School of Nursing & Midwifery, University of Western Sydney, Penrith New South Wales, Sydney, Australia.
Matern Child Nutr. 2013 Jul;9(3):309-21. doi: 10.1111/j.1740-8709.2011.00386.x. Epub 2011 Dec 13.
Studies of women's experiences of being overweight and pregnant are limited in the literature. Given the increasing rates of obesity in pregnant women, and the impact of being overweight on the health of the mother and the child, this qualitative descriptive study aimed to explore the perceptions and experiences of overweight pregnant women attending two maternity units in Sydney, Australia. Fourteen women aged between 25 and 42 years with a body mass index greater than 30 kg/m(2) participated in a face-to-face interview in their third trimester of pregnancy or in the early post-natal period. All interviews were recorded and transcribed. Field notes were also recorded following each interview. Data were analysed using thematic analysis. Four themes were identified in the data: 'being overweight and pregnant', 'being on a continuum of change', 'get alongside us' and finally 'wanting the same treatment as everyone else'. Most women recognised their weight as an issue both for their own health and well-being and for its impact on the baby. Women believed health professionals should address the issue of obesity with them but do so in a supportive and positive way that recognised their individual needs and expectations. Health professionals need to consider new approaches or models of care for overweight women that give them support and enable individual needs and expectations to be met. Culturally specific programs may also need to be developed.
关于超重孕妇体验的研究在文献中有限。鉴于孕妇肥胖率不断上升,以及超重对母亲和孩子健康的影响,本定性描述性研究旨在探讨澳大利亚悉尼的两家妇产科医院中超重孕妇的看法和体验。14 名年龄在 25 至 42 岁之间、体重指数大于 30 kg/m²的女性在怀孕第三个月或产后早期参加了面对面访谈。所有访谈都进行了录音和转录。每次访谈后还记录了现场笔记。使用主题分析对数据进行分析。数据中确定了四个主题:“超重和怀孕”、“处于不断变化的连续体中”、“支持我们”和“希望得到与其他人相同的待遇”。大多数女性认为自己的体重不仅对自己的健康和幸福,而且对婴儿的健康也有影响。妇女认为,卫生专业人员应该与她们讨论肥胖问题,但应以支持和积极的方式进行,承认她们的个人需求和期望。卫生专业人员需要考虑为超重女性提供支持的新方法或护理模式,以满足她们的个人需求和期望。可能还需要制定特定文化的计划。