Lost in translation? English- and Spanish-speaking women’s perceptions of gestational weight gain safety, health risks and counseling

Smid, Marcela C.; Dorman, Karen; Boggess, Kim

doi:10.1038/jp.2015.24

Cited by 10 publications

(5 citation statements)

References 42 publications

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“…Similar to our previous research with immigrant women of reproductive age, women in the current study felt that not being unable to communicate directly with healthcare professionals was frustrating and that this contributed to reduced communication and interactions [ 23 ]. Our findings concur with previous research showing that although the use of a professional interpreter for encounters with patients with limited English skills improves clinical care, patients’ satisfaction and outcomes with care received are diminished [ 36 , 37 , 38 ]. Study findings suggest that additional attention by healthcare providers should be given to minority women with limited language proficiency whom are at increased risk of excessive GWG such as Spanish- and Portuguese speaking pregnant women participating in our study.…”

Section: Discussionsupporting

confidence: 92%

Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child

Lindsay

Wallington

Greaney

et al. 2017

IJERPH

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Latina women in the United States (U.S.) are disproportionately affected by obesity and are more likely to begin pregnancy overweight and gain excessive weight during pregnancy. The prenatal care period represents a window of opportunity for women to access the healthcare system and receive preventive services, education, nutritional support, and other social services to improve pregnancy outcomes. Excessive gestational weight gain (GWG) has numerous negative short- and long-term consequences for both the mother and newborn. We explored nulliparous Latina women’s perceptions about their experiences communicating with their primary healthcare provider about GWG and physical activity (PA) to identify possible intervention targets using in-depth, semi-structured interviews. Bilingual, trained research staff conducted 23 interviews with first-time pregnant Latinas between 22 and 36 weeks of gestation. Interviews were transcribed verbatim and analyzed using content analysis. Salient text passages were extracted, shortened, coded, and grouped into categories. Women, including those who self-identified as being overweight or obese prior to pregnancy, reported receiving limited or no advice from their healthcare providers about GWG or PA. Additionally, analysis revealed that although participants value information received from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program counselors, they would like to receive more information from their primary healthcare providers about adequate GWG. Furthermore, study findings indicate that some participants received conflicting information regarding PA during pregnancy. Study findings suggest the need for increased integration of communication and counseling about GWG and PA into prenatal care services to promote healthy weight gain and PA among low-income Latina women.

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Section: Discussionsupporting

confidence: 92%

Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child

Lindsay

Wallington

Greaney

et al. 2017

IJERPH

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“…In addition, our participants reported a high degree of trust in their medical providers, which is consistent with other reports in the literature (Ferrari et al, 2013). Furthermore, many participants commented that their doctor told them how much weight they should gain but could not remember specific numerical goals, which aligns with the literature that shows a low knowledge of gestational weight gain guidelines across cultural contexts (McPhie, Skouteris, Hill, & Hayden, 2015; Olagbuji, Olofinbiyi, Akintayo, Aduloju, & Ade-Ojo, 2015), particularly for Spanish-speaking women (Smid, Dorman, & Boggess, 2015). Importantly, participants reported that their providers’ focus on the numerical guidelines for gestational weight gain was not as effective in changing behaviors like diet as was specific dietary instructions from their providers.…”

Section: Discussionsupporting

confidence: 64%

“…gain guidelines across cultural contexts (Mcphie, Skouteris, Hill, & Hayden, 2015;Olagbuji, Olofinbiyi, Akintayo, Aduloju, & Ade-Ojo, 2015), particularly for Spanish-speaking women (Smid, Dorman, & Boggess, 2015). It is important to note that participants reported that their providers' focus on the numerical guidelines for gestational weight gain was not as effective in changing behaviors such as diet as was specific dietary instructions from their providers.…”

Section: Discussionmentioning

confidence: 99%

Maternal conception of gestational weight gain among Latinas: A qualitative study.

Fletcher¹,

Teeters²,

Schlundt³

et al. 2018

Health Psychology

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Women's sociocultural and interpersonal context influence weight-related behaviors through the lens of personal health schemas. Understanding how cognitive aspects relate to traditional behavioral determinants suggests several opportunities for intervention, such as focusing on healthy behaviors instead of numerical targets for healthy weight gain. Although derived from Spanish-speaking Latin-American women, these results may also be potential leverage points for other minority groups. (PsycINFO Database Record

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“…These findings suggest that language may have been a barrier to effectively conveying this information. 23 There are many known biases in the way that humans conceptualize and interpret numbers and risk. Employing strategies to mitigate these cognitive biases will help to optimize consideration of treatment options.…”

Section: Initial Preferencesmentioning

confidence: 99%

Society for Maternal-Fetal Medicine Consult Series #55: Counseling women at increased risk of maternal morbidity and mortality

Kaimal

Norton

2021

American Journal of Obstetrics and Gynecology

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The Society of Family Planning (SFP) endorses this document.Women should be provided with evidence-based information when considering options for contraception and pregnancy management. When counseling about health conditions and available treatments, healthcare practitioners should employ strategies that encourage the incorporation of informed patient preferences into a shared decision-making process with the patient. To optimize the health of women at risk of experiencing adverse health outcomes during or after pregnancy, counseling should be a continuous process throughout the reproductive life course. The purpose of this Consult is to provide guidance for all healthcare practitioners about counseling reproductive-aged women who may be at high risk of experiencing maternal morbidity or mortality.

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Lost in translation? English- and Spanish-speaking women’s perceptions of gestational weight gain safety, health risks and counseling

Abstract: Significant differences exist between Spanish- and English-speaking women's perception of GWG counseling, which may be due to language or cultural barriers.

Cited by 10 publications

References 42 publications

Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child

Patient–Provider Communication and Counseling about Gestational Weight Gain and Physical Activity: A Qualitative Study of the Perceptions and Experiences of Latinas Pregnant with their First Child

Maternal conception of gestational weight gain among Latinas: A qualitative study.

Society for Maternal-Fetal Medicine Consult Series #55: Counseling women at increased risk of maternal morbidity and mortality

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