School of Psychology, The University of Adelaide, South Australia, Australia.
School of Psychology, The University of Adelaide, South Australia, Australia.
Women Birth. 2021 Sep;34(5):e493-e497. doi: 10.1016/j.wombi.2020.09.025. Epub 2020 Oct 17.
Obesity is a significant global health issue, especially for reproductive-aged women. Women who enter pregnancy overweight or obese are at increased risk of a range of adverse reproductive, maternal, and child health outcomes. The preconception period has been recognised as a critical time to intervene to improve health outcomes for women and their children. Despite this recognition, adequate information is significantly lacking in relation to women's health experiences, behaviours, and information preferences to inform the development of high-quality preconception intervention strategies.
This study aimed to examine women's perspectives of barriers, enablers, and strategies for addressing overweight and obesity before conception.
Using a qualitative research design, twelve multiparous women, aged between 32 and 43 years, who considered themselves to be overweight or obese were interviewed. Data were analysed using thematic analysis.
Three themes were identified in relation to barriers: lack of information and knowledge, time constraints, and affordability. The following four themes emerged with respect to enablers and strategies: knowledge provision, accountability and motivation, regular contact, and habit formation.
Key factors to incorporate in women-centred interventions for preconception weight loss include multi-faceted knowledge provision and practical affordable methods for supporting healthy behaviours. Interventions should integrate techniques for ensuring regular contact with support networks, to enhance accountability, motivation, and facilitate habit formation. Further research is now being conducted by our team to co-design interventions and strategies informed by these findings.
肥胖是一个全球性的健康问题，尤其是对育龄妇女而言。超重或肥胖的孕妇在生育、母婴和儿童健康方面面临着一系列不良后果的风险增加。孕前阶段已被认为是一个重要的干预时期，可以改善妇女及其子女的健康结果。尽管有了这种认识，但在妇女的健康体验、行为和信息偏好方面，仍然缺乏足够的信息来为制定高质量的孕前干预策略提供依据。
本研究旨在探讨超重和肥胖妇女在怀孕前面临的障碍、促进因素和解决策略。
采用定性研究设计，对 12 名年龄在 32 岁至 43 岁之间、自认为超重或肥胖的多产妇进行了访谈。使用主题分析对数据进行分析。
在障碍方面，确定了三个主题：缺乏信息和知识、时间限制和负担能力。关于促进因素和策略，出现了以下四个主题：知识提供、问责制和动机、定期联系和习惯形成。
在以妇女为中心的孕前减肥干预措施中，纳入的关键因素包括多方面的知识提供以及支持健康行为的实用且负担得起的方法。干预措施应整合确保与支持网络定期联系的技术，以提高问责制、动机并促进习惯形成。我们的团队正在进行进一步的研究，以根据这些发现共同设计干预措施和策略。
