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Göteborgs universitets publikationer

Adopting a healthy lifestyle when pregnant and obese – an interview study three years after childbirth.

Författare och institution:
Anna Dencker (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för vårdvetenskap och hälsa); Åsa Premberg (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för vårdvetenskap och hälsa); Ellinor K Olander (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)); Christine McCourt (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)); Karin Haby (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för vårdvetenskap och hälsa); Sofie Dencker (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för vårdvetenskap och hälsa); Anna Glantz (Institutionen för kliniska vetenskaper, sektionen för kvinnors och barns hälsa); Marie Berg (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för vårdvetenskap och hälsa)
Publicerad i:
BMC Pregnancy and Childbirth, 16 ( 1 ) s. 1-10
ISSN:
1471-2393
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
Abstract Background Obesity during pregnancy is increasing and is related to life-threatening and ill-health conditions in both mother and child. Initiating and maintaining a healthy lifestyle when pregnant with body mass index (BMI) ≥ 30 kg/m2 can improve health and decrease risks during pregnancy and of long-term illness for the mother and the child. To minimise gestational weight gain women with BMI ≥ 30 kg/m2 in early pregnancy were invited to a lifestyle intervention including advice and support on diet and physical activity in Gothenburg, Sweden. The aim of this study was to explore the experiences of women with BMI ≥ 30 kg/m2 regarding minimising their gestational weight gain, and to assess how health professionals’ care approaches are reflected in the women’s narratives. Methods Semi-structured interviews were conducted with 17 women who had participated in a lifestyle intervention for women with BMI ≥ 30 kg/m2 during pregnancy 3 years earlier. The interviews were digitally recorded and transcribed in full. Thematic analysis was used. Results The meaning of changing lifestyle for minimising weight gain and of the professional’s care approaches is described in four themes: the child as the main motivation for making healthy changes; a need to be seen and supported on own terms to establish healthy routines; being able to manage healthy activities and own weight; and need for additional support to maintain a healthy lifestyle. Conclusions To support women with BMI ≥ 30 kg/m2 to make healthy lifestyle changes and limit weight gain during pregnancy antenatal health care providers should 1) address women’s weight in a non-judgmental way using BMI, and provide accurate and appropriate information about the benefits of limited gestational weight gain; 2) support the woman on her own terms in a collaborative relationship with the midwife; 3) work in partnership to give the woman the tools to self-manage healthy activities and 4) give continued personal support and monitoring to maintain healthy eating and regular physical activity habits after childbirth involving also the partner and family.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper
Nyckelord:
Body mass index, Obesity, Gestational weight gain, Lifestyle intervention, Antenatal health care, Interview study
Postens nummer:
241646
Posten skapad:
2016-09-12 13:01

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