LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Furness, Penny J; Arden, Madelynne A; Duxbury, Alexandra M S; Hampshaw, Susan M; Wardle, Carrie; Soltani, Hora (2015)
Publisher: Sciedu Press
Languages: English
Types: Article
Subjects:

Classified by OpenAIRE into

mesheuropmc: education
Prevalence of maternal obesity is increasing, with health risks for mother and infant. Effective health promotion depends on sufficient knowledge and appropriate communication skills. We aimed to explore women's, midwives' and health visitors' perceptions of current practice in helping women manage their weight and supporting healthy behaviour change during pregnancy, and their perceived training needs. A modified grounded theory methodology was adopted, based upon critical realist assumptions. Following consultation events with fifty six practitioners to inform data collection tools, twenty (different) practitioners and nine women participated in focus groups. Comparative analysis generated four themes: A core theme, “Discouraging discourses”, described health professionals’ negative beliefs and reactive approach to communicating about weight. “Staff resources” identified limitations in and requirements for practitioner knowledge, skills and tools for effective communication. “Contextual influences” were social factors, which hindered practitioners’ efforts to achieve healthy behaviour change. “Communicating as a Team” identified the importance of and challenges to a team approach. Findings have implications for weight management in pregnancy, practitioner resources, teamwork, and national health promotion campaigns.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • [1] Obesity and overweight [Internet]. 2003. Available from: http://www.who.int/dietphysicalactivity/media/en/ gsfs_obesity.pdfhttp://shulinks.shu.ac.uk/?sid=Re fworks%3ASheffield%20Hallam%20Universi&charset=utf -8&__char_set=utf8&genre=article&aulast=World%20He alth%20Organisation%20(WHO)&date=2003&volume=2014 &issue=02%2F07&atitle=Obesity%20and%20Overweight&a u=World%20Health%20Organisation%20(WHO)%20&
    • [2] Heslehurst N, Rankin J, Wilkinson J, Summerbell C. A nationally representative study of maternal obesity in england, UK: Trends in incidence and demographic inequalities in 619 323 births, 1989-2007. Int J Obes. 2010; 34(3): 420-8. PMID:20029373 http: //dx.doi.org/10.1038/ijo.2009.250
    • [3] Carmichael S, Abrams B, Selvin S. The pattern of maternal weight gain in women with good pregnancy outcomes. Am J Public Health. 1997 Dec; 87(12): 1984-8. PMID:9431288 http://dx.doi.org /10.2105/AJPH.87.12.1984
    • [4] Watkins ML, Rasmussen SA, Honein MA, Botto LD, Moore CA. Maternal obesity and risk for birth defects. Pediatrics. 2003; 111: 1152-8. PMID:12728129
    • [5] Weiss JL, Malone FD, Emig D, Ball RH, Nyberg DA, Comstock CH, et al. Obesity, obstetric complications and cesarean delivery rate-a population-based screening study. Obstet Gynecol. 2004; 190(4): 1091-7. PMID:15118648 http://dx.doi.org/10.1016/j.ajo g.2003.09.058
    • [6] Confidential Enquiries into Maternal and Child Health (CEMACH). Saving mothers' lives: Reviewing maternal deaths to make motherhood safer. The seventh report of the confidential enquiries into maternal deaths in the United Kingdom. Findings of a National Enquiry: England, Wales and Northern Ireland.CEMACH: London. 2007.
    • [7] Sebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, et al. Maternal obesity and pregnancy outcome: A study of 287,213 pregnancies in London. Int J Obes. 2001; 25: 1175- 82. PMID:11477502 http://dx.doi.org/10.1038/sj.ijo.08 01670
    • [8] Gunderson EP, Abrams B, Selvin S. The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy. Int J Obes. 2000; 24(12): 1660-8. http://dx.doi.org/10.1038/sj.ijo.0801456
    • [9] Siega-Riz AM, Evenson KR, Dole N. Pregnancy-related weight gain-A link to obesity? Nutr Rev. 2004; 62(s2): S105- 11. PMID:15387475 http://dx.doi.org/10.1111/j.1753-4 887.2004.tb00079.x
    • [10] Walker LO. Managing excessive weight gain during pregnancy and the postpartum period. JOGNN. 2007; 36(5): 490- 500. PMID:17880322 http://dx.doi.org/10.1111/j.1552-6 909.2007.00179.x
    • [11] Oken E, Taveras EM, Kleinman KP, Rich-Edwards JW, Gillman MW. Gestational weight gain and child adiposity at age three years. Am J Obstet Gynecol. 2007; 196(4): e1-e8. PMID:17403405 http: //dx.doi.org/10.1016/j.ajog.2006.11.027
    • [12] Wiles R. I'm not fat, I'm pregnant. In: Wilkinson S, Kitzinger C, editors. Women and Health: Feminist Perspectives. London: Taylor Francis; 1994; 33-48.
    • [13] Phelan S. Pregnancy: A “teachable moment” for weight control and obesity prevention. Obstet Gynecol. 2010; 202(2): 135. e1-e8.
    • [14] Clarke PE, Gross H. Women's behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery. 2004; 20(2): 133-41. PMID:15177856 http://dx.doi.org/10.1016 /j.midw.2003.11.003
    • [15] Department of Health. Midwifery 2020: Delivering expectations. London: Chief Nursing Officers of England, Northern Ireland, Scotland and Wales, Department of Health. 2010.
    • [16] Brown A, Avery A. Healthy weight management during pregnancy: What advice and information is being provided. J Hum Nutr Diet. 2012; 25(4): 378-87. PMID:22339766 http://dx.doi.org/10. 1111/j.1365-277X.2012.01231.x
    • [17] Women's experiences of maternity care in England: Key findings from the 2010 NHS trust survey [Internet]. 2010. Available from: http://www.cqc.org.uk/maternitysurvey2010.cfm.htt p://shulinks.shu.ac.uk/?sid=Refworks%3ASheffield%2 0Hallam%20Universi&charset=utf-8&__char_set=utf8&g enre=article&aulast=Royal%20College%20Midwives&dat e=2010&atitle=%C2%A0Women%E2%80%99s%20experiences% 20of%20maternity%20care%20in%20England%3A%20Key%20 findings%20from%20the%202010%20NHS%20trust%20surve y.%C2%A0http%3A%2F%2Fwww.cqc.org.uk%2Fmaternitysur vey2010.cfm.&au=Royal%20College%20Midwives%20&
    • [18] NICE. Dietary interventions and physical activity interventions for weight management before, during and after pregnancy. London: National Institute for Health and Clinical Excellence; 2010. Report No. PH27.
    • [19] Furness P, McSeveny K, Arden M, Garland C, Dearden A, Soltani H. Maternal obesity support services: A qualitative study of the perspectives of women and midwives. BMC Preg Childbirth. 2012; 11(1): 69. PMID:21982306 http://dx.doi.org/10.1186/147 1-2393-11-69
    • [20] Oteng-Ntim E, Pheasant H, Khazaezadeh N, Mohidden A, Bewley S, Wong J, et al. Developing a community-based maternal obesity intervention: A qualitative study of service providers' views. Brit J Obstet Gynaec. 2010; 117(13): 1651-5. PMID:21125707 http://dx.doi.org/10.1111/j.1471-0528.2010.02730.x
    • [21] Bhaskar R. A realist theory of science. Hemel Hempstead: Harvester Wheatsheaf; 1975.
    • [22] Altheide DL, Johnson JM. Reflections on interpretive adequacy in qualitative research. In: Denzin NK, Lincoln YS, editors. The SAGE Handbook of Qualitative Research. 4th ed. Thousand Oaks, CA: Sage; 2011; 581-94.
    • [23] Houston S. Prising open the black box: Critical realism, action research and social work. Qual Soc Work. 2010; 9(1): 73-91. http: //dx.doi.org/10.1177/1473325009355622
    • [24] Danermark B, Ekstrom M, Jakobsen L, Karlsson J. Explaining Society: Critical Realism in the Social Sciences. London: Routledge; 2002.
    • [25] Glaser B, Strauss A. Discovery of Grounded Theory: Strategies for Qualitative Research. Mill Valley, CA: Sociology Press; 1967.
    • [26] Charmaz K. Constructing Grounded Theory. 2nd ed. London: Sage Publications Ltd; 2014.
    • [27] Charmaz K. Shifting the Grounds: Constructivist Grounded Theory Methods. In: Morse JM, Stern PN, Corbin JM, Bowers B, Clarke AE, editors. Developing Grounded Theory: The Second Generation. Walnut Creek, CA: University of Arizona Press; 2009; 127-54.
    • [28] Oliver C. Critical realist grounded theory: A new approach for social work research. Brit J Soc Work. 2012; 42: 371-87. http: //dx.doi.org/10.1093/bjsw/bcr064
    • [29] Charmaz K. Grounded Theory Methods in Social Justice Research. In: Denzin NK, Lincoln YS, editors. The SAGE Handbook of Qualitative Research. 4th ed. Thousand Oaks, CA: Sage; 2011; 359-80.
    • [30] Corbin J, Strauss A. Basics of Qualitative Research. 3rd ed. Thousand Oaks, CA: Sage Publications; 2008.
    • [31] Glaser B. Doing Grounded Theory: Issues and Discussions. Mill Valley, CA: Sociology Press; 1998.
    • [32] Lichtman M. Qualitative Research for the Social Sciences. Thousand Oaks, CA: Sage Publications Ltd; 2014.
    • [33] EHealth profile 2012 Doncaster OOCE [Internet]. 2012. Available from: http://www.apho.org.uk/resource/item.aspx?RID =117063http://shulinks.shu.ac.uk/?sid=Refworks%3AS heffield%20Hallam%20Universi&charset=utf-8&__char_ set=utf8&genre=article&aulast=The%20Association%20 of%20Public%20Health%20Observatories&date=2012&vol ume=20%2F01%2F2014&atitle=HeHealth%20Profile%20201 2%20Doncaster%20OOCE&au=The%20Association%20of%20P ublic%20Health%20Observatories%20&
    • [34] Local authority adult excess weight prevalence data (2012) [Internet]. 2014. Available from: http://www.noo.org.uk/vis ualisationhttp://shulinks.shu.ac.uk/?sid=Refworks %3ASheffield%20Hallam%20Universi&charset=utf-8&__c har_set=utf8&genre=article&aulast=Public%20Health% 20England&date=2014&volume=2014&issue=02%2F07&ati tle=Local%20Authority%20Adult%20Excess%20Weight%20 Prevalence%20Data%20(2012)&au=Public%20Health%20En gland%20&
    • [35] The Monday clinic: Implementing a maternal obesity service [Internet]. Available from: http://www.nice.org.uk/usingg uidance/sharedlearningimplementingniceguidance/exa mplesofimplementation/eximpresults.jsp?o=410http: //shulinks.shu.ac.uk/?sid=Refworks%3ASheffield%20H allam%20Universi&charset=utf-8&__char_set=utf8&gen re=article&aulast=National%20Institute%20for%20Cli nical%20Excellence%20(NICE)&volume=2014&issue=02% 2F07&atitle=The%20Monday%20Clinic%3A%20Implementin g%20a%20maternal%20obesity%20service.%20&au=Nation al%20Institute%20for%20Clinical%20Excellence%20(NI CE)%20&
    • [36] Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychology. 2006; 3(2): 77-101. http://dx.doi.org/10.1191 /1478088706qp063oa
    • [37] Olander EK, Atkinson L, Edmunds JK, French DP. The views of pre-and post-natal women and health professionals regarding gestational weight gain: An exploratory study. Sex Reprod Healthcare. 2011; 2(1): 43-8. PMID:21147458 http://dx.doi.org/10.10 16/j.srhc.2010.10.004
    • [38] Heslehurst N, Russell S, McCormack S, Sedgewick G, Bell R, Rankin J. Midwives perspectives of their training and education requirements in maternal obesity: A qualitative study. Midwifery. 2013; 29: 736-44. PMID:22951422 http://dx.doi.org/10.10 16/j.midw.2012.07.007
    • [39] Olander EK, Atkinson L. Obese women's reasons for not attending a weight management service during pregnancy. Acta Obstetrics et Gynecologica Scandinavica. 2013; 92: 1227-30. PMID:23763541
    • [40] Tailor A, Ogden J. Avoiding the term 'obesity': An experimental study of the impact of doctors' language on patients' beliefs. Patient Educ Couns. 2009; 76(2): 260-4. PMID:19167856 http: //dx.doi.org/10.1016/j.pec.2008.12.016
    • [41] Wiles R. The views of women of above average weight about appropriate weight gain in pregnancy. Midwifery. 1998; 14(4): 254-60. http://dx.doi.org/10.1016/S0266-6138(98)90098-5
    • [42] Heslehurst N, Lang R, Rankin J, Wilkinson J, Summerbell C. Obesity in pregnancy: A study of the impact of maternal obesity on NHS maternity services. Brit J Obstet Gynaec. 2007; 114(3): 334- 42. PMID:17261124 http://dx.doi.org/10.1111/j.1471-0 528.2006.01230.x
    • [43] Farrar D, Butterfield G, Palethorpe R, Jones V, Syson J. Nutrition advice in pregnancy. Pract Midwife. 2013; 16(9): 13-7. PMID:24358595
    • [44] Patel C, Atkinson L, Olander EK. An exploration of obese pregnant women's views of being referred by their midwife to a weight management service. Sex Reprod Healthcare. 2013; 4: 139- 40. PMID:24216042 http://dx.doi.org/10.1016/j.srhc.20 13.10.006
    • [45] Arden M, Duxbury AMS, Soltani H. Responses to gestational weight management guidance: A thematic analysis of comments made by women in online parenting forums. BMC Preg Childbirth. 2014; in press. PMID:24981024 http://dx.doi.org/10.1186 /1471-2393-14-216
    • [46] Fitzsimons KJ, Modder J. Setting maternity care standards for women with obesity in pregnancy. Semin Fetal Neonatal Med; Elsevier; 2010.
    • [47] Ferraro ZM, Boehm KS, Gaudet LM, Adamo KB. Counseling about gestational weight gain and healthy lifestyle during pregnancy: Canadian maternity care providers' self-evaluation. Int J Women Health. 2013; 5: 629. PMID:24109200 http://dx.doi.org/10. 2147/IJWH.S49422
    • [48] Stengel MR, Kraschnewski JL, Hwang SW, Kjerulff KH, Chuang CH. “What my doctor didn't tell me”: Examining health care provider advice to overweight and obese pregnant women on gestational weight gain and physical activity. Women Health Iss. 2012; 22(6): e535-40. PMID:23122213 http://dx.doi.org/10.1016 /j.whi.2012.09.004
    • [49] Lincoln Y, Guba EG. Naturalistic Inquiry. Beverly Hills, CA: Sage; 1985.
    • [50] Thomas E, Magilvy JK. Qualitative rigor or research validity in qualitative research. J Specialists Pediatr Nurs. 2011; 16: 151-5. PMID:21439005 http://dx.doi.org/10.1111/j.174 4-6155.2011.00283.x
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article