A qualitative study exploring midwives’ perceptions and knowledge of maternal obesity. Reflecting on their experiences of providing healthy eating and weight management advice to pregnant women
| Autor: | Mary T McCann, Margaret Charnley, Julie Abayomi, Catriona Burden, Lisa Newson, Jane S. Rooney |
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| Jazyk: | angličtina |
| Předmět: |
Attitude of Health Personnel
Nurse Midwives Diet and obesity Midwifery Body Weight Maintenance Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Weight management Humans Medicine Maternal Health Services 030212 general & internal medicine Nutrition Self-efficacy 030219 obstetrics & reproductive medicine Nutrition and Dietetics business.industry Public Health Environmental and Occupational Health Obstetrics and Gynecology Prenatal Care Workload Original Articles Service provider medicine.disease Obesity United Kingdom Obesity Management Pregnancy Complications Evaluation Studies as Topic Pediatrics Perinatology and Child Health Female Clinical Competence Thematic analysis RG business Qualitative research |
| Zdroj: | Matern Child Nutr BASE-Bielefeld Academic Search Engine |
| ISSN: | 1740-8695 |
| Popis: | Midwives are responsible for providing advice regarding the complex issues of healthy eating and weight management during pregnancy. This study utilised an inductive data-driven thematic approach in order to determine midwives’ perceptions, knowledge and experiences of providing healthy eating and weight management advice to pregnant women. Semi-structured interviews with 17 midwives were transcribed verbatim and data subjected to thematic analysis. The findings offer insight into the challenges facing midwives in their role trying to promote healthy eating and appropriate weight management to pregnant women. Three core themes were identified: 1) “If they eat healthily it will bring their weight down”: Midwives Misunderstood; 2) “I don’t think we are experienced enough”: Midwives Lack Resources and Expertise, and 3) “BMI of 32 wouldn’t bother me”: Midwives Normalised Obesity. The midwives recognised the importance of providing healthy eating advice to pregnant women and the health risks associated with poor diet and obesity. However, they reported the normalisation of obesity in pregnant women and suggested that this, together with their high workload and lack of expertise, explained the reasons why systematic advice was not in standard antenatal care. In addition, the current lack of UK clinical guidance, and thus possibly lack of clinical leadership, are also preventing delivery of tailored advice. Implementation literature on understanding the barriers to optimal healthcare delivery and informing clinical practice through research evidence needs to be further investigated in this field. This study has recommendations for policy makers, commissioners, service providers and midwives. Keywords: midwives, pregnancy, obesity, healthy eating, qualitative, self-efficacy |
| Databáze: | OpenAIRE |
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