University of Canberra, Faculty of Health, Canberra, Australian Capital Territory, Australia.
University of Canberra, Faculty of Health, Canberra, Australian Capital Territory, Australia.
Women Birth. 2021 Sep;34(5):e461-e467. doi: 10.1016/j.wombi.2020.09.009. Epub 2020 Sep 15.
The amount of weight gained in pregnancy has the potential to impact the health of a woman and her baby in the short and long term. The existing literature demonstrates that women identify several barriers and enablers to maintain healthy weight gain in pregnancy. Understanding these barriers and enablers assists practitioners and maternity services to better support women to maintain healthy gestational weight gain.
While the existing literature is largely focussed on women who are overweight or obese, this paper aims to explore the experiences of women from a range of pre-pregnancy body mass index (BMI) categories regarding their weight gain in pregnancy.
Fifteen women from the Australian Capital Territory participated in semi-structured interviews in the postpartum period to explore the barriers and enablers for healthy weight gain in pregnancy. Qualitative data were analysed using descriptive thematic analysis techniques.
Women identified several barriers and enablers to maintain healthy weight gain in pregnancy. These included pregnancy-related physiological changes, personal and cultural attitudes and beliefs, availability of psychological support, social and community networks, attitudes and advice from their treating health professionals, and availability of education.
This study is consistent with existing literature in confirming that women experience a range of personal, social, and cultural factors that impact upon weight gain in pregnancy. Participants identified inconsistent education and advice regarding gestational weight gain. This has clinical implications for clinicians and maternity services for improvement in the education and support of pregnant women regarding weight gain in pregnancy.
孕期体重的增加量有可能对母婴的短期和长期健康产生影响。现有文献表明，女性在维持孕期健康体重增加方面存在多种障碍和促进因素。了解这些障碍和促进因素有助于从业者和产妇服务机构更好地支持女性维持健康的妊娠期体重增加。
尽管现有文献主要关注超重或肥胖的女性，但本文旨在探讨不同孕前 BMI 类别女性在孕期体重增加方面的体验，探讨健康孕期体重增加的障碍和促进因素。
来自澳大利亚首都领地的 15 名女性在产后期间参与了半结构化访谈，以探讨孕期健康体重增加的障碍和促进因素。使用描述性主题分析技术对定性数据进行分析。
女性在孕期维持健康体重增加方面确定了几个障碍和促进因素。这些因素包括与怀孕相关的生理变化、个人和文化态度和信念、心理支持的可获得性、社会和社区网络、治疗健康专业人员的态度和建议，以及教育的可获得性。
本研究与现有文献一致，证实女性在孕期体重增加方面经历了一系列个人、社会和文化因素的影响。参与者认为关于孕期体重增加的教育和建议不一致。这对临床医生和产妇服务机构具有临床意义，需要改进对孕妇关于孕期体重增加的教育和支持。
