The nutrition-related information seeking behaviours and attitudes of pregnant women with a high BMI: A qualitative study

Knight-Agarwal, Cathy; Cubbage, Rebecca; Sesleja, Roslyn; Hinder, Madeleine; Mete, Rebecca

doi:10.1016/j.wombi.2019.03.005

Cited by 7 publications

(8 citation statements)

References 35 publications

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“…10,14 The findings of our study confirm extensive previous research showing that pregnant women welcome diet, weight, and nutrition-related discussions. 8,23 Clinicians working with pregnant women have a responsibility to incorporate brief nutrition and weight discussions into their clinical appointments. Despite this, multiple systematic reviews have found that the lack of prioritization of behavior change interventions by healthcare professionals is a barrier to incorporating it into practice.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 Despite this, studies demonstrate that women may not receive nutrition advice during pregnancy unless they specifically request it and practices around nutrition advice vary substantially. 8,9 The effect of this can be seen in the lack of adherence to recommended healthy dietary intakes for pregnancy internationally. 10 Previous work identified lack of resources and relevant training as barriers to addressing nutrition in practice.…”

Section: Introductionmentioning

confidence: 99%

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“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

Killeen

Callaghan

Jacob

et al. 2020

Intl J Gynecology & Obste

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Objective To gain an in‐depth understanding of how the FIGO Nutrition Checklist could work in clinical practice, from the perspective of pregnant women. Methods This qualitative study was part of a pilot study of the FIGO Nutrition Checklist in the antenatal department of a tertiary‐level university maternity hospital in Dublin, Ireland. Individual semistructured phone interviews were conducted with pregnant women who had completed the FIGO Nutrition Checklist as part of the pilot. Interviews were transcribed verbatim and analyzed using content analysis after manual coding of transcripts. Themes and subthemes are described. Results Ten interviews were completed. Subthemes related to the FIGO Nutrition Checklist emerged including ease of use and comprehension. Participants discussed how the tool could add value to their appointment by supporting initiation of nutrition conversations and highlighting nutritional issues. The first trimester was identified as the highest priority for using the FIGO Nutrition Checklist. The convenience of having nutrition addressed as part of standard care, rather than a separate appointment, also emerged. Conclusion Women in this study had a desire for nutrition and weight to be addressed by clinicians during routine antenatal appointments. The findings support using the FIGO Nutrition Checklist to address this.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

Killeen

Callaghan

Jacob

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Previous studies have suggested that women desire to have nutrition-related discussions with their doctors during their antenatal care visits. 16,[20][21][22] The FIGO checklist can help address this by facilitating an interactive platform where pregnant women can speak to doctors and clarify their doubts along with gaining a better understanding of their dietary requirements.…”

Section: Discussionmentioning

confidence: 99%

Implementing International Federation of Gynecology and Obstetrics Nutrition Checklist for Pregnant Women: Opportunities and Challenges in Low- and Middle-income Countries

Singh¹,

Mishra²,

Joshi³

et al. 2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Background:The triple burden of malnutrition (TBM) presents a significant threat to the health of mothers and their future generations, particularly in low-and middle-income countries. Though having adequate macro-and micronutrients and maintaining a healthy weight are essential for all, pregnant women require special attention. However, their nutrition status and dietary requirements are not focused upon during their clinical visits. Methods: International Federation of Gynecology and Obstetrics (FIGO) nutrition checklist was administered to 714 women for the first time in selected private healthcare facilities in 3 states of India. A descriptive analysis of data was done to assess their nutrition status and dietary pattern. Logistic regression was done to evaluate any significant association of their dietary and supplementary intake with the hemoglobin (Hb) levels. The feedback on FIGO checklist administration from 50 healthcare providers (HCPs) was also collected using a survey questionnaire. Result: The analysis of FIGO checklist data has shown that a significant proportion (48%) of women are overweight or obese and 33% are with low Hb. The increased Hb levels were significantly associated with supplement intake. However, the associations observed between any other dietary intake and Hb levels were insignificant. Healthcare providers considered the checklist as an important tool to encourage nutrition-related dialogues with women and recommended its use during clinical visits. Conclusion:The FIGO checklist holds promising potential as a nutrition intervention to curb the increasing burden of malnutrition by keeping health, nutrition status, and weight management in check. However, the challenges associated with its administration should be addressed to have a greater impact.

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“…Informational support for perinatal patients may also be inequitable, 17–19 as individuals who are Black, obese, or uninsured or have chronic health conditions report more barriers in receiving information from health care providers. Perinatal patients also seek information from a wide variety of sources, such as the internet, family, and friends 10,11,14,16,20,21 . Misinformation is common 10,11,16,22–24 …”

Section: Introductionmentioning

confidence: 99%

Patients’ Perspectives on Informational Support and Education in the Perinatal Period: “The Quicker They Could Be Done With Me, the Better”

Wadsworth,

Graves,

Pogula

et al. 2023

J Midwife Womens Health

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IntroductionThe overall purpose of this study was to elicit perspectives from a diverse group of postpartum individuals about their perinatal outpatient informational support and education. In addition, suggestions from participants are provided. Although informational support is crucial in the peripartum period, it is often inadequate or biased. Qualitative research, which offers a nuanced and patient‐centered perspective, is limited. The qualitive research that does exist is limited to the prenatal period only, neglecting perspectives throughout the entire peripartum period.MethodsThis qualitative descriptive study was part of a larger observational cross‐sectional study of postpartum individuals in Kalamazoo, Michigan in 2017. Two years after the initial study (2019), participants were recruited into 8 focus groups. Trained facilitators guided focus group conversations using semistructured interview questions. The questions centered on overall experiences with perinatal outpatient health care experiences and informational support. Thematic analyses were used in data analysis. Interrater reliability between coders ranged from 92% to 100%.ResultsFifty‐four individuals (22.1% response rate) participated in a total of 12 focus groups. The overarching theme was the need for recognition of individuality of patients. Three subthemes emerged, including time, multiple modalities of information support, and agency.DiscussionThis study extended previous qualitative findings across the entire peripartum period and that individualized prenatal care is an important distinction in perceived quality of care. Health care organizations should consider allocating time differently for perinatal office visits, offer flexible visit times based on individualized needs, offer information in multiple modalities, and promote agency of patients. This study was strengthened by the community involvement, women of color only focus groups, and oversampling of Black women. This study was limited by the self‐selected, homogenous sample and potential for recall bias.

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The nutrition-related information seeking behaviours and attitudes of pregnant women with a high BMI: A qualitative study

Cited by 7 publications

References 35 publications

“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

“It only takes two minutes to ask”—a qualitative study with women on using the FIGO Nutrition Checklist in pregnancy

Implementing International Federation of Gynecology and Obstetrics Nutrition Checklist for Pregnant Women: Opportunities and Challenges in Low- and Middle-income Countries

Patients’ Perspectives on Informational Support and Education in the Perinatal Period: “The Quicker They Could Be Done With Me, the Better”

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