Centre for Public Health, School of Medicine, Dentistry & Biomedical Sciences, Queen's University Belfast, Institute Clinical Science A, Grosvenor Road, Royal Victoria Hospital, Belfast, BT12 6BA, UK.
Royal Jubilee Maternity Services, Belfast Health & Social Care Trust, Belfast, UK.
BMC Pregnancy Childbirth. 2020 May 29;20(1):328. doi: 10.1186/s12884-020-03011-w.
The UK does not currently have guidelines on gestational weight gain owing to gaps in the evidence base. Reintroducing routine weighing of women throughout pregnancy would begin to provide the evidence needed to fill this gap. The aim of this research was to re-introduce measurement of weight at each routine antenatal appointment in a small scale study, in order to determine the feasibility and acceptability of implementing the practice on a larger scale.
A feasibility study, incorporating quantitative and qualitative components, was conducted in one antenatal hospital clinic and with one community midwifery team. Thirty-eight pregnant women were recruited at their 20 week anomaly scan appointment and weighed at their appointments throughout the rest of their pregnancy; five participated in a telephone interview at approximately 37 weeks gestation. Data were collected on: numbers consenting to be weighed, reasons for declining to be weighed and number of weight measurements recorded. Qualitative interviews were used to explore acceptability of the practice to pregnant women.
Overall, 79.2% (38 out of 48) of those approached consented to being weighed throughout pregnancy; of the 10 who declined, three cited not wanting to be weighed. In the interviews, women discussed routine weighing as a positive experience, described several benefits of weighing and indicated they would like more information about weight during pregnancy. No major barriers to the integration of a weight measurement into routine antenatal appointments were encountered. Completion of the weight record sheets that were inserted into women's handheld notes varied between staff: of the 26 sheets recovered from handheld notes, only 3 (11.5%) had no weights recorded, 17 (65.4%) had between one and three weights recorded and six (23.1%) had more than 4 weights recorded.
In this feasibility study, routine weighing was acceptable to pregnant women. No barriers that would inhibit re-introduction of weighing women throughout pregnancy into standard antenatal care were encountered. Implementation of routine weighing during pregnancy on a larger scale should be considered as it may have benefits for women in the short and long-term, particularly with regard to informing appropriate gestational weight gain guidelines in the UK.
由于证据基础存在差距，英国目前没有关于妊娠期体重增加的指导方针。重新在整个孕期常规测量孕妇体重将有助于提供填补这一空白所需的证据。本研究的目的是在小规模研究中重新引入每次常规产前预约时测量体重，以确定在更大规模实施该实践的可行性和可接受性。
在一家产前医院诊所和一个社区助产士团队中进行了一项可行性研究，其中包括定量和定性部分。在 20 周异常扫描预约时招募了 38 名孕妇，并在整个孕期的其余时间在预约时称重；其中 5 名孕妇在大约 37 周妊娠时接受了电话访谈。收集的数据包括：同意称重的人数、拒绝称重的原因以及记录的体重测量次数。使用定性访谈来探讨该实践对孕妇的可接受性。
总体而言，79.2%（48 人中有 38 人）的被访者同意在整个孕期内称重；10 名拒绝者中有 3 名表示不想称重。在访谈中，女性将常规称重视为一种积极的体验，描述了称重的几个好处，并表示希望在怀孕期间获得更多有关体重的信息。在将体重测量纳入常规产前预约中没有遇到重大障碍。插入到女性手持笔记中的体重记录单的完成情况在工作人员之间有所不同：从手持笔记中回收的 26 张记录单中，只有 3 张（11.5%）没有记录体重，17 张（65.4%）记录了 1 到 3 次体重，6 张（23.1%）记录了超过 4 次体重。
在这项可行性研究中，常规称重得到了孕妇的认可。在重新引入整个孕期常规测量孕妇体重纳入标准产前护理方面，没有遇到任何障碍。应考虑在更大规模上实施孕期常规称重，因为这可能对短期和长期内的女性都有好处，特别是在为英国制定适当的妊娠期体重增加指南方面。
