The views and attitudes of health professionals providing antenatal care to women with a high BMI: A qualitative research study

Knight-Agarwal, Cathy; Kaur, Manmeet; Williams, Lauren; Davey, Rachel; Davis, Deborah

doi:10.1016/j.wombi.2013.11.002

Cited by 38 publications

(25 citation statements)

References 32 publications

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“…women, yet acknowledge that this is part of their role and women need to be informed about the consequences of excess gestational weight gain (Schmied et al 2011;Singleton and Furber, 2014). Indeed, health professionals have suggested that weighing all women would avoid stigmatising just those who are overweight or obese (Knight-Agarwal et al 2014), and would normalise the practice (Heslehurst et al 2011). These findings suggest health professionals may be open to discussing gestational weight gain and routine weighing during pregnancy may provide a 'wayin' to raising the issue.…”

Section: Discussionmentioning

confidence: 99%

“…Focus groups findings from midwifery health professionals in Australia reflect ongoing concerns about how to introduce the sensitive topic of weight with pregnant women, and that not routinely weighing may suggest to women that GWG doesn't matter (Schmied et al 2011). A more recent Australian study with obstetricians and midwives raised the point that weighing and discussing weight gain are 'out of fashion', although participants in this study felt weighing all women would prevent judgemental attitudes (as opposed to targeting obese women), and would be useful in considering future health outcomes of women (Knight-Agarwal et al 2014).…”

Section: Introductionmentioning

confidence: 90%

“…Furthermore, postpartum weight retention and excess gestational weight gain are established predictors of long term obesity (Leslie et al 2013). The impact on the healthcare system is significant; caring for pregnant women with obesity often requires the input of several specialities and additional equipment (Heslehurst et al 2007), and reports of physical injury to individual health professionals as a consequence of supporting mothers with obesity in labour have been made (Knight-Agarwal et al 2014).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

How do women feel about being weighed during pregnancy? A qualitative exploration of the opinions and experiences of postnatal women

Allen-Walker

Mullaney²,

Turner

et al. 2017

Midwifery

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these findings contribute to the current debate about the re-introduction of routine weighing throughout pregnancy (Allen-Walker et al., 2016). Women stated that they expected to be weighed during pregnancy and, contrary to previous claims, there was no evidence that routine weighing during antenatal care caused anxiety. From discussions it was clear that women desired more information on gestational weight gain and a healthy lifestyle, and felt that health professionals should provide this.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How do women feel about being weighed during pregnancy? A qualitative exploration of the opinions and experiences of postnatal women

Allen-Walker

Mullaney²,

Turner

et al. 2017

Midwifery

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show abstract

“…This should be reinforced/introduced through training that takes a systematic approach (Olander et al 2010;Furness et al 2011;Heslehurst et al 2012). Although studies have shown that some staff consider GWG to be a sensitive topic, many are also deeply concerned about the physiological impact of inappropriate GWG (Knight-Agarwal et al 2014;Willcox et al 2012;Heslehurst et al 2012;Furness et al 2011). It will also be highlighted that women find receiving advice from their midwives helpful and report feeling that if GWG is not discussed with them that it must not be important (Olander et al 2010).…”

Section: Discussionmentioning

confidence: 99%

Service‐wide management of healthy gestational weight gain following an implementation science approach

Wilkinson

Donaldson

Beckmann

et al. 2016

Maternal & Child Nutrition

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The aim of health guidelines is to ensure consistency in the delivery of care to minimise health-related complications. However, even when good evidence is available, professionals do not necessarily implement it. Following a 2011 survey (Time 1) of staff in a tertiary maternity hospital, a number of service changes were implemented to facilitate best practice delivery of care to pregnant women regarding gestational weight gain (GWG). A (second) staff survey was then undertaken to re-assess staff knowledge, attitudes and behaviours around the management of GWG in our hospital. This cross-sectional, prospective online survey was distributed to staff in antenatal clinic. The survey assessed staff awareness of pregnancy-related weight complications, knowledge and application of specific guidelines, and a guideline adherence score was calculated. Sixty-nine staff (44.8% response rate) completed the 2014 (Time 2) survey. Just over half (51.9%) stated they were familiar with clinical guidelines regarding weight management in pregnancy. Guideline adherence ranged from 3.7 ± 1.9 to 11.3 ± 1.0 /15 across different professional groups; significant improvements with adherence by dietitians were noted over time. Despite minimal change over time in the overall adherence score, compliance with individual elements of the guideline recommendations comprising the adherence score differed. Improvements in staff practices and attitudes are apparent since the first survey. However, further improvements in guideline awareness and guideline elements are still required to improve the delivery of best practice antenatal GWG care.

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“…This enables both close, unbiased analysis of participants' statements, as well as wider connections to the existing literature. The use of IPA as a method of analysis for focus groups is still emerging, although there have been some papers published using this approach 15,16 . Tomkins and Eatough 17 discuss strategies for use of IPA in focus group settings, highlighting the need for a sensitive approach that acknowledges the differences of group-based interactions.…”

Section: Methodsmentioning

confidence: 99%

The Role of Engineering Identity in Engineering Doctoral Students' Experiences

Perkins

Tsugawa-Nieves

Chestnut

et al.

2017 ASEE Annual Conference &Amp; Exposition Proceedings

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Heather entered the Applied Social and Community Psychology program in the fall of 2014, after completing her Bachelor of Science in Psychology from the University of Cincinnati. She has participated in various research projects examining the interaction between stereotypes and science interest and confidence, their influence upon womens' performance in school and the workplace, and their presence in the media and consequences for viewers. Her primary research interest is science identity, STEM education, and participation in online communities.

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The views and attitudes of health professionals providing antenatal care to women with a high BMI: A qualitative research study

Cited by 38 publications

References 32 publications

How do women feel about being weighed during pregnancy? A qualitative exploration of the opinions and experiences of postnatal women

How do women feel about being weighed during pregnancy? A qualitative exploration of the opinions and experiences of postnatal women

Service‐wide management of healthy gestational weight gain following an implementation science approach

The Role of Engineering Identity in Engineering Doctoral Students' Experiences

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