Women's behaviour, beliefs and information sources about physical exercise in pregnancy

Clarke, P.; Gross, Harriet

doi:10.1016/j.midw.2003.11.003

Cited by 233 publications

(251 citation statements)

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“…[37][38][39][40] It should be noted that inaccurate perceptions of healthy behavior during pregnancy are common. For example, the need for pregnant women to eat for two appears to be an outdated, but still influential misconception, [41][42][43] and exaggerated fears of adverse effects related to PA levels during pregnancy persist 44,45 Providing guidance may counteract these psychologically explicable but physiologically exaggerated changes in food intake or energy expenditure. Still, longitudinal studies or randomized controlled trials are necessary to assess true causal relationships, and future intervention programs should be evaluated in terms of outcomes.…”

Section: Implications For the Futurementioning

confidence: 99%

Correlates of Absolute and Excessive Weight Gain During Pregnancy

Althuizen¹,

Poppel²,

Seidell³

et al. 2009

Journal of Women's Health

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Objective: Factors associated with weight gain during pregnancy that may be linked to maternal overweight and obesity were examined. Methods: In this observational study, 144 women reported on demographics, (prepregnancy) body weight, and lifestyles in self-reported questionnaires at 30 weeks gestation. Body weight at the end of pregnancy (selfreported at 6 weeks postpartum) was used to determine total gestational weight gain. Multivariate prediction models were developed to identify factors associated with total gestational weight gain and excessive gestational weight gain (i.e., higher weight gain than recommended by the Institute of Medicine). Results: Women gained 14.4 (AE5.0) kg during pregnancy. Obese women gained almost 4 kg less than normal weight women. Pregnant women judging themselves to be less physically active or women who reported increased food intakes during pregnancy gained significantly more weight. Over one third of women (38%) gained more weight than recommended. Being overweight, judging yourself to be less physically active than others, and a perceived elevated food intake during pregnancy were significantly associated with excessive weight gain (odds ratio [OR] ¼ 6.33, 95% confidence interval [CI]: 2.01-19.32; OR ¼ 3.96, 95% CI: 1.55l, 10.15; and OR ¼ 3.14, 95% CI: 1.18, 8.36, respectively). A higher age at menarche and hours of sleep reduced the odds for excessive weight gain (OR ¼ 0.75, 95% CI: 0.57, 0.99; and OR ¼ 0.35, 95% CI: 0.57, 0.93, respectively). Conclusions: Mean hours of sleep, perceived physical activity, and measures of food intake at 30 weeks gestation were identified as modifiable behavioral correlates for excessive gestational weight gain. Strategies to optimize gestational weight gain need to be explored, with a focus on the identified factors.

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Section: Implications For the Futurementioning

confidence: 99%

Correlates of Absolute and Excessive Weight Gain During Pregnancy

Althuizen¹,

Poppel²,

Seidell³

et al. 2009

Journal of Women's Health

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show abstract

“…Past research conducted in England has found that the main sources of information the majority of women encounter with during pregnancy is their midwife [14] and the Pregnancy Book published by the Department of Health [15]. Health professionals, including midwives, have previously reported mixed feelings regarding assessing and discussing gestational weight gain with pregnant women [16].…”

Section: Introductionmentioning

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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“…Midwives have the advantage of building a close relationship with women throughout pregnancy, and act as the primary source of information for them. [14] In addition to information-giving, health professionals are increasingly charged with health promotion and behaviour change during pregnancy.…”

Section: Introductionmentioning

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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Women's behaviour, beliefs and information sources about physical exercise in pregnancy

Cited by 233 publications

References 23 publications

Correlates of Absolute and Excessive Weight Gain During Pregnancy

Correlates of Absolute and Excessive Weight Gain During Pregnancy

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

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