The experience of pregnant women with a body mass index >30 kg/m2 of their encounters with healthcare professionals
The experience of pregnant women with a body mass index >30 kg/m2 of their encounters with healthcare professionals
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DOI：
10.1111/aogs.12186
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发表时间：
2013-09-01
影响因子：
4.3
通讯作者：
Joergensen, Jan Stener
中科院分区：
文献类型：
--
作者：
Lindhardt, Christina L.;Rubak, Sune;Joergensen, Jan Stener
目标。调查怀孕前体重指数为30 kg/m(2)的妇女在怀孕期间与医疗保健专业人员接触时的经历。设计。使用现象学方法论方法进行定性研究。设置。面对面访谈孕妇在家中，由她们的全科医生转介到当地医院的专科产前随访。样本。16名孕前体重指数为30公斤/米的妇女(2)。方法：研究方法。定性深度访谈。参与者与卫生保健专业人员接触的经历被逐字记录、转录并使用现象学方法进行分析。结果。调查确定了两个主要主题，一是医疗保健专业人员的指责回应，二是缺乏关于肥胖和怀孕可能如何影响妇女及其子女健康的建议和有用信息。结论。患有肥胖症的孕妇可能会受到医疗保健专业人员的偏见。这些妇女感到她们受到了缺乏尊重的对待，受到了指责的回应，并且感觉到本可以有所帮助的信息没有提供。肥胖孕妇和医疗保健专业人员之间似乎缺乏沟通。需要改善沟通技能的培训，减少评判行为，以及更好地传播与肥胖孕妇相关的医疗保健专业人员的信息。
Objective. To examine the experience of women with a pre-pregnant BMI >30 kg/m(2), in their encounters with healthcare professionals during pregnancy. Design. Qualitative study using a phenomenological methodology approach. Setting. Face-to-face interviews with pregnant women in their own home who were referred from their general practitioner to specialist antenatal follow-up at their local hospital. Sample. Sixteen women with pre-pregnant BMI > 30 kg/m(2). Methods. Qualitative in-depth interviews. Participant's experiences of their encounters with health care professionals were recorded verbatim, transcribed and analysed using a phenomenological approach. Results. Two main themes were identified, an accusatorial response from healthcare professionals and a lack of advice and helpful information on how being obese and pregnant might affect the women's health and that of their child. Conclusions. Pregnant women with obesity may experience prejudice from healthcare professionals. These women felt they were treated with a lack of respect, an accusatorial response, and the feeling that information which could have been helpful was not forthcoming. Communication between obese pregnant woman and healthcare professionals appears to be lacking. Improved training in communication skills, less judgemental behaviour and better dissemination of information from healthcare professionals working with pregnant women with obesity are needed.