scholarly journals Exploring obstetricians’, midwives’ and general practitioners’ approach to weight management in pregnant women with a BMI ≥25 kg/m2: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e024808 ◽  
Author(s):  
Caragh Flannery ◽  
Sheena McHugh ◽  
Louise C Kenny ◽  
Mairead N O’Riordan ◽  
Fionnuala M McAuliffe ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Pregnant Women ◽  
Weight Management ◽  
General Practitioners ◽  
Antenatal Clinic ◽  
Maternity Hospital ◽  
Psychosocial Needs ◽  
Roles And Responsibilities ◽  
Semistructured Interviews ◽  
Evidence Based Guidelines

ObjectiveThe 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.DesignQualitative study.SettingA public antenatal clinic in a large academic maternity hospital in Cork, Ireland, and general practice clinics in the same region.ParticipantsHCPs such as hospital-based midwives and consultant obstetricians and general practitioners (GPs).MethodSemistructured 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.ResultsSeventeen 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’ andshifting the focus to managing obstetric complications. Furthermore, there wereunclear roles and responsibilitiesin terms of weight management.ConclusionHCPs need to have standardised approaches and evidence-based guidelines that support the consistent monitoring and management of weight during pregnancy.

scholarly journals Barriers to weight management in pregnant mothers with obesity: a qualitative study on mothers with low socioeconomic background

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fahimeh Mehrabi ◽  
Najva Ahmaripour ◽  
Sara Jalali-Farahani ◽  
Parisa Amiri
Keyword(s):  
Public Health ◽  
Health Care ◽  
Qualitative Study ◽  
Pregnant Women ◽  
Weight Management ◽  
Socioeconomic Background ◽  
Theory Approach ◽  
Personal Factors ◽  
Care Providers ◽  
Low Socioeconomic

Abstract Background Maternal obesity is a public health issue that could affect both women’s and children’s health. This qualitative study aimed to identify barriers to weight management of pregnant women with obesity and low socioeconomic backgrounds. Methods The current qualitative study has been conducted using a grounded theory approach by analyzing data collected from in-depth interviews with clients of Tehran’s public health care centers for prenatal care. The criteria for selecting participants were excessive weight gain during the first two trimesters of pregnancy, low socioeconomic status, and willingness to share their experiences. A semi-structured guide consisting of open-ended questions was asked in a private room. Open, axial, and selective coding were applied to the data. Findings Four main themes emerged from data, each of which has some subcategories: 1) personal factors (unpleasant emotions and feelings, personal tastes/hobbies, workload and responsibilities, and history of diseases), 2) pregnancy status (unintended and high-risk pregnancy), 3) interpersonal relationships and support (lack of a spouse’s support and unhealthy role modeling of relatives), 4) socio-cultural factors/influences (social norms and values, lack of access to health services, and unreliable information channels). Conclusions This study provides an overview of the barriers to the weight management of pregnant women from low socioeconomic backgrounds. The results could help develop appropriate health strategies for low socioeconomic women with obesity. Also, health care providers for this group of women could use these findings as a guide to consider their conditions and background.

scholarly journals Prevalence of Intestinal Helminthic Infections in Pregnant Women Attending Antenatal Clinic in Abeokuta, Nigeria

2018 ◽  
pp. 1-7
Author(s):  
A. A. Adedotun ◽  
O. A. Awoyemi ◽  
J. A. Osiyemi ◽  
I. Popoola ◽  
A. A. Daramola ◽  
...  
Keyword(s):  
Pregnant Women ◽  
First Trimester ◽  
Antenatal Clinic ◽  
Maternity Hospital ◽  
Personal Hygiene ◽  
Stool Examination ◽  
Infection Prevalence ◽  
Helminthic Infections ◽  
Intestinal Infections ◽  
Poor Nutritional Status

Intestinal infections during pregnancies are recorded with common factors which include prenatal mortality, poor nutritional status, impaired growth, low birth weight, anaemia and disease burden. It is one of the major public health problems in developing nations. This survey was carried out with 100 pregnant women attending Oba Ademola II Maternity Hospital, Ijemo, Abeokuta, within six months to determine the infection prevalence, intensity, risk factors and packed cell volume (PCV) correlation. Determination of helminth was done by formo-ether sedimentation technique. Structured questionnaire was applied and analyzed using Analysis of variance (ANOVA). Results revealed the prevalence of Hookworm to be 18%, while that of Ascaris was 50%. Comparison of age between 18-45 years old and level of education was also taken into consideration. Personal hygiene was significantly associated with reduced likelihood of infection. From this study, it is evident that helminthic infections were prevalent among pregnant women. It is therefore recommended that antenatal clinics should incorporate routine stool examination for pregnant women to detect parasitic worms and refer positive cases for medical treatment and routine deworming of all pregnant women after the first trimester should also be encouraged.

scholarly journals General Practitioners’ Perceived Indicators of Vulnerability in Pregnancy- A Qualitative Study

2021 ◽  
Author(s):  
Louise Venø ◽  
Dorte Jarbøl ◽  
Line Pedersen ◽  
Jens Søndergaard ◽  
Ruth Ertmann
Keyword(s):  
Qualitative Study ◽  
Pregnant Women ◽  
General Practitioners ◽  
Social Resources ◽  
Focus Group Interviews ◽  
Future Studies ◽  
Broad Variety ◽  
General Practices ◽  
Group Interviews ◽  
In Pregnancy

Abstract Objective To explore general practitioners’ (GPs’) perceived indicators of vulnerability among pregnant women in primary care. Design A qualitative study with semi-structured in-depth focus group interviews. Setting General practices located in a mixture of urban, semi-urban and rural practices throughout the Region of Southern Denmark Subjects Twenty GPs between 32 and 56 years of age. Main outcome measures Through qualitative analysis and systematic text condensation of the interview data, the following themes emerged: (1) obvious indicators of vulnerability - i.e. somatic or psychological illnesses, or complex social problems and 2) intangible indicators of vulnerability – i.e. identification depended on the GPs’ gut-feeling. From the GPs’ perspective, the concept of vulnerability in pregnancy were perceived as the net result of risk factors and available individual and social resources, with a psychosocial etiology was the dominant framework. Conclusions The GPs demonstrated a broad variety of perceived indicators of vulnerability in pregnancy; most importantly, the GPs were aware of a group of pregnant women with intangible vulnerability. Despite not fitting into the GPs perceived concept of vulnerability, the GPs had a gut feeling that these women might be vulnerable. Misjudging the resources of pregnant women due to their physical appearance could delay the GPs’ identification of vulnerability. Future studies should explore the challenges GPs experiences when assessing vulnerability among pregnant women.

scholarly journals Primary care management of headaches and how direct-access MRI fits: a qualitative study of UK general practitioners’ views

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018169 ◽  
Author(s):  
Raphael Underwood ◽  
Rachael Kilner ◽  
Leone Ridsdale
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
General Practitioners ◽  
Psychological Symptoms ◽  
Direct Access ◽  
Radiology Reports ◽  
Semistructured Interviews ◽  
Care Family ◽  
Mri Scans ◽  
Headache Management

ObjectivesTo develop a better understanding of general practitioners’ (GPs) views and experiences of the management of patients with headaches and use of direct-access MRI scans, and observe outcomes of an educational session offered by a GP with a special interest (GPwSI) to GPs.DesignA qualitative study using semistructured interviews, analysed using thematic analysis. A GPwSI in headaches visited practices delivering a talk on headache medication, diagnosis and management.SettingSixteen (16) primary care family practices in South London, UK.ParticipantsTwenty (20) GPs.ResultsNot all GPs were aware of the availability of direct-access MRI, but all acknowledged having used referral or direct scans to manage patients’ concern about their headaches. A normal scan result helped resolve uncertainty for patient and GP and helped management towards discussion of preventative treatment. However, patients with psychological and/or severe headache symptoms could not necessarily be reassured. GPs reported difficulty interpreting radiology reports, particularly incidental abnormalities. Those who received the educational talk gained knowledge in diagnosis and medication, improving their confidence in management.ConclusionsIncreased access to imaging, training in headache management, addressing physical and psychological symptoms and standardised reporting of scans may improve GPs’ use of direct-access MRI in the future.

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