Women with a BMI ≥ 30 kg/m² and their experience of maternity care: A meta ethnographic synthesis |
| |
| Institution: | 1. Primary Health Care, Rehabilitation Olskroken, SE-41665 Göteborg, Sweden;2. Institute of Physiology and Neuroscience, The Sahlgrenska Academy, University of Gothenburg, Box 430, SE-40530 Göteborg, Sweden;3. Institute of Clinical Sciences, Department of Obsterics and Gynecology, The Sahlgrenska Academy, SE-41605 Göteborg, Sweden;4. Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Box 457, SE-40530 Göteborg, Sweden;5. Primary Health Care, Research and Development Unit Närhälsan Gothenburg, Region of Västra Götaland SE-41118 Göteborg, Sweden;1. Centre for Public Health, School of Medicine, Dentistry & Biomedical Sciences, Queen''s University Belfast, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom;2. School of Biological Sciences, Dublin Institute of Technology, Kevin Street, Dublin 8, Ireland;3. UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Cork Street, Dublin 8, Ireland;1. Department of Medical and Health Sciences, Linköping University, SE 581 83 Linköping, Sweden;2. Department of Obstetrics and Gynaecology, Department of Clinical and Experimental Medicine, Linköping University, SE 581 83 Linköping, Sweden;1. Centre for Applied Biological and Exercise Sciences, Coventry University, Priory Street, Coventry, UK;2. School of Psychological Sciences, University of Manchester, Oxford Road, Manchester, UK;3. School of Health Sciences, City University London, Northampton Square, London, UK |
| |
| Abstract: | Objectivethis paper is a report of a systematic review and meta-ethnography of the experiences of women with body mass index (BMI) ≥ 30 kg/m² and their experience of maternity care.Methodsystematic review methods identified 12 qualitative studies about women's experiences of maternity care when their BMI ≥ 30 kg/m². Findings from the identified studies were synthesised into themes, using metaethnography.Synthesis and findingsthe meta-ethnography produced four key concepts; Initial encounters, Negotiating risk, Missing out and The positive intervention, which represent the experiences of maternity care for women with BMI ≥ 30 kg/m²Key conclusionmany women with BMI ≥ 30 kg/m² appear to be dissatisfied with the approaches taken to discuss weight status during maternity encounters. When weight is not addressed during these encounters women appear to be equally dissatisfied. The absence of open and honest discussions about weight, the feeling of being denied of a normal experience, and an over emphasis on the risks imposed upon pregnancy and childbirth by obesity, leave women feeling dissatisfied and disenfranchised. Sensitive care and practical advice about diet and exercise can help women move towards feeling more in control of their weight management |
| |
| Keywords: | Obesity Health Maternity Women Health care professionals |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
