Department of Primary Health Care and General Practice.
Department of Medicine, University of Otago, Wellington, New Zealand.
Health Promot Int. 2019 Jun 1;34(3):469-478. doi: 10.1093/heapro/dax098.
Pregnancy has always been a life-changing event for women and their families, but societal concern about pregnancy and motherhood has become intense in the digital age. The role of health promotion agencies and others supplying health-related resources about lifestyle behaviours is both important and in need of scrutiny. Ever increasing advice for pregnant women, their families and health professionals, abounds. This study of decision making during pregnancy investigated how women made everyday decisions during pregnancy about food and drink, as well as dietary supplements and medications, alcohol and recreational drugs. This qualitative interview study was a side-arm to a double-blind randomized, placebo-controlled trial conducted with pregnant women in Wellington New Zealand, 2013-2016. Data from interviews with 20 women were analysed using inductive thematic analysis. In relation to decision-making about lifestyle behaviours, five themes emerged-Information about food; Wanted and unwanted advice; Worry, anxiety and indecision; Making daily decisions about food; Changes in decision making over time. Participating women talked more about food selection and restriction advice than any other lifestyle topic. Analysis demonstrated concern about information accuracy and overload from multiple, diverse sources. Women described learning how to assess resource credibility, how to develop decision-making skills, and who to trust. The study raises important questions about how the health information environment, despite best intentions, can be confusing or potentially harmful. The study underlines the continued importance of the role health professionals have in not only interpreting information to discuss individualized advice, but also in empowering pregnant women to develop lifestyle-related decision-making skills.
怀孕对于女性及其家庭来说一直是一个改变人生的事件，但在数字时代，社会对怀孕和母亲身份的关注变得愈发强烈。促进健康的机构和其他提供与生活方式行为相关健康资源的机构，其作用至关重要，也需要受到严格审查。现在有越来越多的建议针对孕妇、她们的家人和保健专业人员，其中不乏一些建议。本研究调查了女性在怀孕期间如何就食物和饮料、膳食补充剂和药物、酒精和娱乐性药物做出日常决策，以了解怀孕期间的决策过程。这项定性访谈研究是 2013-2016 年在新西兰惠灵顿对孕妇进行的一项双盲随机、安慰剂对照试验的辅助研究。对 20 名女性的访谈数据使用归纳主题分析进行了分析。在与生活方式行为决策相关的主题中，有五个主题出现：关于食物的信息；想要和不想要的建议；担忧、焦虑和犹豫不决；每天决定食物；随着时间的推移改变决策。参与研究的女性比其他任何生活方式话题都更多地谈论了食物选择和限制建议。分析表明，她们对信息准确性和来自多个不同来源的信息过载感到担忧。女性描述了如何评估资源可信度、如何培养决策技能以及信任谁的过程。该研究提出了一些重要的问题，即健康信息环境尽管意图良好，但如何可能会令人困惑或潜在地有害。该研究强调了健康专业人员的作用仍然很重要，他们不仅要解释信息以讨论个性化建议，还要授权孕妇发展与生活方式相关的决策技能。
