Obesity, risk and the challenges ahead for midwives

Irwin, Jo-anne

doi:10.12968/bjom.2010.18.1.45811

Cited by 3 publications

(8 citation statements)

References 28 publications

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“…Either scenario deprives obese woman from making an informed decision (Pearson 2006). Practitioner's discomfort around raising the issue of maternal obesity and the impact of self-perception as a role model needs addressing to minimise detrimental effects in terms of not managing weight and increasing risks for both the woman and newborn (Nunes, 2009;Sneddon, 2009;DH, 2010;Irwin, 2010;Knight and Wyatt, 2010).…”

Section: "But If You Look At Me It's the Pot Calling The Kettle Blackmentioning

confidence: 99%

“…Further challenges for midwives have been noted in particular subconscious biases influencing personal attitudes and beliefs which may well alter the way in which midwives provide advice (Hollins-Martin and Bull, 2008;Irwin, 2010). Indeed, Knight and Wyatt (2010) highlighted that midwives' attitudes were a potential barrier to the recruitment of obese pregnant women in their study on dietary interventions which impacted on both recruitment to their study and random allocation.…”

Section: Introductionmentioning

confidence: 99%

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Midwives' attitudes towards giving weight-related advice to obese pregnant women

Foster

Hirst

2014

British Journal of Midwifery

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In the UK midwives are responsible for offering health-related advice to obese pregnant women and women who have recently had a baby, and they have many opportunities to do so. 2) Effective interventions to enable pregnant women to manage weight-related behaviours are in development.3) Implementation of interventions is dependent on midwives attitudes and willingness towards providing appropriate information. 4) Midwives introspection, for example responses to women's cues and concerns around risking relationships with women hindered advice giving. 5) By addressing personal issues around body image midwives would be better placed to develop effective communication techniques and offer obese, pregnant women appropriate weight-related advice. AbstractMaternal obesity is recognised as a challenge for contemporary and prospective maternity services and it is estimated that 1 in 5 pregnant women are obese posing significant risk to maternal, fetal and newborn mortality and morbidity. As key practitioners in maternity care midwives are currently seen as frontline professionals delivering weight related advice to obese pregnant women.Objective: to explore midwives' attitudes towards offering obese pregnant women weight-related advice during pregnancy and the puerperium.Design: a qualitative descriptive approach. Nine midwives were interviewed using an indepth interview schedule. Data were analysed using Colaizzi's (1978) seven-stage thematic approach.Findings: midwives' knowledge of risk associated with maternal obesity was good; advice giving was mainly confined to community practice; the amount and consistency of advice was determined by: women's responses, women's apparent motivation to change and midwives' self-perception as a role model. Four key themes emerged: challenges for practice; perceived proficiency; advice giving skills and midwives' perceived relationship with a woman.Implications and Conclusion: midwives need to address personal issues around body image, as they appear to hinder advice giving, before they can develop effective communication techniques to be able to offer obese pregnant women weight-related advice. The recommendation is to investigate ways in which issues of body image influence midwives ability to offer weight-related advice.3

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Section: "But If You Look At Me It's the Pot Calling The Kettle Blackmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Midwives' attitudes towards giving weight-related advice to obese pregnant women

Foster

Hirst

2014

British Journal of Midwifery

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“…Lack of obesity data justified use of self-reported data but not ideal. 29 Irwin (2010) 31 Data, medicolegal risk Identifying and managing risks of obese pregnant patients is challenging; there are no national guidelines to direct policy development. Recommendation: Risk management approaches should be developed to safely manage obesity in pregnancy and improve outcomes.…”

Section: Methodsmentioning

confidence: 99%

“… 30 Clinical risks relating to maternal obesity and childbirth outcomes should also be considered by hospitals as they represent a significant portion of overall negligence claims. 31 An organization’s inability to care for patients with obesity due to lack of bariatric equipment or facilities may create legal risks that may be increasingly supported by legal arguments advocating for the same standards of care regardless of body size. 13 , 28 While financial and legal risks are important considerations for organizations, the primary motivation for enhanced management of patients with obesity should be improved clinical care and staff safety, not protection from liability claims.…”

Section: Methodsmentioning

confidence: 99%

“…Hazard identification is one of the first principles of risk management, and obesity identification is a key factor in managing risks to healthcare organizations, workers and patients with obesity themselves. 31 Anthropometric data including height and weight measurements are routinely collected during the patient’s care and can be used to determine BMI and obesity. 32 Although there is anecdotal recognition of increasing patients with obesity receiving healthcare, there are currently inadequate data to quantify obese patient treatment or admissions.…”

Section: Methodsmentioning

confidence: 99%

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Risks to Healthcare Organizations and Staff Who Manage Obese (Bariatric) Patients and Use of Obesity Data to Mitigate Risks: A Literature Review

McClean¹,

Cross²,

Reed³

2021

JMDH

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This literature review explores obesity risks to healthcare staff and organizations that manage and caring for obese (bariatric) patients. These risks are anticipated to increase due to Australian population obesity rate projections increasing from 31% in 2018 to 42% by the year 2035, which will result in increased hospital admissions of patients with obesity. Literature searches were conducted through the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, Scopus, and Web of Science. Thirty studies met the inclusion criteria and were tabulated and critiqued using appropriate appraisal techniques. High risk of injury to healthcare staff was identified relating to bariatric patient handling tasks. High liability and financial risks of organizations were also identified relating to workers’ compensation and common law claims by injured staff and medical negligence claims by patients with obesity. Availability of obesity data was identified within clinically captured information, which could be utilized to inform obesity risk management programs. Future research should focus on improving the use and quality of obesity data to better understand obesity risks to healthcare organizations and staff, including accurate identification of obese patient admissions, enhanced ability to measure bariatric patient handling hazards and related staff injuries and improved assessment of bariatric intervention effectiveness.

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Prevalence of Maternal Complications after Caesarean Section in Women with Abnormal BODY MASS INDEX (BMI)

Karamat

Mubarik

Khokhar³

et al. 2022

JPRI

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Objective: To determine the frequency and maternal complications of cesarean section in women with BMI >25 kg/m2. Methodology: This descriptive Case series was done at the Gynaecology and Obstetric Unit III, Civil Hospital Karachi for 6 months i.e. May - Nov 2013. Total 164 obese pregnant women who presentedat gestational age >37 weeks, singleton pregnancy with cephalic presentation were included. Data consists of information on demographic items, gestational age, and parity. BMI was calculated by taking weight in kg divided by height in m2. Patients were monitored for progress of labour and mode of delivery was recorded. Maternal complications were identified and noted in pre design proforma. Results: Frequency of maternal complications in women with BMI >25 kg/m2 was found in 57.14%women.Induced labour was the commonest i.e. 35.1% women followed by primary post-partum hemorrhage (PPH) 13% and shoulder dystocia was observed in 9.1%. Conclusion: The burden of overweight and obesity in pregnant females belong to local population is high. So it is concluded that pre pregnancy normal body weight females with high BMI during pregnancy require special follow-ups and counselling sessions during pregnancy and delivery.

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Obesity, risk and the challenges ahead for midwives

Cited by 3 publications

References 28 publications

Midwives' attitudes towards giving weight-related advice to obese pregnant women

Midwives' attitudes towards giving weight-related advice to obese pregnant women

Risks to Healthcare Organizations and Staff Who Manage Obese (Bariatric) Patients and Use of Obesity Data to Mitigate Risks: A Literature Review

Prevalence of Maternal Complications after Caesarean Section in Women with Abnormal BODY MASS INDEX (BMI)

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