors