scholarly journals Humanized care in high-risk prenatal care: nurses’ perceptions

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e44521
Author(s):  
Herla Maria Furtado Jorge ◽  
Raimunda Magalhães da Silva ◽  
Maria Yolanda Makuch
Keyword(s):  
High Risk ◽  
Pain Relief ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Structured Interviews ◽  
Personalized Care ◽  
Analysis Technique ◽  
Maternity Hospitals ◽  
Educational Groups ◽  
Nurses Perceptions

Objective: to unveil nurses’ perceptions about humanized care in high-risk prenatal care. Methods: a qualitative study, with six nurses who worked in high-risk prenatal care. Data collection took place using semi-structured interviews. To analyze the results, the content analysis technique was used. Results: the adoption of humanized care consisted of actions related to user embracement, personalized care, dialogue with pregnant women and the establishment of a trustful relationship. The main humanization practices were guided visits to maternity hospitals; creating educational groups; the use of non-pharmacological methods for pain relief during labor; and encouraging companion support. Conclusion: participating nurses understood the humanization concept and associated humanization practices to the embracement of pregnant women, guided visits, personalized care, guidance on the use of non-pharmacological methods and the promotion of connections with pregnant women.

scholarly journals Sífilis na gestação: perspectivas e condutas do enfermeiro

2017 ◽  
Vol 11 (12) ◽  
pp. 4875
Author(s):  
Jacqueline Targino Nunes ◽  
Ana Caroline Viana Marinho ◽  
Rejane Marie Barbosa Davim ◽  
Gabriela Gonçalo de Oliveira Silva ◽  
Rayane Saraiva Félix ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Age Group ◽  
Structured Interviews ◽  
Categorical Analysis ◽  
Analysis Technique ◽  
Compulsory Notification

RESUMOObjetivos: discutir as ações do enfermeiro na atenção pré-natal a gestantes com sífilis e identificar dificuldades encontradas pelos profissionais na adesão ao tratamento das gestantes e parceiros. Método: estudo qualitativo, tipo descritivo-exploratório, desenvolvido com quatro mulheres na faixa etária entre 40 e 55 anos, com a produção de dados a partir de entrevistas semiestruturadas, analisada pela Técnica Análise Conteúdo na modalidade Análise Categorial. Resultado: das falas emergiram três categorias << Ações dos enfermeiros no acompanhamento à gestante com sífilis >>; << Aspectos que dificultam a eficácia no tratamento da sífilis gestacional >>; << Importância da notificação compulsória da sífilis >>. Conclusão: a ação do enfermeiro às gestantes com sífilis tem condutas adequadas segundo o Ministério da Saúde. Nas dificuldades ao tratamento citaram falta do medicamento, resistência das gestantes e tratamento doloroso. A notificação compulsória foi identificada apenas na unidade de referência, dificultando a real incidência de gestantes com sífilis e deficiências na qualidade da assistência. Descritores: Enfermeiro; Pré-Natal; Gestante; Saúde da Mulher; Neurossífilis; Sífilis Congênita.ABSTRACT Objectives: to discuss nurses' actions in prenatal care for pregnant women with syphilis and to identify difficulties found by professionals in adhering to the treatment of pregnant women and their partners. Method: this is a qualitative study, descriptive-exploratory type, developed with four women in the age group between 40 and 55 years old, with the production of data from semi-structured interviews, analyzed by the Content Analysis Technique in the Categorical Analysis modality. Result: three categories of nurses' actions in the follow-up of pregnant women with syphilis emerged from the speeches: << Aspects that hinder effectiveness in the treatment of gestational syphilis >>; << Importance of compulsory notification of syphilis >>. Conclusion: the nurse's action on pregnant women with syphilis has adequate behavior according to the Ministry of Health. In the difficulties to treatment, they mentioned lack of medication, the resistance to pregnant women and painful treatment. Compulsory notification was identified only in the reference unit hindering the real incidence of pregnant women with syphilis and deficiencies in the quality of care. Descriptors: Nurse; Prenatal Care; Pregnancy; Women´s Health; Neurosyphilis; Congenital Syphilis.RESUMENObjetivos: discutir las acciones del enfermero en la atención prenatal a gestantes con sífilis e identificar dificultades encontradas por los profesionales en la adherencia al tratamiento de las gestantes y compañeros. Método: estudio cualitativo, tipo descriptivo-exploratorio, desarrollado con cuatro mujeres entre 40 y 55 años, con la producción de datos a partir de entrevistas semi-estructuradas, analizada por la Técnica Análisis de Contenido en la modalidad Análisis Categorial. Resultado: de los discursos surgieron tres categorías << Acciones de los enfermeros en el acompañamiento a la gestante con sífilis >>; << Aspectos que dificultan la eficacia en el tratamiento de sífilis gestacional >>; << Importancia de la notificación compulsoria de sífilis >>. Conclusión: la acción del enfermero a las gestantes con sífilis tienen conductas adecuadas según el Ministerio de la Salud. En las dificultades al tratamiento citaron falta de medicamento, resistencia de las gestantes y tratamiento doloroso. La notificación compulsoria fue identificada apenas en la unidad de referencia dificultando la real incidencia de gestantes con sífilis y deficiencias en la calidad de la asistencia. Descriptores: Enfermería; Atención Prenatal; Embarazo; Salud de la Mujer; Neurosífilis; Sífilis Congénita.

scholarly journals Características do pré-natal na perspectiva de mulheres atendidas em unidades de atenção primária à saúde

2018 ◽  
Vol 12 (2) ◽  
pp. 337
Author(s):  
Leidiene Ferreira Santos ◽  
Sayonara Serafim de Brito ◽  
Cintia Flôres Mutti ◽  
Nayane De Sousa Silva Santos ◽  
Danielle Rosa Evangelista ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
Structured Interviews ◽  
Primary Health ◽  
Analysis Technique ◽  
Minimum Number ◽  
Las Mujeres

RESUMOObjetivo: descrever as características da assistência pré-natal na perspectiva das usuárias do serviço em Unidades de Atenção Primária à Saúde. Método: estudo qualitativo, descritivo, exploratório, em que participaram 17 mulheres internadas em uma maternidade pública. A produção de dados aconteceu por meio de entrevistas do tipo semiestruturada e os depoimentos foram submetidos à técnica de Análise de Conteúdo. Resultados: a análise dos depoimentos resultou na proposição das categorias “Assistência inadequada às gestantes atendidas nas Unidades de Atenção Primária à saúde” e “Construção de vínculo entre equipe de saúde e gestantes atendidas nas Unidades de Atenção Primária à Saúde”. Conclusão: apesar de, no Brasil, existirem inúmeras políticas públicas que garantam à gestante o mínimo de consultas e atendimento humanizado, as mulheres percebem que, na prática, isso nem sempre acontece. Há falhas na oferta e implementação de serviços às gestantes. Descritores: Assistência à Saúde; Atenção Primária à Saúde; Cuidado Pré-Natal; Gestante.ABSTRACTObjective: to describe the characteristics of prenatal care from the perspective of the users of the service in Primary Health Care Units. Method: a qualitative, descriptive, exploratory study involving 17 women hospitalized in a public maternity hospital. The data production took place through semi-structured interviews, and the statements were submitted to the Content Analysis technique. Results: the analysis of the testimonies resulted in the proposition of the categories "Inadequate care for pregnant women attended to Primary Health Care Units" and "Construction of a link between the health team and pregnant women attending the Primary Health Care Units". Conclusion: although, there are many public policies in Brazil that guarantee the minimum number of consultations and humanized care, women realize that, this is not always the case in practice. There are flaws in the provision and implementation of services to pregnant women. Descriptors: Delivery of Health Care; Primary Health Care; Prenatal Care; Pregnant Women.RESUMENObjetivo: describir las características de la asistencia prenatal en la perspectiva de las usuarias del servicio en Unidades de Atención Primaria a la Salud. Método: estudio cualitativo, descriptivo, exploratorio, en el que participaron 17 mujeres internadas en una maternidad pública. La producción de datos se produjo por medio de entrevistas del tipo semiestructurada, y los testimonios fueron sometidos a la técnica de Análisis de Contenido. Resultados: el análisis de los testimonios resultó en la proposición de las categorías "Asistencia inadecuada a las gestantes atendidas en las Unidades de Atención Primaria a la salud" y "Construcción de vínculo entre equipo de salud y gestantes atendidas en las Unidades de Atención Primaria a la Salud". Conclusión: a pesar de, que en Brasil, existan innumerables políticas públicas que garanticen a la gestante el mínimo de consultas y atención humanizada, las mujeres perciben que, en la práctica, eso ni siempre sucede. Hay fallas en la oferta e implementación de servicios a las gestantes. Descriptores: Prestación de Atención de Salud; Atención Primaria de Salud; Atención Prenatal; Mujeres Embarazadas.

scholarly journals Visita domiciliar no pré-natal: expectativas de gestantes de alto risco

2020 ◽  
Vol 14 ◽  
Author(s):  
Leticia De Oliveira Castro ◽  
Bruna Felisberto De Souza ◽  
Bruna De Souza Lima Marski ◽  
Maria Emília Pereira Lopes ◽  
Paula Renata Miranda Dos Santos ◽  
...  
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Health Professionals ◽  
Home Visit ◽  
Individual Interviews ◽  
Risk Pregnancy ◽  
Analysis Technique ◽  
Comprehensive Health ◽  
Las Mujeres

Objetivo: analisar as expectativas de gestantes de alto risco acerca da visita domiciliar enquanto parte do pré-natal. Método: trata-se de um estudo qualitativo, descritivo, desenvolvido sob o referencial do Interacionismo Simbólico. Realizou-se a coleta de dados com dez gestantes de alto risco, por meio de entrevistas individuais gravadas em dispositivo de áudio digital, transcrevendo-as posteriormente em sua íntegra. Sofreram-se, pelo texto derivado da transcrição, os processos analíticos da técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: elucida-se que as expectativas são de poder dialogar com profissionais de saúde as necessidades não correspondidas nas práticas de pré-natal. Elencaram-se duas categorias temáticas: << Diálogo continuado com profissional de saúde >> e << Acolhimento informacional >>, que apresentam os pormenores. Conclusão: infere-se que o estudo dá visibilidade às insuficiências relacionais nas práticas de pré-natal a gestantes de alto risco e revela-se a prospecção dessas mulheres em ser a visita domiciliar contraponto a tal lacuna. Descritores: Visita Domiciliar; Gravidez de Alto Risco; Cuidado Pré-Natal; Pesquisa Qualitativa; Relações Profissional-Paciente; Integralidade em Saúde.AbstractObjective: to analyze the expectations of high-risk pregnant women regarding home visits as part of prenatal care. Method: this is a qualitative, descriptive study, developed under the framework of Symbolic Interactionism. Data collection was carried out with ten high-risk pregnant women, through individual interviews recorded on a digital audio device, later transcribing them in their entirety. Due to the text derived from the transcription, the analytical processes of the Content Analysis technique under the Thematic Analysis modality were suffered. Results: it is clarified that the expectations are to be able to dialogue with health professionals about the unmet needs in prenatal practices. Two thematic categories were listed: << Continued dialogue with health professionals >> and << Informational reception >>, which present the details. Conclusion: it is inferred that the study gives visibility to relational insufficiencies in prenatal practices to high-risk pregnant women and reveals the prospect of these women to be the home visit counterpoint to this gap. Descriptors: Home Visit; High-Risk Pregnancy; Prenatal Care; Qualitative Research; Professional Patient Relationships; Comprehensive Health Care.ResumenObjetivo: analizar las expectativas de las mujeres embarazadas de alto riesgo con respecto a las visitas domiciliarias como parte de la atención prenatal. Método: es un estudio cualitativo, descriptivo, desarrollado en el marco del Interaccionismo Simbólico. La recopilación de datos se realizó con diez mujeres embarazadas de alto riesgo, a través de entrevistas individuales grabadas en un dispositivo de audio digital, que luego se transcribieron en su totalidad. Debido al texto derivado de la transcripción, se sufrieron los procesos analíticos de la técnica de Análisis de Contenido bajo la modalidad de Análisis Temático. Resultados: se aclara que las expectativas son poder dialogar con profesionales de la salud sobre las necesidades no satisfechas en las prácticas prenatales. Se enumeraron dos categorías temáticas: << Diálogo continuo con profesionales de la salud >> y << Recepción informativa >>, que presentan los detalles. Conclusión: se infiere que el estudio da visibilidad a las insuficiencias relacionales en las prácticas prenatales para mujeres embarazadas de alto riesgo y revela la posibilidad de que estas mujeres sean el contrapunto de visitas domiciliarias a esta brecha. Descriptores: Visita Domiciliaria; Embarazo de Alto Riesgo; Atención Prenatal; Investigación Cualitativa; Relaciones Profesional-Paciente; Integralidad en Salud.

The experiences of maternity in front of hospitalization in high risk pregnances

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ciciliotti da Silva ◽  
B Heintze Ferreira ◽  
D Fraga Santos ◽  
F Fernandes ◽  
Bersot Magalhães ◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
High Risk Pregnancy ◽  
Structured Interviews ◽  
The Public ◽  
Prenatal Consultation ◽  
Risk Pregnancy ◽  
Specialized Care

Abstract Introduction The pregnancy-puerperal cycle is defined as a moment that involves physical, psychological and social changes. There are pregnancies that require specialized care and attention due to the presence of risk factors that may be prior to pregnancy and / or that may be associated with the pregnancy condition itself, which characterize them as high-risk pregnancies. Currently, prenatal care with risk stratification is the main care strategy for pregnant women, once the risk classification is identified, it is possible to promote interventions according to the health needs of each pregnant woman. For this, the risk assessment is carried out at each prenatal consultation, so that, depending on the course of pregnancy, hospitalization becomes necessary. The diagnosis of high-risk pregnancies accompanied by hospitalization has impacts on the woman's life, such as loss of autonomy, a sense of failure and the incidence of greater care and interventions by the health team and the family that can configure practices to control their bodies. Objective This work aims to identify the hospitalization process during high-risk pregnancy as a space for the production of projects, resistance and protagonism through the protocols and regulations that configure the hospital context. Methodology This is an exploratory analysis of a qualitative approach in public health. A reference maternity hospital in high-risk pregnancy located in a teaching hospital in Greater Vitória was chosen. It will be used to define sampling for convenience. The data will be collected through semi-structured interviews and on-site observations by the researcher. The data analysis methodology used will be content analysis. Expected Results It is expected to understand the various practices of protagonism and resistance that permeate the care of hospitalized pregnant women. Key messages This work has an impact on the improvement of the maternal and child care network of the public health system in Brazil. This work allows to evaluate the quality of the assistance provided in the public maternity.

scholarly journals Case management as a high-risk prenatal care strategy

2019 ◽  
Vol 72 (3) ◽  
pp. 692-699
Author(s):  
Leticia Gramazio Soares ◽  
Ieda Harumi Higarashi
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Health Services ◽  
Case Management ◽  
Pregnant Women ◽  
Prenatal Case Management ◽  
Management Method ◽  
South Of Brazil ◽  
Care Study ◽  
Complex Cases

ABSTRACT Objective: to discuss the benefits of using high-risk prenatal case management. Method: a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. Results: case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. Final considerations: case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.

scholarly journals A assistência pré-natal das trabalhadoras rurais na estratégia saúde da família

2017 ◽  
Vol 11 (12) ◽  
pp. 4970
Author(s):  
Lucimare Ferraz ◽  
Paula Marco Marchiori ◽  
Patricia Pereira Oliveira
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Rural Areas ◽  
Family Health ◽  
Medical Professional ◽  
Women Farmers ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

RESUMO Objetivo: conhecer a assistência pré-natal desenvolvida na Estratégia Saúde da Família. Método: estudo descritivo, de abordagem qualitativa, com a participação de gestantes, médicos e enfermeiros do meio rural. A coleta de dados foi por meio de entrevistas semiestruturadas e a análise por meio da técnica de Análise de conteúdo na modalidade Análise Temática. Resultados: constatou-se que as consultas de pré-natal são centradas no profissional médico, que os profissionais de saúde não abordam o ambiente e o processo de trabalho das gestantes agricultoras e, nas orientações, evidenciou-se que o processo de comunicação entre os profissionais e a gestante precisa ser melhorado. Conclusão: a assistência ao pré-natal de baixo risco na Estratégia Saúde da Familia no meio rural é focada no modelo Biomédico, sendo que poucos profissionais (re)conhecem o ambiente e os processos de trabalho das gestantes agricultoras. Descritores: Trabalhadores Rurais; Cuidado Pré-Natal; Estratégia Saúde da Família. ABSTRACTObjective: to know prenatal care developed in the Family Health Strategy. Method: this is a descriptive study with a qualitative approach, with the participation of pregnant women, doctors and nurses from rural areas. The data collection was through semi-structured interviews and the analysis through the technique of Content Analysis in the Thematic Analysis modality. Results: it was verified that the prenatal consultations are focused on the medical professional, that the health professionals do not approach the environment and the work process of pregnant farmers. The guidelines showed that the process of communication between the professionals and the pregnant woman needs to be improved. Conclusion: low-risk prenatal care in the Family Health Strategy in rural areas is focused on the Biomedical model, and few professionals recognize/know the environment and the work processes of pregnant women farmers. Descriptors: Rural Workers; Prenatal Care; Family Health Strategy.RESUMENObjetivo: conocer la asistencia prenatal desarrollada en la Estrategia Salud de la Familia. Método: estudio descriptivo, de enfoque cualitativo, con la participación de gestantes, médicos y enfermeros del área rural. La recolección de datos fue por medio de entrevistas semi-estructuradas y el análisis por medio de la técnica de Análisis de contenido en la modalidad Análisis Temático. Resultados: se constató que las consultas de prenatal son centradas en el profesional médico, que los profesionales de salud no enfocan el ambiente y el proceso de trabajo de las gestantes agricultoras. En las orientaciones se evidenció que el proceso de comunicación entre los profesionales y la gestante precisa ser mejorado. Conclusión: la asistencia al prenatal de bajo riego en la Estrategia Salud de la Familia en el área rural es enfocada en el modelo Biomédico, siendo que pocos profesionales (re) conocen el ambiente y los procesos de trabajo de las gestantes agricultoras. Descriptores: Trabajadores Rurales; Atención Prenatal; Estrategia de Salud Familiar.

CONSULTA DE ENFERMAGEM NO PRÉ-NATAL DE BAIXO RISCO NA ESTRATÉGIA SAÚDE DA FAMÍLIA

2018 ◽  
Vol 7 (2) ◽  
pp. 223-235
Author(s):  
Rita De Cássia Gubert Trajano ◽  
Luciane Bisognin Ceretta ◽  
Maria Tereza Soratto
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Family Health ◽  
Field Research ◽  
Final Analysis ◽  
Low Risk ◽  
Health Unit ◽  
Structured Interviews ◽  
Santa Catarina ◽  
Integrated Health

Estudo com o objetivo de introduzir a consulta de enfermagem no pré-natal de baixo risco em uma unidade integrada de saúde, bem como descrever a experiência de mulheres grávidas no atendimento pré-natal de baixo risco nas consultas. A enfermeira está amparada por lei para realizar a consulta de enfermagem contribuindo dessa forma, para uma melhor qualidade nas orientações à gestante, diminuição do número de consultas para a médica ginecologista, maior vínculo com a gestante, como também, dar maior autonomia para que a enfermeira da unidade possa desenvolver ações de educação em saúde durante o pré-natal. Pesquisa de abordagem qualitativa, descritiva, exploratória e de campo. O estudo foi desenvolvido em um município do Extremo Sul de Santa Catarina. Foi aplicada entrevista semiestruturada com duas profissionais da equipe multiprofissional e sete gestantes. A análise dos dados foi realizada a partir da análise de conteúdo, por meio de categorização dos dados, com a ordenação, classificação e análise final dos dados pesquisados. O resultado da pesquisa evidenciou a importância da implantação da consulta de enfermagem durante o período pré-natal, pois contribui significativamente na qualidade das orientações às gestantes, o contato e o vínculo entre profissional e gestante se ampliam, e, por conseguinte, estabelece-se uma relação maior de acolhimento e humanização para com as gestantes.Palavras-chave: Cuidado Pré-Natal. Cuidados de Enfermagem. Gestação. THE NURSING CONSULTATION ON PRENATAL LOW-RISK IN THE FAMILY HEALTH STRATEGYABSTRACT: This study aims to introduce the nursing appointment in the low risk prenatal in an integrated health unit and it also aims to describe the experience of pregnant women in the low risk prenatal care, in its medical appointments. The law supports the nurse to perform the nursing appointment, thus contributing to a better quality in the orientations for pregnant women and to the decreased number of visits to the gynecologist. The nursing appointment can also collaborates to create a closer bond with the pregnant women and give more autonomy to the nurse of the integrated health unit to develop health educational actions during the prenatal. The approach of this field research is qualitative, descriptive and exploratory. This study was developed in a town in the extreme south of Santa Catarina state. It was applied semi structured interviews with two professionals of the multi-professional team and seven pregnant women. The data analysis was performed from the content analysis, by means of the categorization of data, with the ordination, classification and final analysis of surveyed data. The result of this research evidenced the importance of the implementation of nursing appointments during the low risk prenatal period because it contributes significantly in the quality of the orientations for pregnant women. The contact and the bond between the professional and the pregnant women are extended, and therefore is established a greater relationship of reception and humanization with pregnant women, seeking to create confidence and security ties during prenatal care.Keywords: Prenatal Care. Nursing Care. Pregnancy.

Developing an Effective Communications Campaign to Reach Pregnant Women at High Risk of Late or No Prenatal Care

2006 ◽  
Vol 12 (4) ◽  
pp. 35-50 ◽  
Author(s):  
Patricia A. Doyle ◽  
Barbara C. Bird ◽  
Steve Appel ◽  
Donna Parisi ◽  
Perdietha Rogers ◽  
...  
Keyword(s):  
High Risk ◽  
Prenatal Care ◽  
Pregnant Women

scholarly journals Prenatal care experiences among pregnant women with obesity in Wisconsin, United States: a qualitative quality improvement assessment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Danielle J. Hurst ◽  
Nicholas B. Schmuhl ◽  
Corrine I. Voils ◽  
Kathleen M. Antony
Keyword(s):  
United States ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Perinatal Care ◽  
The United States ◽  
Structured Interviews ◽  
Large Size ◽  
Midwest Region ◽  
Positive Experiences

Abstract Background Stigma and bias experienced during prenatal care can affect quality of care and, ultimately, the health of pregnant women with obesity and their infants. We sought to 1) better understand the bias and stigma that women with BMIs ≥40 kg/m2 experience while receiving prenatal care, 2) gauge women’s interest in group prenatal education for women with obesity, and 3) gather feedback about their preferred weight-related terminology. Methods We conducted and thematically content-analyzed 30 semi-structured interviews of women with BMIs ≥40 kg/m2 who received prenatal care at a university-affiliated teaching hospital in the Midwest region of the United States. Results All women recalled positive experiences during their perinatal care during which they felt listened to and respected by providers. However, many also described a fear of weight-related bias or recalled weight-based discrimination. Women reacted favorably to a proposed group prenatal care option for pregnant women with obesity that focused on nutrition, physical activity, and weight management. Women rated “weight” and “BMI” as the most desirable terms for describing weight, while “large size” and “obesity” were rated least desirable. Conclusions Many pregnant women with BMIs ≥40 kg/m2 experience bias in the prenatal care setting. Potential steps to mitigate bias towards weight include improving provider awareness of the experiences and perspectives of this population, expanding prenatal care options targeted towards women with high BMIs, including group care, and using patient-preferred weight-related terminology. Through the remainder of this manuscript, wherever possible, the term “high BMI” will be used in place of the term “obesity” to describe women with BMI ≥ 30 kg/m2 in order to respect the preferred terminology of the women we interviewed.

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