What are the experiences of women with obesity receiving antenatal maternity care? A scoping review of qualitative evidence |
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| Institution: | 1. College of Medicine and Public Health, Flinders University, Australia;2. School of Nursing and Midwifery, Deakin University and Western Health Partnership, Australia;3. College of Nursing and Health Science, Flinders University, Australia;1. College of Medicine and Public Health, Flinders University, Australia;2. School of Nursing and Midwifery, Deakin University, Australia;3. Centre for Quality and Patient Safety Research, Western Health Partnership, Australia;1. Centre for Public Health, School of Medicine, Dentistry & Biomedical Sciences, Queen''s University Belfast, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom;2. School of Biological Sciences, Dublin Institute of Technology, Kevin Street, Dublin 8, Ireland;3. UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Cork Street, Dublin 8, Ireland;1. Faculty of Health and Life Sciences, Coventry University, UK;2. Applied Research Centre in Health and Lifestyle Interventions, Faculty of Health and Life Sciences, Coventry University, UK;3. School of Health Sciences, City University London, UK;1. Edinburgh Napier University, Health & Social Care, UK;2. Centre for Population Health Sciences, University of Edinburgh, UK;3. School of Health & Life sciences, Glasgow Caledonian University, UK;4. School of Life Sciences & Medicine, King''s College London, UK;1. Centre for Maternal and Child Health Research, City, University of London, United Kingdom;2. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden;3. Maternity Ward, NU Hospital Group, Trollhattan, Sweden;4. Centre for Person-Centred Care (GPCC), Institute of Health and Care Sciences, University of Gothenburg, Sweden |
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| Abstract: | ProblemObesity is a major public health problem and is rising in prevalence in child-bearing women. The complications of pregnancy in women with obesity are well documented. Pregnant women with obesity require different maternity care considerations to normal weight women. How women respond to the care of health professionals, determines how likely they will be to engage with it, and thus research into the current care experiences of women with obesity is valuable.ObjectiveThe purpose of this scoping review was to examine the evidence of the antenatal maternity care experiences of women with obesity (BMI ≥ 30 kg/m2).MethodA systematic literature search was conducted for English language publications 2008–2018 using Medline, Scopus, PsycINFO and CINAHL. Following critical appraisal, and a search of the reference lists of primary articles, 17 articles resulted for this review. A thematic synthesis process was used to collate the findings.FindingsFour major themes were identified: 1) inconsistent or absent information regarding weight management, 2) the stigma and stereotyping associated with their obesity, 3) medicalisation and depersonalisation of pregnant women with obesity, and 4) a desire for information and need for change.ConclusionThe findings suggested that based on women’s experiences there is a need for improved education and communication for health care professionals when caring for pregnant women with obesity. Some conflicting information from women in the studies highlight the need for further research in the area, and the implementation of individualised care and continuity of care for pregnant women with obesity. |
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| Keywords: | Pregnant women Maternal obesity Review Midwifery Stigma |
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