Exploring obstetricians', midwives' and general practitioners' approach to weight management in pregnant women with a BMI ≥25 kg/m 2 : a qualitative study.

Autor:	Flannery C; Health Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Ireland.; School of Public Health, University College Cork, Cork, Ireland., McHugh S; School of Public Health, University College Cork, Cork, Ireland., Kenny LC; Department of Women's and Children's Health, University of Liverpool School of Life Sciences, Liverpool, UK., O'Riordan MN; Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland., McAuliffe FM; UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital, University College Dublin, Dublin, Ireland., Bradley C; Department of General Practice, University College Cork, Cork, Ireland., Kearney PM; School of Public Health, University College Cork, Cork, Ireland., Byrne M; Health Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Ireland.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2019 Jan 28; Vol. 9 (1), pp. e024808. Date of Electronic Publication: 2019 Jan 28.
DOI:	10.1136/bmjopen-2018-024808
Abstrakt:	Objective: The aim of this study was to explore healthcare professionals' (HCPs) beliefs and attitudes towards weight management for pregnant women with a body mass index (BMI) ≥25 kg/m 2 . Design: Qualitative study. Setting: A public antenatal clinic in a large academic maternity hospital in Cork, Ireland, and general practice clinics in the same region. Participants: HCPs such as hospital-based midwives and consultant obstetricians and general practitioners (GPs). Method: Semistructured interviews were conducted with a purposive sample of hospital-based HCPs and a sample of GPs working in the same region. Interviews were recorded, transcribed and thematically analysed using NVivo software. Results: Seventeen HCPs were interviewed (hospital based=10; GPs=7). Four themes identified the complexity of weight management in pregnancy and the challenges HCPs faced when trying to balance the medical and psychosocial needs of the women. HCPs acknowledged weight as a sensitive conversation topic, leading to a ' softly-softly approach' to weight management. HCPs tried to strike a balance between being woman centred and empathetic and medicalising the conversation. HCPs described ' doing what you can with what you have ' and shifting the focus to managing obstetric complications . Furthermore, there were unclear roles and responsibilities in terms of weight management. Conclusion: HCPs need to have standardised approaches and evidence-based guidelines that support the consistent monitoring and management of weight during pregnancy. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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