Co-design and clinician evaluation of resources to address weight stigma in antenatal care

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 8, 2025

Abstract Background Weight stigma is a commonly reported experience in maternity care that negatively impacts the health of mothers and their babies. Knowledge to inform weight reduction efforts antenatal urgently required. This study aimed co-design resources evaluate clinician perspectives regarding relevance practice, strengths, areas for improvement. Methods We conducted five-phase project involving consumers ( n = 8) clinicians (midwives 16, obstetrician 1), with outputs from each stage informing next: (1) engaging key stakeholders; (2) prioritising voices lived through consumer stories video; (3) three workshops resource development; (4) production; (5) qualitative evaluation resources. The co-developed were evaluated via interview where viewed or listened described engagement satisfaction resources, on improvement, feasibility achieving resources’ intended goal. Transcripts analysed using descriptive thematic analysis. Results produced set evidence-based co-designed by including video designed elicit empathy about experiences care, images representing women diverse body sizes use clinic waiting rooms, short podcast raise awareness signposts prompt consider everyday clinical interactions. Clinicians who saw they valuable relevant practice important helpful introductory materials issue stigma. Pragmatic examples reducing interactions requested. Conclusions Maternity have an appetite improve learning opportunities tackle practice. Further refinement effectiveness at changing behaviour, implementation into services are logical next steps. Reducing women’s should lead better pregnancy outcomes larger bodied women. Clinical trial number Not applicable.

Language: Английский

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Exploring the pressure to “bounce back” to pre-pregnancy weight after birth

Midwifery, Journal Year: 2025, Volume and Issue: unknown, P. 104384 - 104384

Published: March 1, 2025

Language: Английский

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Stigma and self-stigma among women within the context of the german “zero alcohol during pregnancy” recommendation: A qualitative analysis of online forums and blogs

International Journal of Drug Policy, Journal Year: 2024, Volume and Issue: 124, P. 104331 - 104331

Published: Jan. 18, 2024

In many countries, including Germany, it is recommended to abstain from alcohol during pregnancy avoid harm the baby. this qualitative research study, analysis of online forums was conducted explore women's perception German "zero pregnancy" recommendation with regard stigma and self-stigma. We used a grounded theory approach analyze forum discussions on use pregnancy. Data consisted 9 discussion threads 5 different blogs involving 115 participants in total. key concepts developed interpret posts. identified five themes: (1) Low health literacy as breeding ground for stigmatization; (2) The widespread assumption that maternal abstinence prerequisite being considered "good mother"; (3) Interpersonal role conflicts guilty conscience result stigmatization or self-stigmatization; (4) Paying little attention psychosocial factors consumption, especially regarding partner responsibility pregnancy.; (5) Understanding complete ban, associated loss autonomy. current method communicating may have unintended consequences. Specifically, misconceptions about low consumption setting high expectations motherhood are can contribute self-stigma potentially undermine self-efficacy, help-seeking behavior, overcoming barriers literacy.

Language: Английский

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Biological and behavioral pathways from prenatal depression to offspring cardiometabolic risk: Testing the developmental origins of health and disease hypothesis.

Developmental Psychology, Journal Year: 2024, Volume and Issue: 60(9), P. 1620 - 1638

Published: Feb. 15, 2024

Given prior literature focused on the Developmental Origins of Health and Disease framework, there is strong rationale to hypothesize that reducing depression in prenatal period will cause improvements offspring cardiometabolic health. The current review outlines evidence associated with risk health behaviors. We these associations humans nonhuman animals at multiple developmental periods, from (maternal preeclampsia, gestational diabetes), neonatal (preterm birth, small size birth), infancy (rapid weight gain), childhood adolescence (high blood pressure, impaired glucose-insulin homeostasis, unfavorable lipid profiles, abdominal obesity), into adulthood (diabetes, cardiovascular disease). In addition outcomes, we focus behaviors risk, such as child eating behaviors, diet, physical activity, sleep Our focuses (e.g., emotional eating, preference for highly palatable foods, short duration) parenting pressuring eat, modeling behaviors). These changes may be detected before which allow early identification prevention children poor adult outcomes. also discuss methods ongoing Care Project, a randomized clinical trial test whether maternal improves offspring's preschool. goal this Project are inform future research, interventions, policies support mental (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Language: Английский

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Newspaper media framing of obesity during pregnancy in the UK: A review and framework synthesis

Obesity Reviews, Journal Year: 2022, Volume and Issue: 23(12)

Published: Oct. 21, 2022

Summary Two thirds of women report experiencing weight stigma during pregnancy. Newspaper media is powerful in framing health issues. This review synthesized UK newspaper portrayal maternal obesity. NexisUni was searched to identify articles, published January 2010 May 2021, reporting content on obesity Framework synthesis integrated quantitative and qualitative analysis the articles. There were 442 articles included (59% tabloids 41% broadsheets). Three overarching themes with interacting sub‐themes as follows: (1) Women blamed for their weight, risks, NHS impact. (2) solely responsible solving obesity, gendered from school age. (3) a burden individuals (e.g., themselves, children, professionals), society, NHS. Catastrophizing language framed “problem,” “scale,” “public concern” emphasizing risk, danger alarmist, aggressive, violent elicit fear or devalue women. Articles platformed ‘expert’ voices rather than women's lived experiences. identified that negatively frames oversimplifies topic Exposure blaming alarmist messaging could increase guilt, stigma, internalized bias. The should be harnessed de‐stigmatize promote well‐being.

Language: Английский

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Exclusive Breastfeeding and Factors Influencing Its Abandonment During the 1st Month Postpartum Among Women From Semi-rural Communities in Southeast Mexico

Frontiers in Pediatrics, Journal Year: 2022, Volume and Issue: 10

Published: Feb. 18, 2022

In this study we describe breastfeeding practices among women from semi-rural communities in southeast Mexico, and explore which factors, modifiable or not, are associated with such practices. This was a formative cross-sectional that included 143 mothers infants 4-6 months old, Tabasco, Mexico. We collected data on two categories of factors: (1) women's sociodemographic characteristics, (2) maternal / infant factors. first analyzed the frequency various Then, classified participants into up to 1 month exclusive group ( ≤ m-EBF) beyond EBF (>1 m-EBF), if they practiced for less more than month, respectively. compared factors between groups then, using logistic regression models, explored were practicing >1 m-EBF. By end 1st postpartum, 51.7% had abandoned EBF, introduced milk formula (35%), other food (9.1%), non-nutritive liquids (7.7%), stopped completely. next months, practice fell sharply mixed feeding grew importantly.Logistic models showed likely be m-EBF lived baby's father, complications during pregnancy, delivered vaginally attended health center at least three times postpartum. To contrary, gave their hospital stay; experienced pain discomfort breasts/nipples, used pacifier after hospitalization; larger bodies (i.e., higher BMI); believed you should give powdered some when baby is not full. Many abandoning particularly early postpartum period, can altered through timely interventions include giving correct information ensuring its comprehension; assertive personal counseling accompaniment must provided mothers; reinforcement facilities settings.

Language: Английский

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Close Relationships as Sources of Pregnancy-Related Weight Stigma for Expecting and New Mothers

International Journal of Behavioral Medicine, Journal Year: 2022, Volume and Issue: 30(2), P. 297 - 303

Published: April 29, 2022

Language: Английский

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A longitudinal investigation of breastfeeding planning, initiation, and duration among individuals with pre-pregnancy overweight or obesity

Appetite, Journal Year: 2024, Volume and Issue: 197, P. 107333 - 107333

Published: April 1, 2024

Individuals with a body mass index (BMI)≥25 kg/m2 are less likely to initiate and continue breastfeeding than those BMIs<25. Given the intergenerational health benefits of breastfeeding, it is important understand behaviors their correlates among individuals BMIs≥25. Thus, in an observational cohort BMI≥25 (N = 237), we aimed characterize longitudinal relationships planning, initiation, duration sociodemographic/clinical determine if pre-pregnancy BMI predicts duration. Breastfeeding behaviors, weight/BMI, characteristics were assessed early, mid, late pregnancy, at six-months postpartum. Most participants planned (84%) initiated (81%) which 37% breastfed for ≥6 months. Participants who married, first-time parents, higher education/income, had never smoked tobacco more plan, initiate, achieve months breastfeeding. Higher was not associated planning or initiation but lower adjusted odds relative <6 Findings suggest that support extending elevated may be warranted. Future interventions should also address sociodemographic clinical inequities

Language: Английский

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Addressing the gaps in nutritional care before and during pregnancy

Proceedings of The Nutrition Society, Journal Year: 2021, Volume and Issue: 81(1), P. 87 - 98

Published: Oct. 27, 2021

The present paper outlines current issues in the nutritional care of women during pregnancy and potential resources to address them. Globally, overnutrition, undernutrition imbalances are widespread among reproductive age; increasing risk complications non-communicable diseases both mothers their children. Most do not meet dietary guidelines for pregnancy. World Health Organisation (WHO) recommends nutrition weight counselling all women. However, clinical practices focusing on vary there is no consensus which outcomes most important interventions, with little consideration ‘patient voice’. International Federation Gynaecology Obstetrics (FIGO) checklist a practice tool that available healthcare professionals will this issue. core outcome set also support advancement antenatal by identifying critical nutrition-related from perspective professionals, researchers experience While poor can result adverse across categories, those obesity may require specialist reduce risk. Obesity chronic, progressive, relapsing disease has high individual variability its prognosis. use staging systems, consider mental, physical functional health, stratify individuals into categories aid treatment prioritisation As prevalence continues rise, an approach clinicians, especially limited resource settings.

Language: Английский

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Eating Styles Profiles and Correlates in Chinese Postpartum Women: A Latent Profile Analysis

Nutrients, Journal Year: 2024, Volume and Issue: 16(14), P. 2299 - 2299

Published: July 17, 2024

Postpartum women present a high risk of disordered eating behaviors, but the heterogeneity between groups was not identified. This cross-sectional study aimed to identify styles profiles in postpartum and explore correlates based on demographic characteristics psychosocial factors. Questionnaires were administered 507 Chinese women. Latent profile analysis (LPA) conducted profiles. Multinomial logistic regression used investigate these among The LPA identified three profiles: with low emotional, external, restrained (Profile 1, 6.9%); medium 2, 66.1%); 3, 27.0%). Compared Profile higher depression (PPD) body mass index (BMI) more likely be associated 2 whereas weight retention (PPWR) 1. PPD BMI 3. Disordered behaviors BMI, PPD, PPWR. can guide healthcare professionals developing targeted interventions improve maternal child health globally.

Language: Английский

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