Department of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.
Acta Obstet Gynecol Scand. 2013 Sep;92(9):1101-7. doi: 10.1111/aogs.12186. Epub 2013 Jun 24.
To examine the experience of women with a pre-pregnant BMI >30 kg/m², in their encounters with healthcare professionals during pregnancy.
Qualitative study using a phenomenological methodology approach.
Face-to-face interviews with pregnant women in their own home who were referred from their general practitioner to specialist antenatal follow-up at their local hospital.
Sixteen women with pre-pregnant BMI >30 kg/m².
Qualitative in-depth interviews. Participant's experiences of their encounters with health care professionals were recorded verbatim, transcribed and analysed using a phenomenological approach.
Two main themes were identified, an accusatorial response from healthcare professionals and a lack of advice and helpful information on how being obese and pregnant might affect the women's health and that of their child.
Pregnant women with obesity may experience prejudice from healthcare professionals. These women felt they were treated with a lack of respect, an accusatorial response, and the feeling that information which could have been helpful was not forthcoming. Communication between obese pregnant woman and healthcare professionals appears to be lacking. Improved training in communication skills, less judgemental behaviour and better dissemination of information from healthcare professionals working with pregnant women with obesity are needed.
探讨孕前 BMI>30kg/m²的女性在妊娠期间与医护人员接触时的体验。
采用现象学方法的定性研究。
在孕妇家中进行面对面访谈，这些孕妇是由全科医生转诊到当地医院进行专科产前随访的。
16 名孕前 BMI>30kg/m²的孕妇。
定性深入访谈。详细记录参与者与医护人员接触的体验，使用现象学方法对其进行转录和分析。
确定了两个主要主题，医护人员的指责性反应以及缺乏关于肥胖和怀孕如何影响女性及其子女健康的建议和有用信息。
肥胖孕妇可能会受到医护人员的偏见。这些女性觉得自己受到了不尊重的对待，受到了指责，而且本可以提供有用的信息却没有提供。肥胖孕妇与医护人员之间的沟通似乎存在不足。需要改善与肥胖孕妇合作的医护人员在沟通技巧、减少评判性行为和更好地传播信息方面的培训。
