Department of Health Informatics, Kyoto University Graduate School of Medicine & School of Public Health, Kyoto, Japan
Department of Women's Healthcare, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.
BMJ Open. 2020 Dec 10;10(12):e038585. doi: 10.1136/bmjopen-2020-038585.
This study aims to explore barriers to controlling gestational weight gain in pregnant Chinese women.
Data were collected through semistructured interviews with pregnant women experiencing excessive gestational weight gain who struggled with weight management, and the data were examined using an interpretive content analysis.
Fifty participants (≥18 years, with excessive gestational weight gain) were recruited when they visited the hospital for antenatal health checkups in Wuhan city (n=36) and Jinan city (n=14) between September and October 2018.
Interpretive content analysis identified 75 barriers after examining diet, physical activity levels and general issues stemming from knowledge and beliefs, and physical, social, logistical, emotional and structural characteristics. Compared with reported deductive codes, this study inductively extracted 15 new codes. The most frequent codes showed that expectant grandparents greatly influenced pregnant women's lifestyles, through overprotection, traditional and conservative ideas and practices, and a lack of reliable knowledge or acceptable guidance on gestational weight control.
This study provides a better understanding of the most important obstacles faced during decision making about gestational weight control in Chinese settings, especially the influence of traditional ideas/practices and expectant grandparents. Identifying the specific barriers to weight control should facilitate potential tailored supportive interventions. More efforts on health education for the whole family and a better use of maternal handbooks would be particularly beneficial.
本研究旨在探讨中国孕妇控制体重增加的障碍。
数据是通过对经历体重过度增加且在体重管理方面存在困难的孕妇进行半结构化访谈收集的，采用解释性内容分析法对数据进行了分析。
2018 年 9 月至 10 月，共有 50 名参与者（年龄≥18 岁，体重过度增加）在武汉（n=36）和济南（n=14）的医院进行产前健康检查时被招募。
在检查了饮食、体力活动水平以及知识和信念、身体、社会、后勤、情感和结构特征方面的一般问题后，解释性内容分析确定了 75 个障碍。与报告的演绎代码相比，本研究还归纳出了 15 个新代码。最常见的代码表明，准祖父母通过过度保护、传统和保守的观念和做法以及缺乏可靠的知识或可接受的孕期体重控制指导，极大地影响了孕妇的生活方式。
本研究更好地了解了中国背景下在进行孕期体重控制决策时面临的最重要障碍，特别是传统观念/实践和准祖父母的影响。确定控制体重的具体障碍应有助于制定有针对性的支持性干预措施。对整个家庭进行更多的健康教育以及更好地利用孕产妇手册将特别有益。
