A qualitative study of the experiences of women who are obese and pregnant in the UK
A qualitative study of the experiences of women who are obese and pregnant in the UK
复制标题
DOI：
10.1016/j.midw.2010.04.001
复制
发表时间：
2011-08-01
期刊：
影响因子：
2.7
通讯作者：
McGowan, Linda
中科院分区：
文献类型：
--
作者：
Furber, Christine M.;McGowan, Linda
目的：探讨体重指数（BMI）> 35 kg/m2的妇女在生育过程中与肥胖相关的经历。数据收集使用半结构化访谈和现场记录。妇女在怀孕的第三个三个月和分娩后三到九周接受了采访。转录数据采用框架分析方法进行分析。设置：英格兰北部的一家产科服务机构。参与者：19名BMI > 35 kg/m2的女性。结果：这些女性在肥胖时强调了自己的羞辱感，以及与怀孕相关的耻辱感。与卫生专业人员和公众的互动加强了他们对自己体型的不适。她们怀孕的高风险状况增加了她们怀孕的医疗化。超声扫描是一个显着的痛苦来源，如果成像胎儿的困难，没有清楚地解释在processed.Key结论：孕妇谁是肥胖的敏感，他们的大小。与健康专业人员和其他人的互动，他们遇到的可能会增加dispens.Implications的实践：健康专业人员应该更加意识到肥胖的心理影响。关于护理的沟通战略应该明确和诚实，并以敏感的方式传达。与“手持式”笔记上的尺寸相关的书面评论应在撰写时进行解释。(C)2010爱思唯尔有限公司保留所有权利。
Objective: to explore the experiences related to obesity in women with a body mass index (BMI) > 35 kg/m(2) during the childbearing process.Design: a qualitative design was used. Data were collected using semi-structured interviews and field notes. Women were interviewed in the third trimester of pregnancy and between three and nine weeks after the birth. Transcribed data were analysed using framework analysis methods.Setting: one maternity service in the North of England.Participants: 19 women with BMI > 35 kg/m(2).Findings: these women highlighted their feelings of humiliation, and the stigma associated with being pregnant, when obese. Interactions with health professionals and the general public reinforced their discomfort about their size. The high-risk status of their pregnancy increased the medicalisation of their pregnancy. The ultrasound scan was a significant source of distress if difficulties imaging the fetus were not clearly explained during the procedure.Key conclusions: pregnant women who are obese are sensitive of their size. The interactions with health professionals and others that they encounter may increase distress.Implications for practice: health professionals should be more aware of the psychological implications of being obese. Communication strategies about care should be clear and honest, and conveyed in a sensitive manner. Written comments related to size on 'hand-held' notes should be explained at the time of writing. (C) 2010 Elsevier Ltd. All rights reserved.