Postgraduate Program in Obstetrics and Gynecology, Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, BR-13083881 Campinas, São Paulo, Brazil.
Department of Medical Psychology and Psychiatry, School of Medical Sciences, University of Campinas, BR-13083881 Campinas, São Paulo, Brazil.
Nutrients. 2018 Jul 10;10(7):885. doi: 10.3390/nu10070885.
In postpartum, women experience major changes in their lives; they are forced to deal with new internal and external demands for attention and care for themselves and the baby. Postpartum feeding also suffers changes in this stage of life, because women find more barriers to healthy eating, which can put them at greater risk of overweight or obesity. This is a qualitative study, through in-depth semi-directed interviews in an intentional sample with postpartum women with obesity, closed by saturation and qualitative content analysis. Sixteen women were included. Three categories emerged from this analysis: (1) from pregnancy to postpartum: changes in body and eating behavior; (2) eating to fill the void of helplessness felt during the postpartum period; and (3) breastfeeding and baby feeding. Women with obesity eat to relieve unpleasant feelings during the postnatal period. The postpartum period is an opportune moment to introduce long-term changes in the eating behaviors and mental wellbeing of these women. Healthcare teams need to restructure to provide more focused follow-up care for women with obesity during the postnatal period in terms of their physical and emotional health.
产后，女性的生活经历重大变化；她们被迫应对新的内部和外部需求，既要照顾自己，又要照顾婴儿。产后喂养在这个阶段也会发生变化，因为女性发现健康饮食的障碍更多，这可能使她们面临更大的超重或肥胖风险。这是一项定性研究，通过对肥胖产后女性进行有针对性的、深入的半结构化访谈，在达到饱和并进行定性内容分析后结束。共纳入 16 名女性。该分析产生了三个类别：（1）从怀孕到产后：身体和饮食习惯的变化；（2）饮食填补产后无助感的空虚；（3）母乳喂养和婴儿喂养。肥胖女性通过饮食来缓解产后的不适情绪。产后是引入这些女性饮食行为和心理健康长期变化的契机。医疗保健团队需要进行重组，为产后肥胖女性提供更有针对性的身体和情绪健康随访护理。
