Preventive Counseling in Routine Prenatal Care—A Qualitative Study of Pregnant Women’s Perspectives on a Lifestyle Intervention, Contrasted with the Experiences of Healthcare Providers

Lorenz, Laura; Krebs, Franziska; Nawabi, Farah; Alayli, Adrienne; Stock, Stephanie

doi:10.3390/ijerph19106122

Cited by 5 publications

(2 citation statements)

References 67 publications

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“…Qualifying maternal and child health based on the results achieved implies supplanting traditional management and care models, and especially qualifying health work processes based on dialogic and collaborative approaches. Studies reinforce this argument by emphasizing that cooperation between health professionals is essential for fostering best practices in maternal and child health (29,30). Instead of unilateral and predictable processes, the process of prenatal management and care needs to lead to circular and complementary paths, from the perspective of interprofessionality.…”

Section: Discussionmentioning

confidence: 99%

Qualification of Prenatal Care and Management in the Context of Primary Health Care

Backes,

Leite,

Pereira

et al. 2023

Aquichan

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Introduction: Collaboration between different health professionals is essential to ensure safe and quality prenatal care and favorable birth outcomes. Objective: To describe interprofessional prenatal care and management strategies in the context of primary health care. Materials and method: Qualitative research conducted between August and December 2022. Data was collected using an instrument to analyze the content of infographics produced by 26 professionals working in primary health care in southern Brazil, as an evaluation activity for a qualification course. The content of the infographics was analyzed using the coding process proposed by Minayo. Results: The data analyzed enabled three thematic categories to be identified: “The necessary intersectoral and interprofessional coordination;” “Responsibilities built and shared between pregnant women and professionals;” “Planning and qualification of workflows and processes.” Conclusions: Interprofessional prenatal care and management strategies in the context of primary health care are associated with overcoming fragmented and dichotomous approaches, as well as the prospect of more participatory, dialogic, and interactive prenatal care and management processes, with the inclusion of various health actors.

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Section: Discussionmentioning

confidence: 99%

Qualification of Prenatal Care and Management in the Context of Primary Health Care

Backes,

Leite,

Pereira

et al. 2023

Aquichan

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“…Balancing and maintaining a healthy weight during pregnancy is therefore crucial for optimizing the motor development and general wellbeing of the newborn. Regular prenatal check-ups and advice from healthcare professionals play a crucial role in monitoring and managing weight gain during pregnancy [14].…”

Section: Introductionmentioning

confidence: 99%

Gestational Weight Gain, Pregnancy Related Complications and the Short-Term Risks for the Offspring

Lackovic,

Jankovic,

Mihajlovic

et al. 2024

JCM

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Background and objectives: Maternal obesity influences pregnancy course in several different manners, and imbalanced nutrition during pregnancy may lead to various adverse pregnancy outcomes. Additionally, nutritional status during pregnancy may have implications for the health of the offspring and may possibly influence early motor development in children. The aim of this study was to assess the impact of excessive gestational weight gain (EGWG) on pregnancy outcomes and infant’s motor development within the first twelve months of life. Materials and methods: The study included 200 participants divided in two groups based on their gestational weight gain. Maternal, perinatal, and neonatal factors were analyzed, and early motor development was assessed using the Alberta infant motor scale (AIMS). Results: EGWG was significantly associated with: pre-pregnancy BMI (p < 0.001), family history for cardiovascular diseases (p = 0.013) and diabetes mellitus (p = 0.045), hypertensive disorder of pregnancy (p = 0.003), gestational diabetes mellitus (p < 0.001), gestational anemia (p = 0.001), vitamin D deficiency (p = 0.001), metformin use (p = 0.045), pre-labor premature rupture of membranes (p = 0.031), amniotic fluid index (p = 0.047), and APGAR score in the first five min of life (p = 0.007). Scored by AIMS, EGWG was significantly associated with parameters of early motor development at the age of three AIMS total (p < 0.001), six AIMS total (p < 0.001), nine AIMS total (p < 0.001), and twelve AIMS total (p < 0.001) months of infant’s life. Conclusions: The link between EGWG and adverse neurodevelopmental outcomes in offspring is a complex and multifaceted issue. Our results imply significant alterations in early motor development in the group of infants born from mothers who gained weight excessively during pregnancy. Further studies are needed to unravel the intricacies of this relationship and inform strategies for preventive interventions and supportive care during pregnancy and infancy.

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Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum

Mobin,

Obeid,

El‐Kebbi

et al. 2024

Chronic Diseases and Translational Medicine

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During antenatal care, gestational diabetes mellitus (GDM) screening is crucial for early diagnosis and treatment to ameliorate clinical outcomes and limit health care expenses. Dietary management and physical activity are central to GDM treatment, however, adherence is often influenced by personal preferences, socioeconomic barriers, and psychological stress. Pharmacologically, insulin and oral hypoglycemic medications, are the main GDM treatment that can be subject to patients' resistance due to fears of needles and side effects. Metformin is increasingly preferred for its ease of administration and lower cost. In the postpartum stage, regular screening for type 2 diabetes mellitus (T2DM) should always be considered despite the possible limitations that could arise, including communication gaps, lack of long‐term focus, and personal barriers. Overall, women with GDM prefer personalized, flexible management plans that consider their lifestyle, support from health care professionals (HCPs), and family involvement. Addressing psychological and socioeconomic barriers through education, counseling, and support networks is crucial for improving adherence and health outcomes. Enhancing patient‐centered care and shared decision‐making can empower women with GDM to manage their condition effectively and maintain lifestyle changes postpartum. Therefore, this review aimed to assess pregnant women's preferences in GDM management, focusing on screening, dietary recommendations, physical activity, and treatment. Additionally, this review examined GDM care in terms of these patients' quality of life and postpartum experiences.

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Preventive Counseling in Routine Prenatal Care—A Qualitative Study of Pregnant Women’s Perspectives on a Lifestyle Intervention, Contrasted with the Experiences of Healthcare Providers

Cited by 5 publications

References 67 publications

Qualification of Prenatal Care and Management in the Context of Primary Health Care

Qualification of Prenatal Care and Management in the Context of Primary Health Care

Gestational Weight Gain, Pregnancy Related Complications and the Short-Term Risks for the Offspring

Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum

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