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Banafshe, Elahe, Javadifar2, Nahid, Abbaspour, Zahra, Karandish, Majid, Ghanbari, Saeed. (1404). Barriers and Facilitators of Weight Management in Pregnancy for Women Overweight and Obese: A Qualitative Research. سامانه مدیریت نشریات علمی, 13(3), 265-274. doi: 10.30476/jhsss.2024.102402.1908
Elahe Banafshe; Nahid Javadifar2; Zahra Abbaspour; Majid Karandish; Saeed Ghanbari. "Barriers and Facilitators of Weight Management in Pregnancy for Women Overweight and Obese: A Qualitative Research". سامانه مدیریت نشریات علمی, 13, 3, 1404, 265-274. doi: 10.30476/jhsss.2024.102402.1908
Banafshe, Elahe, Javadifar2, Nahid, Abbaspour, Zahra, Karandish, Majid, Ghanbari, Saeed. (1404). 'Barriers and Facilitators of Weight Management in Pregnancy for Women Overweight and Obese: A Qualitative Research', سامانه مدیریت نشریات علمی, 13(3), pp. 265-274. doi: 10.30476/jhsss.2024.102402.1908
Banafshe, Elahe, Javadifar2, Nahid, Abbaspour, Zahra, Karandish, Majid, Ghanbari, Saeed. Barriers and Facilitators of Weight Management in Pregnancy for Women Overweight and Obese: A Qualitative Research. سامانه مدیریت نشریات علمی, 1404; 13(3): 265-274. doi: 10.30476/jhsss.2024.102402.1908

Barriers and Facilitators of Weight Management in Pregnancy for Women Overweight and Obese: A Qualitative Research

Journal of Health Sciences & Surveillance System
دوره 13، شماره 3، مهر 2025، صفحه 265-274    اصل مقاله (485.25 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/jhsss.2024.102402.1908
نویسندگان
Elahe Banafshe1؛ Nahid Javadifar2* 2؛ Zahra Abbaspour2؛ Majid Karandish3؛ Saeed Ghanbari4
1Student Research Committee, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
چکیده
Background: Excessive gestational weight gain (GWG) in overweight/obese pregnant women has multiple adverse outcomes on maternal and neonatal health. A better understanding of pregnant women’s perceptions and experiences regarding barriers and facilitators of weight management during pregnancy is necessary to develop interventions to prevent excessive GWG among this group.
Methods: This qualitative study was conducted with 16 pregnant women having a body mass index (BMI) over 25. Data were collected through semi-structured in-depth interviews and analyzed using conventional qualitative content analysis.
Results: The findings of this study were categorized into two main themes: barriers and facilitators of weight management during pregnancy. Barriers included six subcategories: overeating due to previous habits and context, eating changes related to pregnancy, beliefs about weight management, physical activity limitations, difficulty adhering to a diet, and the use of defense mechanisms. Facilitators were grouped into three subcategories: social support from spouse, family, and friends; focus on weight control motivation; and education and counseling.
Conclusion: This qualitative study analyzed the challenges and facilitators of weight management in overweight and obese pregnant women. The results indicate multiple barriers and success factors affecting weight management. These findings emphasize that effective interventions should focus on identifying and overcoming existing barriers while strengthening facilitating factors, providing appropriate social and educational support considering cultural and individual beliefs to ensure better maternal and neonatal health outcomes.

تازه های تحقیق

Elahe Banafshe (PubMed)

Nahid Javadifar (PubMed)

کلیدواژه‌ها
Pregnancy complications؛ Maternal obesity؛ Weight gain؛ Qualitative research
مراجع
  1. Atkinson S, McNamara PM. Unconscious collusion: An interpretative phenomenological analysis of the maternity care experiences of women with obesity (BMI≥30 kg/m2). Midwifery. 2017;49:54–64. doi: 10.1016/j.midw.2016.12.008. PUBMED PMID: 28069317.
  2. Christenson A, Johansson E, Reynisdottir S, Torgerson J, Hemmingsson E. “. . .or else I close my ears”: How women with obesity want to be approached and treated regarding gestational weight management: A qualitative interview study. PLoS One. 2019;14(9):e0222543. doi: 10.1371/journal.pone.0222543. PUBMED PMID: 31536545; PUBMED CENTRAL PMCID: PMC6752788.
  3. Pourmohammad M, Moghaddam-Banaem L, Molanouri Shamsi M, Karamnia Far M. The effect of a period of combined exercise training on gestational weight gain in overweight pregnant women. Sarem J Med Res. 2020;5(3):99–107. doi: 10.52547/sjrm.5.3.99
  4. Jette S, Rail G. Resisting, reproducing, resigned? Low-income pregnant women’s discursive constructions and experiences of health and weight gain. Nurs Inq. 2014;21(3):202–11. doi: 10.1111/nin.12052. PUBMED PMID: 24330165.
  5. Holton S, East C, Fisher J. Weight management during pregnancy: A qualitative study of women’s and care providers’ experiences and perspectives. BMC Pregnancy Childbirth. 2017;17(1):351. doi: 10.1186/s12884-017-1538-7. PUBMED PMID: 29020931; PUBMED CENTRAL PMCID: PMC5637069.
  6. Lingetun L, Fungbrant M, Claesson IM, Baggens C. "I just want to be normal" – A qualitative study of pregnant women's blogs who present themselves as overweight or obese. Midwifery. 2017;49:65–71. doi: 10.1016/j.midw.2016.12.010. PUBMED PMID: 28214043.
  7. Furber CM, McGowan L. A qualitative study of the experiences of women who are obese and pregnant in the UK. Midwifery. 2011;27(4):437–44. doi: 10.1016/j.midw.2010.02.010. PUBMED PMID: 20483513.
  8. Di Stefano A, Godard S, Bellaire J. Excessive gestational weight gain: Assessing patients' and providers' perceptions. Can Fam Physician. 2021;67(7):e188–96. PUBMED PMID: 34253599.
  9. Nikolopoulos H, Mayan M, MacIsaac J, Miller T, Bell RC. Women's perceptions of discussions about gestational weight gain with health care providers during pregnancy and postpartum: A qualitative study. BMC Pregnancy Childbirth. 2017;17(1):97. doi: 10.1186/s12884-017-1257-0. PUBMED PMID: 28335749; PUBMED CENTRAL PMCID: PMC5364680.
  10. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88. doi: 10.1177/1049732305276687. PUBMED PMID: 16204405.
  11. Rathbun B. Politics and paradigm preferences: The implicit ideology of international relations scholars. Int Stud Q. 2012;56(3):607–22. doi: 10.1111/j.1468-2478.2012.00743.x.
  12. Braun V, Clarke V. Thematic analysis: A practical guide. London: SAGE Publications Ltd; 2021. ISBN: 9781526417299.
  13. Creswell JW, Poth CN. Defining features of phenomenology. In: Qualitative inquiry and research design: Choosing among five approaches. 3rd ed. Thousand Oaks, CA: Sage Publications; 2016. p. 78.
  14. Anfara VA, Brown KM, Mangione TL. Qualitative analysis on stage: Making the research process more public. Educ Res. 2002;31(7):28–38. doi: 10.3102/0013189X031007028.
  15. Finlay L. "Outing" the researcher: The provenance, process, and practice of reflexivity. Qual Health Res. 2002;12(4):531–45. doi: 10.1177/104973202129120052.
  16. McMillan JH, Schumacher S. Research in education: Evidence-based inquiry. 7th ed. Boston, MA: Pearson; 2010. ISBN: 9780137152391.
  17. Furness PJ, McSeveny K, Arden MA, Garland C, Dearden AM, Soltani H. Maternal obesity support services: A qualitative study of the perspectives of women and midwives. BMC Pregnancy Childbirth. 2011;11:69. doi: 10.1186/1471-2393-11-69. PUBMED PMID: 21943210; PUBMED CENTRAL PMCID: PMC3206482.
  18. Faucher MA, Mirabito AM. Pregnant women with obesity have unique perceptions about gestational weight gain, exercise, and support for behavior change. J Midwifery Womens Health. 2020;65(4):529–37. doi: 10.1111/jmwh.13115. PUBMED PMID: 32558219.
  19. Groth SW, Kearney MH. Diverse women's beliefs about weight gain in pregnancy. J Midwifery Womens Health. 2009;54(6):452–7. doi: 10.1016/j.jmwh.2009.03.003. PUBMED PMID: 19879517; PUBMED CENTRAL PMCID: PMC2799189.
  20. Arden MA, Duxbury AMS, Soltani H. Responses to gestational weight management guidance: A thematic analysis of comments made by women in online parenting forums. BMC Pregnancy Childbirth. 2014;14:216. doi: 10.1186/1471-2393-14-216. PUBMED PMID: 24996464; PUBMED CENTRAL PMCID: PMC4081360.
  21. White C, Davis D. Barriers and enablers in maintaining healthy gestational weight gain: A qualitative study. Women Birth. 2021;34(5):e461–7. doi: 10.1016/j.wombi.2020.10.004. PUBMED PMID: 33357589.
  22. Lindsay AC, Machado MMT, Wallington SF, Greaney ML. Sociocultural and interpersonal influences on Latina women's beliefs, attitudes, and experiences with gestational weight gain. PLoS One. 2019;14(7):e0219557. doi: 10.1371/journal.pone.0219557. PUBMED PMID: 31329694; PUBMED CENTRAL PMCID: PMC6642652.
  23. Dinsdale S, Branch K, Cook L, Shucksmith J. "As soon as you've had the baby that's it..." A qualitative study of 24 postnatal women's experience of maternal obesity care pathways. BMC Public Health. 2016;16:411. doi: 10.1186/s12889-016-3099-7. PUBMED PMID: 27456365; PUBMED CENTRAL PMCID: PMC4957273.
  24. Flannery C, Mtshede MN, McHugh S, Anaba AE, Clifford E, O'Riordan M, et al. Dietary behaviours and weight management: A thematic analysis of pregnant women's perceptions. Matern Child Nutr. 2020;16(4):e12906. doi: 10.1111/mcn.12906. PUBMED PMID: 32304189.
  25. Padmanabhan U, Summerbell CD, Heslehurst N. A qualitative study exploring pregnant women's weight-related attitudes and beliefs in UK: The BLOOM study. BMC Pregnancy Childbirth. 2015;15:99. doi: 10.1186/s12884-015-0535-9. PUBMED PMID: 26627489; PUBMED CENTRAL PMCID: PMC4672455.
  26. Sui Z, Turnbull D, Dodd J. Enablers of and barriers to making healthy change during pregnancy in overweight and obese women. Australas Med J. 2013;6(11):565–77. doi: 10.4066/AMJ.2013.1855. PUBMED PMID: 24348873; PUBMED CENTRAL PMCID: PMC3863770.
  27. Knight-Agarwal CR, Williams LT, Davis D, Davey R, Shepherd R, Downing A, et al. The perspectives of obese women receiving antenatal care: A qualitative study of women's experiences. Women Birth. 2016;29(2):189–95. doi: 10.1016/j.wombi.2015.09.005. PUBMED PMID: 26475403.
  28. Lindsay AC, Wallington SF, Greaney ML, Machado MMT, De Andrade GP. Patient-provider communication and counseling about gestational weight gain and physical activity: A qualitative study of the perceptions and experiences of Latinas pregnant with their first child. Int J Environ Res Public Health. 2017;14(11):1412. doi: 10.3390/ijerph14111412. PUBMED PMID: 29113070; PUBMED CENTRAL PMCID: PMC5707996.
  29. Keely A, Cunningham-Burley S, Elliott L, Sandall J, Whittaker A. "If she wants to eat... and eat and eat... fine! It's gonna feed the baby": Pregnant women and partners' perceptions and experiences of pregnancy with a BMI >40 kg/m². Midwifery. 2017;49:87–94. doi: 10.1016/j.midw.2016.11.007. PUBMED PMID: 28214045.
  30. Wang ML, Arroyo J, Druker S, Sankey HZ, Rosal MC. Knowledge, attitudes and provider advice by pre-pregnancy weight status: A qualitative study of pregnant Latinas with excessive gestational weight gain. Women Health. 2015;55(7):805–28. doi: 10.1080/03630242.2015.1039182. PUBMED PMID: 26399212; PUBMED CENTRAL PMCID: PMC4608553.
  31. Faria-Schützer DB, Surita FGDC, Alves VLP, Vieira CM, Turato ER. Emotional experiences of obese women with adequate gestational weight variation: A qualitative study. PLoS One. 2015;10(11):e0141879. doi: 10.1371/journal.pone.014.
  32. Herring SJ, Henry TQ, Klotz AA, Foster GD, Whitaker RC. Perceptions of low-income African-American mothers about excessive gestational weight gain. Matern Child Health J. 2012;16(9):1837–43. doi: 10.1007/s10995-011-0911-6. PUBMED PMID: 22160656.
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