Exploring obstetricians’, midwives’ and general practitioners’ approach to weight management in pregnant women with a BMI ≥25 kg/m2: a qualitative study
Caragh Flannery,Sheena McHugh,Louise C. Kenny,M. O'Riordan,Fionnuala M. McAuliffe,Colin P Bradley,Patricia M. Kearney,Molly Byrne +7 more
TLDR
HCPs need to have standardised approaches and evidence-based guidelines that support the consistent monitoring and management of weight during pregnancy, as identified by four themes identified the complexity of weight management in pregnancy.Abstract:
Objective The aim of this study was to explore healthcare professionals’ (HCPs) beliefs and attitudes towards weight management for pregnant women with a body mass index (BMI) ≥25 kg/m2. Design Qualitative study. Setting A public antenatal clinic in a large academic maternity hospital in Cork, Ireland, and general practice clinics in the same region. Participants HCPs such as hospital-based midwives and consultant obstetricians and general practitioners (GPs). Method Semistructured interviews were conducted with a purposive sample of hospital-based HCPs and a sample of GPs working in the same region. Interviews were recorded, transcribed and thematically analysed using NVivo software. Results Seventeen HCPs were interviewed (hospital based=10; GPs=7). Four themes identified the complexity of weight management in pregnancy and the challenges HCPs faced when trying to balance the medical and psychosocial needs of the women. HCPs acknowledged weight as a sensitive conversation topic, leading to a ‘softly-softly approach’ to weight management. HCPs tried to strike a balance between being woman centred and empathetic and medicalising the conversation. HCPs described ‘doing what you can with what you have’ and shifting the focus to managing obstetric complications. Furthermore, there were unclear roles and responsibilities in terms of weight management. Conclusion HCPs need to have standardised approaches and evidence-based guidelines that support the consistent monitoring and management of weight during pregnancy.read more
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Participants' Engagement and Satisfaction With a Smartphone App Intended to Support Healthy Weight Gain, Diet, and Physical Activity During Pregnancy: Qualitative Study Within the HealthyMoms Trial.
Johanna Sandborg,Pontus Henriksson,Erica Larsen,Anna-Karin Lindqvist,Stina Rutberg,Emmie Söderström,Ralph Maddison,Marie Löf,Marie Löf,Marie Löf +9 more
TL;DR: In this article, the authors explored participants' engagement and satisfaction with the 6-month usage of the HealthyMoms app and found that a trustworthy and appreciated health and pregnancy app that is easy to use can inspire a healthy lifestyle during pregnancy.
Journal ArticleDOI
Barriers and facilitators to uptake and retention of inner-city ethnically diverse women in a postnatal weight management intervention: a mixed methods process evaluation within a feasibility trial in England.
Cath Taylor,Cath Taylor,Vanita Bhavnani,Magdalena Zasada,Magdalena Zasada,Michael Ussher,Debra Bick +6 more
TL;DR: Uptake and retention in commercial weight management programmes may be enhanced by applying behaviour change techniques to address the barriers impacting on women’s perceived capability, motivation and opportunity to participate.
Journal ArticleDOI
The Healthy Pregnancy Service to Optimise Excess Gestational Weight Gain for Women with Obesity: A Qualitative Study of Health Professionals’ Perspectives
TL;DR: Health professionals’ perspectives in the provision of a Healthy Pregnancy service designed to optimise healthy lifestyle and support recommended gestational weight gain for women with obesity are described and barriers and enablers to the delivery of an integrated model of maternity care were identified.
Journal ArticleDOI
Facilitators and barriers influencing weight management behaviours during pregnancy: a meta-synthesis of qualitative research
Tamara Escañuela Sánchez,Sarah Meaney,Caroline O'Connor,Laura Linehan,Keelin O'Donoghue,Molly Byrne,Karen Matvienko-Sikar +6 more
TL;DR: In this article , the authors identify factors reported by women influencing weight management behaviors during pregnancy, and highlight the need for clear and direct information, and improved interactions with healthcare professionals, to better support women's weight management behaviours.
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Facilitators and barriers to behaviour change within a lifestyle program for women with obesity to prevent excess gestational weight gain: a mixed methods evaluation.
TL;DR: In this paper, the authors describe women's experiences and perspectives in attending a Healthy Pregnancy Service designed to optimise healthy lifestyle and support recommended gestational weight gain for women with obesity.
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Journal ArticleDOI
Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence
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TL;DR: Dietary interventions based on diet are the most effective and are associated with reductions in maternal gestational weight gain and improved obstetric outcomes and the overall evidence rating was low to very low for important outcomes such as pre-eclampsia, Gestational diabetes, gestational hypertension, and preterm delivery.
Journal ArticleDOI
Excess pregnancy weight gain and long-term obesity: one decade later.
TL;DR: Excess weight gain and failure to lose weight after pregnancy are important and identifiable predictors of long‐term obesity and breast‐feeding and exercise may be beneficial to control long-term weight.
Journal ArticleDOI
Pregnancy: A "Teachable Moment" for Weight Control and Obesity Prevention
TL;DR: Initial research suggests that helping women gain the recommended amount during pregnancy through healthy eating and physical activity could make a major contribution to the prevention of postpartum weight retention.