Prenatal care experiences among pregnant women with obesity in Wisconsin, United States: a qualitative quality improvement assessment
| Autor: | Kathleen M. Antony, Danielle J. Hurst, Nicholas B. Schmuhl, Corrine I. Voils |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Population Social Stigma Reproductive medicine Stigma (botany) 030209 endocrinology & metabolism Provider weight bias Prenatal care Affect (psychology) lcsh:Gynecology and obstetrics Obesity Maternal Weight-bias 03 medical and health sciences Young Adult 0302 clinical medicine Wisconsin Prenatal Education Weight Prejudice Pregnancy Terminology as Topic Weight management medicine Humans 030212 general & internal medicine Obesity education Qualitative Research lcsh:RG1-991 Original Research education.field_of_study business.industry Communication Obstetrics and Gynecology Patient Preference Professional-Patient Relations medicine.disease Quality Improvement Gestational Weight Gain Family medicine Female business Attitude to Health |
| Zdroj: | BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-13 (2021) BMC Pregnancy and Childbirth |
| ISSN: | 1471-2393 |
| Popis: | Background Stigma and bias experienced during prenatal care can affect quality of care and, ultimately, the health of pregnant women with obesity and their infants. We sought to 1) better understand the bias and stigma that women with BMIs ≥40 kg/m2 experience while receiving prenatal care, 2) gauge women’s interest in group prenatal education for women with obesity, and 3) gather feedback about their preferred weight-related terminology. Methods We conducted and thematically content-analyzed 30 semi-structured interviews of women with BMIs ≥40 kg/m2 who received prenatal care at a university-affiliated teaching hospital in the Midwest region of the United States. Results All women recalled positive experiences during their perinatal care during which they felt listened to and respected by providers. However, many also described a fear of weight-related bias or recalled weight-based discrimination. Women reacted favorably to a proposed group prenatal care option for pregnant women with obesity that focused on nutrition, physical activity, and weight management. Women rated “weight” and “BMI” as the most desirable terms for describing weight, while “large size” and “obesity” were rated least desirable. Conclusions Many pregnant women with BMIs ≥40 kg/m2 experience bias in the prenatal care setting. Potential steps to mitigate bias towards weight include improving provider awareness of the experiences and perspectives of this population, expanding prenatal care options targeted towards women with high BMIs, including group care, and using patient-preferred weight-related terminology. Through the remainder of this manuscript, wherever possible, the term “high BMI” will be used in place of the term “obesity” to describe women with BMI ≥ 30 kg/m2 in order to respect the preferred terminology of the women we interviewed. |
| Databáze: | OpenAIRE |
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