Preventing Excessive Weight Gain in Pregnancy: How Do Prenatal Care Providers Approach Counseling?
Preventing Excessive Weight Gain in Pregnancy: How Do Prenatal Care Providers Approach Counseling?
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DOI：
10.1089/jwh.2009.1462
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发表时间：
2010-04-01
影响因子：
3.5
通讯作者：
Gerbert, Barbara
中科院分区：
文献类型：
--
作者：
Stotland, Naomi E.;Gilbert, Paul;Gerbert, Barbara
背景：妊娠期超重变得越来越普遍，并与许多不利的母婴结局有关。关于在产前护理环境中，体重增加咨询实际上是如何提供的，数据很少。我们的目的是了解产前护理人员以及他们预防孕期超重的知识、态度和行为，其次是他们对孕期营养和体力活动咨询的方法。方法：我们对普通产科/妇科医生、助产士和护士从业人员进行了7个焦点小组的调查。我们用定性的方法分析数据。结果：提供者同意参与，因为他们不确定他们的咨询努力的有效性，并想学习关于体重增加、营养和体力活动的咨询患者的新技术。我们确定了体重增加咨询的几个障碍，包括培训不足，对话题的敏感性的担忧，以及咨询无效的看法。服务提供者一致认为，体重增加是一个具有短期和长期健康后果的重要话题，但他们描述了截然不同的咨询方式和方法。结论：产前护理提供者对患者的过度体重增加及其后遗症深表担忧，但在有效咨询方面遇到了障碍。提供者想要新的工具来帮助他们解决怀孕期间的体重增加咨询问题。
Background: Excessive weight gain during pregnancy is becoming more common and is associated with many adverse maternal and infant outcomes. There is a paucity of data on how weight gain counseling is actually provided in prenatal care settings. Our objective was to study prenatal care providers and their knowledge, attitudes, and practices regarding prevention of excessive weight gain during pregnancy and, secondarily, their approach to nutrition and physical activity counseling during pregnancy.Methods: We conducted seven focus groups of general obstetrician/gynecologists, midwives, and nurse practitioners. We analyzed data using qualitative methods.Results: Providers agreed to participate because they were unsure of the effectiveness of their counseling efforts and wanted to learn new techniques for counseling patients about weight gain, nutrition, and physical activity. We identified several barriers to weight gain counseling, including insufficient training, concern about the sensitivity of the topic, and the perception that counseling is ineffective. Providers all agreed that weight gain was an important topic with short-term and long-term health consequences, but they described widely disparate counseling styles and approaches.Conclusions: Prenatal care providers are deeply concerned about excessive weight gain and its sequelae in their patients but encounter barriers to effective counseling. Providers want new tools to help them address weight gain counseling during pregnancy.