The School of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
BJOG. 2011 Jun;118(7):779-89. doi: 10.1111/j.1471-0528.2011.02924.x. Epub 2011 Mar 9.
Maternal obesity (body mass index, BMI ≥ 30 kg/m(2) ) is a global public health issue. There is a dearth of evidence regarding an effective maternal care pathway for pregnant women with a BMI ≥ 30 kg/m(2).
This meta-synthesis aims to increase our understanding of the maternity experience for pregnant women with a BMI ≥ 30 kg/m(2).
Six electronic databases were searched using predefined search terms.
English-language studies using qualitative data to explore the maternity experience for women with a BMI ≥ 30 kg/m(2) were included (defined by a quality appraisal framework).
An interpretative approach was taken and the constructivist framework was central to the synthesis. Searches were conducted in September 2010, and resulted in six papers being synthesised.
Three cluster themes (eight initial themes) were highlighted: acceptance and inevitability of weight gain in pregnancy; depersonalisation of care as a result of medicalisation; and healthy lifestyle benefits for self and baby.
AUTHOR'S CONCLUSIONS: Pregnancy is an ideal period for health professionals to intervene, as women with a BMI ≥ 30 kg/m(2) perceive their weight as more acceptable than when they were not pregnant, and are aware of the benefits of having a healthy lifestyle. Antenatal care should include postnatal weight management advice, as this is the period when women with a BMI ≥ 30 kg/m(2) want to lose weight; this may enable subsequent pregnancies to start with a lower BMI. Such advice should be sensitive and tailored to the individual. Social representations theory provides a framework for understanding maternal obesity.
母体肥胖（体重指数，BMI≥30kg/m(2)）是一个全球性的公共卫生问题。对于 BMI≥30kg/m(2)的孕妇，有效的产妇护理途径缺乏证据。
本次荟萃分析旨在提高我们对 BMI≥30kg/m(2)孕妇的产妇体验的理解。
使用预设的搜索词搜索了六个电子数据库。
纳入了使用定性数据探讨 BMI≥30kg/m(2)孕妇产妇体验的英语研究（由质量评估框架定义）。
采用解释性方法，建构主义框架是综合的核心。搜索于 2010 年 9 月进行，结果综合了六篇论文。
突出了三个聚类主题（八个初始主题）：接受和不可避免的孕期体重增加；由于医学化导致的护理去人性化；以及对自己和婴儿健康生活方式的益处。
怀孕是健康专业人员进行干预的理想时期，因为 BMI≥30kg/m(2)的女性认为自己的体重比怀孕前更可接受，并且意识到健康生活方式的好处。产前护理应包括产后体重管理建议，因为这是 BMI≥30kg/m(2)的女性想要减肥的时期；这可能使随后的怀孕从较低的 BMI 开始。此类建议应该敏感并针对个人定制。社会代表理论为理解母体肥胖提供了一个框架。
