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Johnson
M, Campbell F, Messina J, Preston L, Buckley Woods H, Goyder E.
School
of Health and Related Research (ScHARR), University of Sheffield, United
Kingdom. Electronic address: m.johnson@sheffield.ac.uk.
BACKGROUND: increasing overweight and
obesity rates in pregnant women present health risks to mother and unborn
infant.
OBJECTIVES: to identify barriers and
facilitators to implementing and carrying out maternal weight management
interventions.
SEARCH
STRATEGY: searches
were carried out in medical, midwifery and nursing databases, augmented by hand
searching of midwifery journals.
SELECTION
CRITERIA: articles
were included that were published in the UK after 1990, with a focus on women's
and health professional's views about weight management during pregnancy.
DATA
COLLECTION AND ANALYSIS:
from 6423 citations, 126 full text papers were retrieved. Of these, 18
(reporting 17 studies) fulfilled the inclusion criteria. Included papers were
assessed for quality. Reported findings were analysed and synthesised using
thematic analysis.
MAIN
RESULTS: a major
theme was access to relevant and appropriate information; advice was reported
as vague or inadequate. Overweight or obese women reported feelings of
stigmatisation during routine examinations. Health professionals reported a
reluctance to discuss weight with larger women. Perceived risk to the fetus as
well as changes in women's physiological responses to pregnancy, were reported barriers
to optimal physical activity and dietary intake. Perceptions of control were
related to women's feelings about their body image.
CONCLUSION: evidence suggests that the
complexity of interactions with advice sources, bodily changes, feelings of control,
as well as perceived risks may explain the relative ineffectiveness of weight
management interventions during pregnancy. Focusing on healthy diet and
physical activity levels may be more useful and less stigmatising than focusing
on weight
sumber : www.ncbi.nlm.nih.gov
Tags: kumpulan jurnal kebidanan
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