How pregnant African American women view pregnancy weight gain.

How pregnant African American women view pregnancy weight gain.
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DOI:
10.1111/j.1552-6909.2012.01391.x
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发表时间:
2012-11
期刊:
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
影响因子:
--
通讯作者:
Meng Y
Meng Y
中科院分区:
其他
文献类型:
--
作者:
Groth SW;Morrison-Beedy D;Meng Y

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深入了解低收入非洲裔美国孕妇如何看待自己怀孕期间的体重增加以及她们如何在怀孕期间管理体重。使用三个焦点小组的描述性研究。妇女是从东北部一个中等城市的城市产前护理点和妇女、婴儿和儿童特殊补充营养计划(WIC)服务机构招募的。 26 名成年、低收入、怀孕的非裔美国女性,年龄 18-39 岁;大多数发生在怀孕的前 20 周内。利用与妊娠体重增加相关的开放式问题进行了三个焦点小组讨论。内容分析用于分析逐字记录。分析侧重于意义、意图和背景。在组内和组间进行比较和对比,以确定主题。确定了四个主题,深入了解女性如何看待怀孕期间的体重增加和管理怀孕期间的体重增加:(a) 怀孕体重增加:无论增加多少都意味着婴儿健康; (b) 重量滞留:它发生; (c) 有限制:体重增加对外观的影响; (d) 观察和等待:控制体重的计划。低收入非裔美国女性虽然认识到怀孕后体重保持的可能性,但并不注重限制妊娠期体重增加。对较大体型的文化接受以及认为体重增加表明健康婴儿对限制妊娠期体重过度增加的干预措施提出了挑战。
To gain insight into how low-income, pregnant African-American women viewed their weight gain while pregnant and how they managed their weight during pregnancy. Descriptive study using three focus groups. Women were recruited from urban prenatal care sites and the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) services in a medium-sized urban Northeastern city. Twenty-six adult, low-income, pregnant African-American women, aged 18–39; the majority were within the first 20 weeks of pregnancy. Three focus groups were conducted utilizing open-ended questions related to pregnancy weight gain. Content analysis was used to analyze the verbatim transcripts. Analysis focused on meaning, intention and context. Groups were compared and contrasted at the within and between group levels to identify themes. Four themes were identified that provided insight into how women viewed their pregnancy weight gain and managed weight gain during pregnancy: (a) pregnancy weight gain: no matter how much means a healthy baby; (b) weight retention: it happens; (c) there is a limit: weight gain impact on appearance; and (d) watching and waiting: plans for controlling weight. Low-income African-American women, though cognizant of the likelihood of retention of weight following pregnancy, are not focused on limiting their gestational weight gain. The cultural acceptance of a larger body size along with the belief that gaining more weight is indicative of a healthy infant present challenges for interventions to limit excessive gestational weight gain.
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