MAMMA MIA! Norwegian Midwives’ Practices and Views About Gestational Weight Gain, Physical Activity, and Nutrition

Haakstad, Lene Annette Hagen; Mjønerud, Julie M F; Dalhaug, Emilie Mass

doi:10.3389/fpsyg.2020.01463

Cited by 11 publications

(14 citation statements)

References 49 publications

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“…Table 1 presents the characteristics of the 13 included studies. Most of the studies were conducted in the USA [ 23 , 34 , 35 , 36 , 37 ], three studies were conducted in the United Kingdom [ 38 , 39 , 40 ], and one each in South Africa [ 41 ], Brazil [ 42 ], Norway [ 43 ], Sweden [ 44 ], and Finland [ 45 ] respectively. Seven were quantitative studies [ 34 , 35 , 36 , 39 , 40 , 41 , 43 ], four qualitative [ 23 , 37 , 45 ], one a mixed methods study [ 38 ] and one a controlled, non-randomised study [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies were conducted in the USA [ 23 , 34 , 35 , 36 , 37 ], three studies were conducted in the United Kingdom [ 38 , 39 , 40 ], and one each in South Africa [ 41 ], Brazil [ 42 ], Norway [ 43 ], Sweden [ 44 ], and Finland [ 45 ] respectively. Seven were quantitative studies [ 34 , 35 , 36 , 39 , 40 , 41 , 43 ], four qualitative [ 23 , 37 , 45 ], one a mixed methods study [ 38 ] and one a controlled, non-randomised study [ 42 ]. Most of the prenatal healthcare providers were midwives [ 37 , 38 , 39 , 40 , 43 , 44 ], obstetrician/gynaecologists [ 34 , 36 , 37 , 41 ] and nurses [ 34 , 37 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

“…Seven were quantitative studies [ 34 , 35 , 36 , 39 , 40 , 41 , 43 ], four qualitative [ 23 , 37 , 45 ], one a mixed methods study [ 38 ] and one a controlled, non-randomised study [ 42 ]. Most of the prenatal healthcare providers were midwives [ 37 , 38 , 39 , 40 , 43 , 44 ], obstetrician/gynaecologists [ 34 , 36 , 37 , 41 ] and nurses [ 34 , 37 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies reported that the providers perceived that they have a role and responsibility in providing prenatal physical activity advice and counselling [ 35 , 38 , 41 ]. Regarding the providers’ knowledge of various physical activity guidelines, two studies highlighted that providers were not familiar with the IOM [ 23 , 43 ] and four studies revealed the same regarding ACOG [ 34 , 39 , 41 ] guidelines. However, one study indicated provider’s familiarity with ACOG guidelines [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, this scoping review indicated that prenatal care providers rarely provide physical activity education and counselling to pregnant women during their antenatal visit. Even when the information is provided, it is inadequate or lacking in scientific content, because they have no scientific knowledge [ 23 , 34 , 39 , 41 , 43 ] nor training [ 23 , 24 , 37 , 38 , 45 ] regarding physical activity during pregnancy. This is concerning as inactive pregnant women are therefore limited information, and are likely not to be motivated to engage in physical activity.…”

Section: Discussionmentioning

confidence: 99%

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Physical Activity Advice and Counselling by Healthcare Providers: A Scoping Review

Okafor

Goon

2021

Healthcare

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Background: Despite scientific evidence on prenatal physical activity and exercise, synthesized evidence is lacking on the provision of prenatal physical activity and exercise advice and counselling by prenatal healthcare providers. The scoping review seeks to fill this gap by synthesizing available literature on the provision of prenatal physical activity and exercise advice and counselling by prenatal healthcare providers to women during antenatal visits. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) search framework for scoping reviews was applied to retrieve original research articles on the prenatal physical activity and exercise practices of healthcare providers with pregnant women, published between 2010–2020, and available in English. The search databases included Google Scholar, PubMed, Science Direct, Scopus, EMBASE, The Cumulative Index for Nursing and Allied Health Literature (CINAHL), BIOMED Central, Medline and African Journal Online. Studies that fulfilled the eligibility criteria were retrieved for analysis. Results: Out of the 82 articles that were retrieved for review, 13 met the eligibility criteria. Seven of the articles were quantitative, four qualitative, one mixed-method and one controlled, non-randomised study, respectively. Three themes emerged as major findings. Healthcare providers affirmed their responsibility in providing prenatal physical activity advice and counselling to pregnant women; however, they seldom or rarely performed this role. Major barriers to prenatal physical activity and exercise included insufficient time, lack of knowledge and skills, inadequate or insufficient training, and lack of resources. Conclusion: This review highlights salient features constraining the uptake of prenatal physical activity and exercise advice/counselling by prenatal healthcare providers in both community and clinical settings. Prenatal physical activity advice and counselling are key components to the promotion of physical activity adherence during and post-partum pregnancy; this requires adequate knowledge of physical activity prescriptions and recommendations, which are personalised and contextual to environment. Research is needed to examine the prenatal physical activity advice and counselling from prenatal healthcare providers on issues hindering effective delivery of the aforementioned in the context of promoting prenatal physical activity in clinical or community settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Physical Activity Advice and Counselling by Healthcare Providers: A Scoping Review

Okafor

Goon

2021

Healthcare

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Associations of physical activity and weight gain during pregnancy with pregnancy-related pelvic girdle pain intensity – A retrospective cohort study

Byberg,

Marie Mjølsnes,

Dalen

et al. 2024

Sexual & Reproductive Healthcare

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Midwives’ and Obstetric Physicians’ Practices Related to Pregnancy Nutrition Counseling: A Scoping Review

Erbe,

Liese,

Tussing‐Humphreys

et al. 2024

J Midwife Womens Health

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IntroductionDietary intake during pregnancy impacts short‐ and long‐term maternal and fetal health outcomes. Dietary habits are highly individualized and influenced by contextual factors and social determinants of health within each person's lived environment. Midwives and other health care providers are well positioned to facilitate nutrition conversations and interventions with patients related to recommendations and modifications before and during pregnancy. This scoping review synthesizes the literature on perinatal care providers’ attitudes and practices related to antenatal nutrition counseling.MethodsAn electronic database literature search was conducted in March 2023 using the following inclusion criteria: English language, published between 1990 and 2023, completed in high‐income countries, and evaluated provider practices related to educating pregnancy patients on nutrition. Exclusion criteria included comparison or interventional studies as well as those focused on patient perspectives, specialty diets, comorbidities, or pregnancy complications. Thematic analysis was completed to identify common themes and subthemes across studies related to perinatal care providers’ perspectives of pregnancy nutrition.ResultsThirty‐six articles were included in the final review. Although providers acknowledged the importance of nutrition for pregnancy outcomes, few reported being able to cover the topic in‐depth during antenatal visits. Counseling was usually generalized, limited in scope, and lacked consideration of patient‐specific contextual factors such as dietary restrictions, preferences, or access to resources needed to follow recommendations. Provider barriers to comprehensive nutrition counseling included lack of training and time during clinic visits and limited availability of guidelines.DiscussionMultiple gaps in current pregnancy nutrition counseling practices exist. Despite nutrition being viewed by perinatal care providers as an important part of pregnancy, multiple barriers lead to it being overlooked during patient‐provider interactions. Contextual factors for both providers and patients contribute to failure of current interventions to consistently and significantly impact dietary habits of pregnant people.

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MAMMA MIA! Norwegian Midwives’ Practices and Views About Gestational Weight Gain, Physical Activity, and Nutrition

Cited by 11 publications

References 49 publications

Physical Activity Advice and Counselling by Healthcare Providers: A Scoping Review

Physical Activity Advice and Counselling by Healthcare Providers: A Scoping Review

Associations of physical activity and weight gain during pregnancy with pregnancy-related pelvic girdle pain intensity – A retrospective cohort study

Midwives’ and Obstetric Physicians’ Practices Related to Pregnancy Nutrition Counseling: A Scoping Review

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