Provision of weight management advice for obese women during pregnancy: a survey of current practice and midwives' views on future approaches.

Matern Child Nutr

Centre for Public Health Nutrition Research, University of Dundee, Ninewells Hospital & Medical School, Dundee, UK NHS Tayside, Directorate of Public Health, Kings Cross, Clepington Road, Dundee, UK.

Published: October 2013

AI Article Synopsis

  • A survey of 241 midwives in NHS Tayside aimed to identify their practices and opinions on managing weight in obese pregnant women, with a response rate of 32% (78 midwives).
  • Most midwives (79%) calculated BMI at booking, with 73% explaining BMI categories, but only 15% provided personalized weight management advice; however, 77% believed such advice would be appropriate.
  • Despite recognizing the importance of weight management, midwives felt unconfident and lacked knowledge, suggesting that training and support are needed to enhance their capabilities in this area.

Article Abstract

A semi-structured, web-based questionnaire was developed to survey midwives (n = 241) employed by NHS Tayside, UK, to identify current practice and views on weight management of obese women during pregnancy and the puerperium. A total of 78 (32%) midwives submitted responses following email invitation. Most respondents (79%) reported always calculating women's body mass index (BMI) at booking, with 73% routinely explaining the BMI category. In terms of future practice for obese women, although few respondents (15%) currently offer personalised advice regarding weight management based on a woman's diet and physical activity levels, 77% of respondents thought such advice would be appropriate and 69% thought it could possibly be feasible to offer such advice. The respondents viewed weight management to be of importance and felt that universal advice is appropriate, but confidence in discussing weight management and knowledge of the subject was low. Strategies to improve midwife confidence and weight management services should include training, ongoing support and definition of the midwife's role within the multidisciplinary team to support practice in the future.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6860613PMC
http://dx.doi.org/10.1111/j.1740-8709.2011.00396.xDOI Listing

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