Dietary behaviours and weight management: A thematic analysis of pregnant women's perceptions

Flannery, Caragh; Mtshede, Mavis N; McHugh, Sheena; Anaba, Ann Ebere; Clifford, E; O'Riordan, M.; Kenny, Louise C.; McAuliffe, F; Kearney, Patricia M.; Matvienko‐Sikar, Karen

doi:10.1111/mcn.13011

Cited by 22 publications

(56 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Like previous studies, we found that women do not receive adequate or personalized nutrition advice in pregnancy and that it is limited to addressing specific pregnancy issues such as anemia and food safety. 19,20 This may have a negative effect on behavior change as previous studies have found women may be less likely to follow generic advice. 21 In our study, we found that women reported confusion regarding appropriate diet for pregnancy and, worryingly, they felt they could not ask their doctor for clarification.…”

Section: Discussionmentioning

confidence: 99%

“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

Killeen

Callaghan

Jacob

et al. 2020

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

Objective To gain an in‐depth understanding of how the FIGO Nutrition Checklist could work in clinical practice, from the perspective of pregnant women. Methods This qualitative study was part of a pilot study of the FIGO Nutrition Checklist in the antenatal department of a tertiary‐level university maternity hospital in Dublin, Ireland. Individual semistructured phone interviews were conducted with pregnant women who had completed the FIGO Nutrition Checklist as part of the pilot. Interviews were transcribed verbatim and analyzed using content analysis after manual coding of transcripts. Themes and subthemes are described. Results Ten interviews were completed. Subthemes related to the FIGO Nutrition Checklist emerged including ease of use and comprehension. Participants discussed how the tool could add value to their appointment by supporting initiation of nutrition conversations and highlighting nutritional issues. The first trimester was identified as the highest priority for using the FIGO Nutrition Checklist. The convenience of having nutrition addressed as part of standard care, rather than a separate appointment, also emerged. Conclusion Women in this study had a desire for nutrition and weight to be addressed by clinicians during routine antenatal appointments. The findings support using the FIGO Nutrition Checklist to address this.

show abstract

Section: Discussionmentioning

confidence: 99%

“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

Killeen

Callaghan

Jacob

et al. 2020

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

show abstract

“…This might have occurred because they believed they would gain weight anyway during pregnancy, so there was no need for a healthy lifestyle. This apparent inconsistency was also found in previous research that reported pregnancy's use as an excuse to indulge [32]. However, some women explained that responsibility for the unborn child was their main reason for being more conscious of their health behaviors [34,32].…”

Section: Discussionmentioning

confidence: 54%

“…This apparent inconsistency was also found in previous research that reported pregnancy's use as an excuse to indulge [32]. However, some women explained that responsibility for the unborn child was their main reason for being more conscious of their health behaviors [34,32]. Overweight women wanted a more uncompromising stance on weight management from maternity care professionals.…”

Section: Discussionmentioning

confidence: 70%

“…Women's partners play a signi cant role in providing advice and are seen as invaluable support [7]. In addition, women described how their family, relatives, friends, and health care professionals in uenced, for example, healthy food choices [32]. This is an important aspect that should be emphasized in future intervention studies and in practice.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Identifying Target Behaviors for Weight-management Interventions in Overweight Women during Pregnancy and the Postpartum Period: A Qualitative Study Informed by the Behaviour Change Wheel

Saarikko¹,

Niela‐Vilén²,

Rahmani³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Maternal overweight is increasing, and it is associated with several risks for both the mother and child. Healthy lifestyle behaviors adopted during pregnancy are likely impact women’s health positively after pregnancy. The study’s aim was to identify and describe weight management behaviors in terms of the Capability, Opportunity and Motivation Behaviour (COM-B) -model to target weight management interventions from the perspectives of overweight women and maternity care professionals. Methods: This qualitative, descriptive study was conducted in 2019–2020. Individual interviews of overweight pregnant and postpartum women (n = 11) and focus group interviews of public health nurses (n = 5) were undertaken in two public maternity clinics in Southwest Finland. The data were analyzed using deductive content analysis consistent with the COM-B model.Results: In the capability category, overweight women and public health nurses thought that there was a need to find consistent ways to broach overweight, which had become a part of women's identities. The use of health technology was considered as a part of antenatal care to broach the subject of weight and weight management. Smart wearables could also support evaluating overweight women’s lifestyles. The opportunity category highlighted a lack of resources for support in perinatal care, especially after birth. Support from family was the most important facilitating factor besides motivation. There was a conflict between pregnancy as an excuse to engage in unhealthy habits and pregnancy as a motivational period during which to change one’s lifestyle. Furthermore, the women wanted a tough stance on weight management and discreet counseling.Conclusions: Our findings offer a theoretical basis for tailoring, testing and implementing interventions that address barriers to effective weight management. Such interventions should offer clear advice and non-judgmental support during pregnancy and after delivery by targeting women’s capabilities, opportunities, and motivation. Health technology could be a valuable component of intervention, as well as an implementation strategy, as it provides ways to broach this topic and support overweight women during maternity care.

show abstract

“…Women's partners play a significant role in providing advice and are seen as invaluable support [7]. In addition, the women described how their family, relatives, friends, and health care professionals influenced, for example, healthy food choices [31]. This is an important aspect that should be emphasized in future intervention studies and in practice.…”

Section: Discussionmentioning

confidence: 99%

Identifying target behaviors for weight management interventions for women who are overweight during pregnancy and the postpartum period: a qualitative study informed by the Behaviour Change Wheel

Saarikko

Niela‐Vilén

Rahmani

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Maternal overweight is increasing, and it is associated with several risk factors for both the mother and child. Healthy lifestyle behaviors adopted during pregnancy are likely to impact women’s health positively after pregnancy. The study’s aim was to identify and describe weight management behaviors in terms of the Capability, Opportunity and Motivation Behaviour (COM-B) -model to target weight management interventions from both the perspectives of women who are overweight and maternity care professionals. Methods This qualitative, descriptive study was conducted between 2019 and 2020. Individual interviews with pregnant and postpartum women who were overweight (n = 11) and focus group interviews with public health nurses (n = 5) were undertaken in two public maternity clinics in Southwest Finland. The data were analyzed using deductive content analysis consistent with the COM-B model. Results In the capability category, the women and the public health nurses thought that there was a need to find consistent ways to approach overweight, as it had often become a feature of the women’s identities. The use of health technology was considered to be an element of antenatal care that could be used to approach the subject of weight and weight management. Smart wearables could also support an evaluation of the women’s lifestyles. The opportunity category highlighted the lack of resources for support during perinatal care, especially after birth. Both groups felt that support from the family was the most important facilitating factor besides motivation. The women also expressed a conflict between pregnancy as an excuse to engage in unhealthy habits and pregnancy as a motivational period for a change of lifestyle. Furthermore, the women wanted to be offered a more robust stance on weight management and discreet counseling. Conclusions Our findings offer a theoretical basis on which future research can define intervention and implementation strategies. Such interventions may offer clear advice and non-judgmental support during pregnancy and after delivery by targeting women’s capabilities, opportunities, and motivation. Health technology could be a valuable component of intervention, as well as an implementation strategy, as they provide ways during maternity care to approach this topic and support women.

show abstract

Dietary behaviours and weight management: A thematic analysis of pregnant women's perceptions

Cited by 22 publications

References 52 publications

“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

Identifying Target Behaviors for Weight-management Interventions in Overweight Women during Pregnancy and the Postpartum Period: A Qualitative Study Informed by the Behaviour Change Wheel

Identifying target behaviors for weight management interventions for women who are overweight during pregnancy and the postpartum period: a qualitative study informed by the Behaviour Change Wheel

Contact Info

Product

Resources

About