Developing a support service for overweight women.

Journal Article•

Developing a support service for overweight women.

01 Nov 2010-The practising midwife (Pract Midwife)-Vol. 13, Iss: 10, pp 19-21

About: This article is published in The practising midwife.The article was published on 2010-11-01 and is currently open access. It has received 9 citations till now. The article focuses on the topics: Service (business) & Overweight.

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Journal Article•DOI•

Obese women's reasons for not attending a weight management service during pregnancy.

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Ellinor K. Olander¹, Lou Atkinson²•Institutions (2)

RMIT University¹, Coventry University²

01 Oct 2013-Acta Obstetricia et Gynecologica Scandinavica

TL;DR: The most common practical reasons for not attending the service were its inconvenient location and time, and feeling unable to attend due to work commitments, highlighting issues that need to be taken into consideration when designing group‐based weight management services for this population.

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Abstract: Evaluations of services targeting obese women's gestational weight gain often report low uptake. Thus it is important to elicit the reasons why obese pregnant women decline to participate in these services and to identify their barriers to participation. Sixteen obese pregnant and postnatal women were interviewed regarding their reasons for declining a group-based service targeting their gestational weight gain. All interviews were recorded, transcribed verbatim and analyzed thematically. Both pragmatic and motivational barriers were identified. The most common practical reasons for not attending the service were its inconvenient location and time, and feeling unable to attend due to work commitments. Pregnancy-specific barriers included decreased mobility and feeling unwell. Motivational barriers included lack of interest and not wanting to focus on one's weight in pregnancy. These findings highlight issues that need to be taken into consideration when designing group-based weight management services for this population.

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33 citations

Cites background from "Developing a support service for ov..."

...To date, the reasons why obese pregnant women decline to participate in services targeting their weight have been reported anecdotally (7,8) or in a quantitative fashion (6)....
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...5% (7) and 35% have been reported (6), with one service having an initial recruitment rate of zero participants (8)....
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Journal Article•DOI•

Why don't many obese pregnant and post-natal women engage with a weight management service?

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Lou Atkinson¹, Ellinor K. Olander¹, David P. French¹•Institutions (1)

Coventry University¹

12 Aug 2013-Journal of Reproductive and Infant Psychology

TL;DR: While some obese pregnant and post-natal women did not want any type of weight management support, many did but failed to engage with the service on offer due to a variety of barriers.

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Abstract: Objective: This study investigated the views and experiences of obese pregnant and post-natal women who had declined or disengaged from an evidence-based weight management service, and their reasons for doing so. Background: Despite significant risks of maternal obesity to both mother and baby, the majority of obese women offered tailored weight management support during or after pregnancy declined to use it, and many women who accepted the service disengaged soon after. Methods: Semi-structured interviews regarding women’s views and experiences were conducted with obese pregnant and post-natal women who declined the service (N = 7) and women who disengaged from the service (N = 11) and analysed thematically. Results: Four main themes were identified. ‘First contact counts’ related to inadequate explanation of the service by the referrer, being offended by the referral, and negative expectations of the service. ‘Missed opportunities for support’ describes what support declining women identified as desirab...

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31 citations

Cites background from "Developing a support service for ov..."

...been reported by obese pregnant women, (Olander & Atkinson, 2013) and referring health professionals (Davis et al., 2012; West, 2010) including inconvenient time and location, work commitments, feeling unwell, not wanting to focus on weight management during pregnancy, and health professionals’ difficulties in raising the issue....
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...…weight services have been reported by obese pregnant women, (Olander & Atkinson, 2013) and referring health professionals (Davis et al., 2012; West, 2010) including inconvenient time and location, work commitments, feeling unwell, not wanting to focus on weight management during pregnancy,…...
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..., 2012) of the women who were invited to participate, and one service reported zero attendance from 76 women referred (West, 2010)....
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...Other weight management services in pregnancy have reported initiation of the service to be as low as 14.5% (Knight & Wyatt, 2010) and 35% (Davis et al., 2012) of the women who were invited to participate, and one service reported zero attendance from 76 women referred (West, 2010)....
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Journal Article•DOI•

Midwives' attitudes towards giving weight-related advice to obese pregnant women

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Christine E Foster, Janet Hirst¹•Institutions (1)

University of Leeds¹

05 Apr 2014-The British Journal of Midwifery

TL;DR: This study aimed to explore midwives' attitudes towards offering obese pregnant women weight-related advice during pregnancy and the puerperium and four key themes emerged: challenges for practice, advice giving was mainly confined to community practice, and women's responses, women's apparent motivation to change and midwife' self-perception as a role model were determined.

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Abstract: It is estimated that 1 in 5 pregnant women are obese, this poses a significant risk to maternal, fetal and newborn mortality and morbidity and as such, maternal obesity is recognised as a challenge for contemporary and prospective maternity services. As key practitioners in maternity care, midwives are seen as frontline professionals delivering weight-related advice to obese pregnant women. This study aimed to explore midwives' attitudes towards offering obese pregnant women weight-related advice during pregnancy and the puerperium. Nine midwives were interviewed using an in-depth interview schedule. Data were analysed using Colaizzi's (1978) seven-stage thematic approach. Midwives' knowledge of risk associated with maternal obesity was good; advice giving was mainly confined to community practice; the amount and consistency of advice was determined by: women's responses, women's apparent motivation to change and midwives' self-perception as a role model. Four key themes emerged: challenges for practice; ...

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24 citations

Journal Article•DOI•

Person-centred care in interventions to limit weight gain in pregnant women with obesity - a systematic review

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Ellinor K. Olander¹, Marie Berg², Christine McCourt¹, Eric Carlström², Anna Dencker² - Show less +1 more•Institutions (2)

RMIT University¹, University of Gothenburg²

27 Feb 2015-BMC Pregnancy and Childbirth

TL;DR: In this paper, the authors explore to what extent and in what manner interventions assessing weight in pregnant women with obesity use person-centred care and assess if interventions including aspects of person-centered care are more effective at limiting weight gain than interventions not employing person-centric care.

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Abstract: Person-centred care, asserting that individuals are partners in their care, has been associated with care satisfaction but the value of using it to support women with obesity during pregnancy is unknown. Excessive gestational weight gain is associated with increased risks for both mother and baby and weight gain therefore is an important intervention target. The aims of this review was to 1) explore to what extent and in what manner interventions assessing weight in pregnant women with obesity use person-centred care and 2) assess if interventions including aspects of person-centred care are more effective at limiting weight gain than interventions not employing person-centred care.

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22 citations

Journal Article•DOI•

An exploration of obese pregnant women’s views of being referred by their midwife to a weight management service

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Chloe Patel¹, Lou Atkinson¹, Ellinor K. Olander²•Institutions (2)

Coventry University¹, RMIT University²

01 Dec 2013-Sexual & Reproductive Healthcare

TL;DR: The current study interviewed obese women who had declined a weight management service during pregnancy to explore if it was the referral process that made them decline the service.

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Abstract: Midwives have previously reported concerns about discussing and referring obese pregnant women to weight management services, with some women stating that this referral can be upsetting. The current study interviewed obese women who had declined a weight management service during pregnancy to explore if it was the referral process that made them decline the service. Fifteen women participated and reported that being informed about and referred to a service by their midwife was acceptable to them. Participants also mentioned they would expect this information from their midwife. No participants reported being upset by this referral.

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10 citations

Cites background from "Developing a support service for ov..."

...Our findings are important for health professionals, as midwives may be hesitant to discuss weight with obese women [1,3,4], and/or refer them to suitable services [4]....
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...If midwives feel anxious about initiating a conversation with pregnant women about weight, it is unlikely they will refer women to a weight management service [4]....
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Developing a support service for overweight women.

Citations

Cites background from "Developing a support service for ov..."

Cites background from "Developing a support service for ov..."

Cites background from "Developing a support service for ov..."

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