Communication practices of healthcare professionals when caring for overweight/obese pregnant women: A scoping review

Dieterich, Rachel; Demirci, Jill

doi:10.1016/j.pec.2020.05.011

Cited by 35 publications

(39 citation statements)

References 51 publications

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“…Our study supported the ndings that (1) pregnant women who bene t from PA counseling by trained health professionals are more likely to report it [14] and (2) this counseling tends to be in line with the recommendations. Similar results were found for the overweight pregnant women whose obstetric care counseling has been suboptimal up to now [15]. However, these overweight pregnant women did not receive PA counseling in line with the recommendations.…”

Section: Discussionsupporting

confidence: 77%

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Ruart

Sinnapah

Hue

et al. 2020

Preprint

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Background: Pregnant women declare perceived barriers to physical activity. Although physical activity is not often dispensed, effective counseling by health professionals is recommended. Health professionals training has been proposed as a target to improve physical activity effective counseling. The objective was to evaluate the physical activity counseling of trained and untrained health professionals given to pregnant women and the effect on the women’s physical activity behaviors.Methods: In a quasi-experimental trial, 72 pregnant women were allocated to a control or intervention group. Physical activity counseling was dispensed to the women in the intervention group by trained healthcare providers throughout pregnancy. The women in the control group followed the usual consultations. The counseling and physical activity levels were evaluated by Chi2 tests and repeated measures ANOVAs respectively.Results: Overall, the women received little counseling in accordance with the recommendations, although the intervention group women received it more frequently (p=0.049). All women who received counseling throughout pregnancy limited their decline in physical activity more than the others. The decline in sports activity among normal-weight pregnant women was reduced in the intervention group (p=0.032), and sedentary activity was preserved among the pre-pregnancy overweight women (p=0.027). The total quantity of physical activity was not different in women who received counseling in accordance with recommendations compared with that of the others.Conclusion: Our intervention showed the effectiveness of counseling on physical activity behaviors, although the effect was limited. Training for professionals should be strengthened to ensure that counseling in line with the recommendations is provided throughout pregnancy.Pregnant women should be encouraged to engage in physical activity from the beginning of pregnancy.Trial registration: The database for this study was retrospectively registered under No. MR 5815250919.

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Section: Discussionsupporting

confidence: 77%

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Ruart

Sinnapah

Hue

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Depression resulting from stigma and bias are associated with delayed fetal growth, low birth weight, and premature births [12]. These concerns are compounded by the fact that healthcare providers often feel inadequately trained to discuss weight and obesity with pregnant women [13]. The implications of weightrelated stigma have been studied in pregnant women and women with high BMIs, but there is a paucity of studies of pregnant women with high BMIs, specifically those with BMIs ≥40 kg/m 2 [12,[14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Prenatal care experiences among pregnant women with obesity in Wisconsin, United States: a qualitative quality improvement assessment

Hurst

Schmuhl

Voils

et al. 2021

BMC Pregnancy Childbirth

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Background Stigma and bias experienced during prenatal care can affect quality of care and, ultimately, the health of pregnant women with obesity and their infants. We sought to 1) better understand the bias and stigma that women with BMIs ≥40 kg/m2 experience while receiving prenatal care, 2) gauge women’s interest in group prenatal education for women with obesity, and 3) gather feedback about their preferred weight-related terminology. Methods We conducted and thematically content-analyzed 30 semi-structured interviews of women with BMIs ≥40 kg/m2 who received prenatal care at a university-affiliated teaching hospital in the Midwest region of the United States. Results All women recalled positive experiences during their perinatal care during which they felt listened to and respected by providers. However, many also described a fear of weight-related bias or recalled weight-based discrimination. Women reacted favorably to a proposed group prenatal care option for pregnant women with obesity that focused on nutrition, physical activity, and weight management. Women rated “weight” and “BMI” as the most desirable terms for describing weight, while “large size” and “obesity” were rated least desirable. Conclusions Many pregnant women with BMIs ≥40 kg/m2 experience bias in the prenatal care setting. Potential steps to mitigate bias towards weight include improving provider awareness of the experiences and perspectives of this population, expanding prenatal care options targeted towards women with high BMIs, including group care, and using patient-preferred weight-related terminology. Through the remainder of this manuscript, wherever possible, the term “high BMI” will be used in place of the term “obesity” to describe women with BMI ≥ 30 kg/m2 in order to respect the preferred terminology of the women we interviewed.

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“…This is particularly true in health care as providers admit that they lack training for discussing weight with pregnant patients (Stotland et al, 2010). In turn, patients perceive these interactions as stigmatizing (Dieterich & Demirci, 2020), and nearly one in five pregnant and postpartum women report experiencing weight stigma in health care (Incollingo Rodriguez et al, 2020).…”

Section: New and Alternative Policiesmentioning

confidence: 99%

Overlapping Stigmas of Pregnancy, Motherhood, and Weight: Policy Implications for Employment and Higher Education

Skorinko

Rodriguez

Doyle

2020

Policy Insights from the Behavioral and Brain Sciences

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Pregnant women and new mothers experience numerous biases: they are inappropriately touched, less likely to be hired or promoted, paid less, and subjected to a host of stereotypes. Pregnant women and mothers are perceived as warm and maternal, but also incompetent and uncommitted. If they return to work, they are perceived as cold, but still incompetent, and uncommitted. These stigmas worsen when pregnant women are heavier, as weight-based stigmas add additional biases. This article explores the overlapping stigmas of pregnancy, motherhood, and weight in the workplace and higher education. Each has implications for policies. Addressing the stigmas for pregnant women and mothers will increase diversity in the workforce and higher education. The COVID-19 pandemic brings additional pressures on pregnant women and mothers.

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Communication practices of healthcare professionals when caring for overweight/obese pregnant women: A scoping review

Cited by 35 publications

References 51 publications

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Prenatal care experiences among pregnant women with obesity in Wisconsin, United States: a qualitative quality improvement assessment

Overlapping Stigmas of Pregnancy, Motherhood, and Weight: Policy Implications for Employment and Higher Education

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