Exploring obstetricians’, midwives’ and general practitioners’ approach to weight management in pregnant women with a BMI ≥25 kg/m 2 : a qualitative study

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dc.contributor.author Flannery, Caragh
dc.contributor.author McHugh, Sheena M.
dc.contributor.author Kenny, Louise C.
dc.contributor.author O'Riordan, Mairead N.
dc.contributor.author McAuliffe, Fionnuala M.
dc.contributor.author Bradley, Colin P.
dc.contributor.author Kearney, Patricia M.
dc.contributor.author Byrne, Molly
dc.date.accessioned 2019-02-14T12:09:54Z
dc.date.available 2019-02-14T12:09:54Z
dc.date.issued 2019
dc.identifier.citation Flannery, C., McHugh, S. M., Kenny, L. C., O’Riordan, M. N., McAuliffe, F. M., Bradley, C., Kearney, P. M. and Byrne, M. (2019) 'Exploring obstetricians’, midwives’ and general practitioners’ approach to weight management in pregnant women with a BMI ≥25 kg/m 2 : a qualitative study', BMJ Open, 9(1), 8 pp. e024808. DOI: 10.1136/bmjopen-2018-024808 en
dc.identifier.volume 9 en
dc.identifier.issued 1 en
dc.identifier.startpage e024808-1 en
dc.identifier.endpage e024808-8 en
dc.identifier.issn 2044-6055
dc.identifier.uri http://hdl.handle.net/10468/7496
dc.identifier.doi 10.1136/bmjopen-2018-024808
dc.description.abstract Objective: The aim of this study was to explore healthcare professionals’ (HCPs) beliefs and attitudes towards weight management for pregnant women with a body mass index (BMI) ≥25 kg/m2. Design: Qualitative study. Setting: A public antenatal clinic in a large academic maternity hospital in Cork, Ireland, and general practice clinics in the same region. Participants: HCPs such as hospital-based midwives and consultant obstetricians and general practitioners (GPs). Method: Semistructured interviews were conducted with a purposive sample of hospital-based HCPs and a sample of GPs working in the same region. Interviews were recorded, transcribed and thematically analysed using NVivo software. Results: Seventeen HCPs were interviewed (hospital based=10; GPs=7). Four themes identified the complexity of weight management in pregnancy and the challenges HCPs faced when trying to balance the medical and psychosocial needs of the women. HCPs acknowledged weight as a sensitive conversation topic, leading to a ‘softly-softly approach’ to weight management. HCPs tried to strike a balance between being woman centred and empathetic and medicalising the conversation. HCPs described ‘doing what you can with what you have’ and shifting the focus to managing obstetric complications. Furthermore, there were unclear roles and responsibilities in terms of weight management. Conclusion: HCPs need to have standardised approaches and evidence-based guidelines that support the consistent monitoring and management of weight during pregnancy. en
dc.description.sponsorship Health Research Board (SPHeRE/2013/1) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BMJ Publishing Group en
dc.relation.uri https://bmjopen.bmj.com/content/bmjopen/9/1/e024808.full.pdf
dc.rights © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.subject Weight management in pregnancy en
dc.subject Health care practitioners en
dc.subject Antenatal en
dc.title Exploring obstetricians’, midwives’ and general practitioners’ approach to weight management in pregnant women with a BMI ≥25 kg/m 2 : a qualitative study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Caragh Flannery, School of Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: cflannery@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMJ Open en
dc.internal.IRISemailaddress cflannery@ucc.ie
dc.identifier.articleid e024808
dc.identifier.articleid e024808


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© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Except where otherwise noted, this item's license is described as © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ
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