Setting maternity care standards for women with obesity in pregnancy

Fitzsimons, Kate J; Modder, Jo

doi:10.1016/j.siny.2009.09.004

Cited by 50 publications

(67 citation statements)

References 42 publications

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“…Furthermore, and crucially, there are currently no national guidelines for healthy gestational weight gain in the UK [29] and these are urgently needed [16,37] to ensure health professionals know what information to discuss with women.…”

Section: Discussionmentioning

confidence: 99%

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Olander

Atkinson

Edmunds

et al. 2011

Sexual & Reproductive Healthcare

110

149

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. (2011). The views of pre-and post-natal women and health professionals regarding gestational weight gain: an exploratory study. Sexual & Reproductive Healthcare, 2(1), pp. 43-48. doi: 10.1016/j.srhc.2010.10.004 This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent Study DesignIn total, five focus groups were conducted with pregnant women (n=9), post-natal women (n=14) and health professionals (including midwives, n=7). The focus groups were transcribed verbatim and analysed thematically. Main Outcome MeasuresThe women's views regarding weight gain in pregnancy and what the health professionals' thoughts were concerning the current provision of care they provide to their patients regarding gestational weight gain. ResultsThe women expressed a lack of concern regarding their weight in pregnancy, and reported not receiving any information regarding what constitutes healthy gestational weight gain. The pregnant women reported not monitoring their weight and assumed they would lose weight post-natally through breastfeeding. The health professionals reported being aware of the women's beliefs, however lacked information to give to the women relating to healthy weight gain. ConclusionsIt is likely that the women lacked concern and knowledge regarding gestational weight gain due to not receiving information from their midwives and other health professionals regarding this issue. The health professionals were in turn unsure of what to advise women regarding appropriate gestational weight gain. By ensuring midwives and other health professionals have the knowledge and skills to discuss weight with pregnant women, the women in turn may be more motivated and confident in maintaining a healthy weight at this time.3

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Section: Discussionmentioning

confidence: 99%

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Olander

Atkinson

Edmunds

et al. 2011

Sexual & Reproductive Healthcare

110

149

View full text Add to dashboard Cite

show abstract

“…Arguments for the development of national UK guidelines for healthy GWG are growing and have been discussed elsewhere. [2,18,46] Findings from Canadian research studies, where MWs are provided with clear GWG guidelines, however, suggest guidelines for GWG are not sufficient to solve the problems: [47] Most healthcare providers believed they had discussed appropriate weight gain with their patients, yet a far smaller proportion of women reported receiving this information. Similar findings were made in a U.S. study of advice received by pregnant women regarding GWG.…”

Section: Discussionmentioning

confidence: 99%

Talking about weight in pregnancy: An exploration of practitioners' and women's perceptions

Furness

Arden

Duxbury

et al. 2014

JNEP

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Prevalence of maternal obesity is increasing, with health risks for mother and infant. Effective health promotion depends on sufficient knowledge and appropriate communication skills. We aimed to explore women's, midwives' and health visitors' perceptions of current practice in helping women manage their weight and supporting healthy behaviour change during pregnancy, and their perceived training needs. A modified grounded theory methodology was adopted, based upon critical realist assumptions. Following consultation events with fifty six practitioners to inform data collection tools, twenty (different) practitioners and nine women participated in focus groups. Comparative analysis generated four themes: A core theme, "Discouraging discourses", described health professionals' negative beliefs and reactive approach to communicating about weight. "Staff resources" identified limitations in and requirements for practitioner knowledge, skills and tools for effective communication. "Contextual influences" were social factors, which hindered practitioners' efforts to achieve healthy behaviour change. "Communicating as a Team" identified the importance of and challenges to a team approach. Findings have implications for weight management in pregnancy, practitioner resources, teamwork, and national health promotion campaigns.

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“…The Royal College of Obstetricians and Gynaecologists (RCOG) and the United Kingdom Centre for Maternal and Child Enquiries (CMACE) have published a joint guideline on management of women with obesity in pregnancy. 89,90 A further guideline is currently in progress by the National Institute for Clinical Excellence (NICE). These guidelines place raised maternal BMI as the greatest single risk factor contributing to maternal death and adverse maternal outcome of pregnancy.…”

Section: Lipid Turnovermentioning

confidence: 99%

“…90 It is currently recommended that all women with a BMI greater than 30 kg/m 2 be screened for gestational diabetes mellitus between 24 and 28 weeks gestation by performing a75 g oral glucose tolerance test (OGTT). 89 There is increasing evidence to extend this recommendation to pregnant women of BMI less than 30 kg/m 2 . 13 Close liaison with the diabetes service is needed to adequately manage gestational diabetes.…”

Section: Lipid Turnovermentioning

confidence: 99%

The maternal and fetal impacts of obesity and gestational diabetes on pregnancy outcome

Dennedy

Dunne

2010

Best Practice & Research Clinical Endocrinology & Metab

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Setting maternity care standards for women with obesity in pregnancy

Cited by 50 publications

References 42 publications

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Talking about weight in pregnancy: An exploration of practitioners' and women's perceptions

The maternal and fetal impacts of obesity and gestational diabetes on pregnancy outcome

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