Midwife readiness to provide woman-centred weight gain support: Exploring perspectives across models of care |
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| Institution: | 1. School of Exercise and Nutrition Sciences, Queensland University of Technology, Queensland, Australia;2. Department of Nutrition and Dietetics, Royal Brisbane and Women’s Hospital, Queensland, Australia;3. School of Nursing, Midwifery and Social Work, University of Queensland, Queensland, Australia;1. Centre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia;2. Sydney Institute of Women, Children and their Families, Sydney Local Health District, NSW Australia;3. Charles Perkins Centre, University of Sydney, NSW, Australia;4. Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Australia;5. Red Nose Australia;6. SANDS Australia;7. Stillbirth Foundation Australia;8. Still Aware;9. SAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, Australia;1. Department of Perinatal Health, Centre for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico;2. Data Mining Coordinator, Carlos Slim Foundation, Mexico City, Mexico;3. Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, CA, United States;4. Vanderbilt University, Nashville, TN, United States;5. Bixby Center for Global Reproductive Health, University of California San Francisco, CA, United States;6. Division of Determinants and Challenges of Health Systems, Centre for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico;1. Amsterdam UMC Vrije Universiteit Amsterdam, VU Medical Center, Department of Obstetrics and Gynaecology, De Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands;2. Department of Child Health, TNO, P.O. Box 3005, Leiden, 2301 DA, The Netherlands;3. The Netherlands Department of Clinical Psychology, Vrije Universiteit, Van Der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands;4. Amsterdam Public Health (APH) Research Institute, Van Der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands |
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| Abstract: | ProblemMore than half of women start pregnancy above a healthy weight and two-thirds gain excess weight during pregnancy, increasing the risk of complications.BackgroundLittle research has examined the influence model of care has on weight-related outcomes in pregnancy.AimTo explore how continuity vs non-continuity models of midwifery care influence perceived readiness to provide woman-centred interventions with women supporting pregnancy weight gain, healthy eating and physical activity.MethodsFocus groups were conducted with midwives working in either continuity or non-continuity models of care at a tertiary hospital in Queensland, Australia. Focus group questions elicited elements around practices, the healthcare environment and woman-centred care skills. Findings were analysed using the Framework Approach to qualitative research.FindingsFour focus groups, involving 15 participants from the continuity of care model and 53 from the non-continuity model, were conducted. Continuity of care participants reported greater readiness to provide woman-centred interventions than those from non-continuity models. Barriers faced by both groups included gaps in communication training, education resources and multidisciplinary support.DiscussionMidwives across models of care require greater support in this area, in particular training in communication and better multidisciplinary service integration to support women.ConclusionThe care model appears to influence capacity to deliver person/woman-centred interventions, highlighting the need for tailored training for the healthcare setting. The roles of other health professionals in delivering weight management interventions during pregnancy also need to be examined. |
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| Keywords: | Pregnancy Weight Diet Lifestyle Perspectives Woman-centred |
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