Lived experiences of routine antenatal dietetic services among women with obesity: A qualitative phenomenological study |
| |
| Affiliation: | 1. Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, England NE2 4AX, United Kingdom;2. Health and Social Care Institute, School of Health & Social Care, Teesside University, Middlesbrough, Tees Valley, England TS1 3BX, United Kingdom;3. Gateshead NHS Foundation Trust, Queen Elizabeth Avenue, Sheriff Hill, Gateshead, Tyne and Wear, England NE9 6SX, United Kingdom;4. School of Medicine, Pharmacy and Health, Durham University, Stockton on Tees, England TS17 6BH, United Kingdom;1. Centre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood 3125, Victoria, Australia;2. Mater Research Institute - University of Queensland, Mothers & Babies Theme, Level 3, Aubigny Place, Raymond Terrace, South Brisbane, Queensland, Australia;3. Department of Nutrition & Dietetics, Mater Mothers Hospital, Raymond Terrace, South Brisbane, Queensland, Australia;1. School of Health Sciences, Faculty of Health and Medicine, Priority Research Centre in Physical Activity and Nutrition, The University of Newcastle, Australia;2. School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Australia;3. Department of Nutrition and Dietetics, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia;1. Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Belgium;2. Department of Development and Regeneration KU Leuven, University of Leuven, Leuven, Belgium;3. Faculty of Health and Social Work, Research Unit Healthy Living, UC Leuven-Limburg, Belgium;4. Department of Obstetrics and Gynecology, University Hospitals KU Leuven, Leuven, Belgium;5. Department of Obstetrics, Gynecology and Fertility, GZA Sint-Augustinus, Wilrijk, Belgium;1. Deakin University, GEELONG, Australia, School of Psychology, Locked Bag 20000, Geelong, VIC 3220, Australia;2. Monash Centre for Health Research and Implementation, Locked bag 29, Clayton 3168, Australia;3. Deakin University, GEELONG, Australia, Deakin Business School, Locked Bag 20000, Geelong, VIC 3220, Australia;4. Graduate School of Public Health and Health Policy, City University of New York, 55W. 125th Street, New York, NY 10027, United States;1. Port Macquarie Base Hospital, Wrights Road, NSW, Australia;2. The University of Newcastle, University Drive, Callaghan, NSW, Australia |
| |
| Abstract: | Objectiveto understand the lived experiences and views of being referred to an antenatal dietetic service from the perspective of pregnant women with obesity.Designa qualitative, interpretive approach using one-to-one in-depth interviews to explore the lived experience of pregnant women with obesity following referral to an antenatal dietetics service. Thematic content analysis was carried out by two researchers independently to develop data-driven themes.Settingone NHS Trust maternity and dietetic services, North East England, UK.Participantsfifteen pregnant women with a booking body mass index ≥30 kg/m2 attending an obesity-specific antenatal dietetic service. All women were White, parity between 0 and 2, and BMI range 30–51 kg/m2.Findingsfour themes were identified. (1) Women's overall experience of the service: experiences were predominately positive with only two negative cases identified. (2) Process of referral: women placed importance on informative and in-person communication about the service, with health professionals, at the point of referral. (3) Delivery of the service: dietitians were considered to be the experts and women wanted more frequent contact. (4) Content of the service: tailored advice enabled behaviour change, and women desired increased physical activity support and weight monitoring.Key conclusionswomen reported an overall positive experience and thought that dietitians were the expert health professionals to support them. Women in this study felt that tailoring advice specific to their personal circumstances helped them implement changes, and had a strong interest in the nutritional benefits for fetal development. Women considered weight monitoring to be a positive element of the service; however, further research is required given the limited and conflicting evidence-base.Implications for practiceit is important to incorporate women's experiences in the development and delivery of antenatal weight management services to facilitate person-centred care. Communication by health professionals at the point of referral is particularly important to provide accurate expectations of services and to reduce anxieties. Dietitians are considered to be appropriate experts to deliver these services, although they may need additional support to address women's physical activity needs in pregnancy. |
| |
| Keywords: | Obesity Body mass index Dietetic Qualitative Experience Pregnancy |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
