Jones Catriona, Jomeen Julie
Department of Midwifery and Child Health, Faculty of Health Sciences, University of Hull, Hull, UK.
Department of Midwifery and Child Health, Faculty of Health Sciences, University of Hull, Hull, UK.
Midwifery. 2017 Oct;53:87-95. doi: 10.1016/j.midw.2017.07.011. Epub 2017 Jul 17.
this paper is a report of a systematic review and meta-ethnography of the experiences of women with body mass index (BMI) ≥ 30kg/m² and their experience of maternity care.
systematic review methods identified 12 qualitative studies about women's experiences of maternity care when their BMI ≥ 30kg/m². Findings from the identified studies were synthesised into themes, using metaethnography. SYNTHESIS AND FINDINGS: the meta-ethnography produced four key concepts; Initial encounters, Negotiating risk, Missing out and The positive intervention, which represent the experiences of maternity care for women with BMI ≥ 30kg/m² KEY CONCLUSION: many women with BMI ≥ 30kg/m² appear to be dissatisfied with the approaches taken to discuss weight status during maternity encounters. When weight is not addressed during these encounters women appear to be equally dissatisfied. The absence of open and honest discussions about weight, the feeling of being denied of a normal experience, and an over emphasis on the risks imposed upon pregnancy and childbirth by obesity, leave women feeling dissatisfied and disenfranchised. Sensitive care and practical advice about diet and exercise can help women move towards feeling more in control of their weight management.
本文是一项关于体重指数（BMI）≥30kg/m² 的女性的经历及其孕产护理体验的系统评价和元民族志报告。
系统评价方法确定了12项关于BMI≥30kg/m² 的女性孕产护理体验的定性研究。使用元民族志将已确定研究的结果综合为主题。
元民族志产生了四个关键概念；初次接触、风险协商、错失和积极干预，这些代表了BMI≥30kg/m² 的女性的孕产护理体验。
许多BMI≥30kg/m² 的女性似乎对孕产期间讨论体重状况的方式不满意。当这些接触中未提及体重时，女性似乎同样不满意。缺乏关于体重的坦诚讨论、被剥夺正常体验的感觉以及过度强调肥胖给怀孕和分娩带来的风险，让女性感到不满和被剥夺权利。敏感的护理以及关于饮食和运动的实用建议可以帮助女性更好地控制体重管理。
