Division of Nutritional Sciences, University of Nottingham, Nottingham, UK.
J Hum Nutr Diet. 2012 Aug;25(4):378-87. doi: 10.1111/j.1365-277X.2012.01231.x. Epub 2012 Feb 17.
Being overweight or obese during pregnancy increases the risk of maternal morbidity and mortality attributed to pregnancy-related complications and also poses risks to the baby. The present study explores the information and advice given to pregnant women of different prepregnancy body mass index (BMI) classifications.
Women with singleton pregnancies and members of the National Childbirth Trust were invited to take part in the study via either National Childbirth Trust antenatal classes or e-mail invitation. A questionnaire was developed to collect quantitative and qualitative data. The number of times that women from different BMI groups were weighed, whether weight gain, diet or exercise advice was received, as well as knowledge of weight gain recommendations was compared using Mann-Whitney U-tests and chi-squared tests. Qualitative data were analysed by thematic content analysis.
Sixty women took part in the study with complete data set available for 59 of them. The majority of participants (84.1%) were weighed at least once during pregnancy; overweight/obese women were weighed significantly more times than those who were underweight/normal weight (P = 0.014). Only 25.4% of women received weight gain advice; 64.3% received diet/exercise advice from a healthcare source. No significant difference was found with respect to whether advice was received or not when comparing BMI groups. Underweight/normal weight women tended to underestimate, whereas those who were overweight or obese overestimated weight gain recommendations. Themes derived from the qualitative data were: weight gain advice wanted, diet and exercise advice wanted, lack of advice and support, and anxiety.
Advice women receive antenatally on weight gain, diet and exercise is brief and generally not related to weight management. Clearer, more detailed and personalised advice is wanted, particularly on weight gain. A lack of advice and support from healthcare professionals leads women to seek information for themselves from potentially un-regulated sources, and also to feelings of anxiety in some cases.
怀孕期间超重或肥胖会增加与妊娠相关并发症相关的产妇发病率和死亡率的风险，也会对婴儿造成风险。本研究探讨了不同孕前体重指数（BMI）分类孕妇所获得的信息和建议。
通过全国生育信托产前班或电子邮件邀请，邀请单胎妊娠的妇女和全国生育信托的成员参加研究。开发了一份问卷来收集定量和定性数据。使用 Mann-Whitney U 检验和卡方检验比较了不同 BMI 组的女性称重次数、是否收到体重增加、饮食或运动建议以及对体重增加建议的了解。通过主题内容分析对定性数据进行分析。
60 名妇女参加了这项研究，其中 59 名妇女提供了完整的数据。大多数参与者（84.1%）在怀孕期间至少称过一次体重；超重/肥胖的女性称重次数明显多于体重不足/正常的女性（P = 0.014）。只有 25.4%的女性收到了体重增加建议；64.3%的女性从医疗保健来源收到了饮食/运动建议。在比较 BMI 组时，没有发现是否收到建议的差异。体重不足/正常体重的女性往往低估，而超重或肥胖的女性则高估体重增加建议。从定性数据中得出的主题是：想要体重增加、饮食和运动建议，缺乏建议和支持，以及焦虑。
孕妇在产前获得的关于体重增加、饮食和运动的建议简短且通常与体重管理无关。想要更清晰、更详细和个性化的建议，特别是关于体重增加的建议。医疗保健专业人员缺乏建议和支持，导致女性从潜在不受监管的来源自行获取信息，并且在某些情况下还会感到焦虑。
