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- Title
Health System and Individual Barriers to Supporting Healthy Gestational Weight Gain and Nutrition: A Qualitative Study of the Experiences of Midwives and Obstetricians in Publicly Funded Antenatal Care in Tasmania, Australia.
- Authors
Kilpatrick, Michelle L.; Venn, Alison J.; Barnden, Kristine R.; Newett, Kristy; Harrison, Cheryce L.; Skouteris, Helen; Hills, Andrew P.; Hill, Briony; Lim, Siew S.; Jose, Kim A.
- Abstract
Individual and health system barriers can impede clinicians from supporting weight-related behaviour change for pregnant women, particularly in publicly funded antenatal care accessed by women from diverse socioeconomic backgrounds. The aim was to understand clinicians' experiences of supporting healthy gestational weight gain for pregnant women in a publicly funded antenatal setting. The work was undertaken to guide the implementation of systems changes, resource development, and workforce capacity building related to nutrition, physical activity, and gestational weight gain in the service. The qualitative descriptive study used purposive sampling and semi-structured interviews conducted between October 2019 and February 2020. Nine midwives and five obstetricians from a publicly funded hospital antenatal service in Tasmania, Australia participated. Interview transcripts were analysed using inductive thematic analysis. The three dominant themes were prioritising immediate needs, continuity of care support weight-related conversations, and limited service capacity for weight- and nutrition-related support. The subthemes were different practices for women according to weight and the need for appropriately tailored resources. Improving access to continuity of care and clinician training, and providing resources that appropriately consider women's socioeconomic circumstances and health literacy would enhance the ability and opportunities for clinicians to better support all women.
- Subjects
TASMANIA; MEDICAL care use; HEALTH services accessibility; WEIGHT gain in pregnancy; OBSTETRICIANS; HUMAN services programs; QUALITATIVE research; CONVERSATION; RESEARCH funding; MIDWIVES; MEDICAL care; INTERVIEWING; BODY weight; SOCIOECONOMIC factors; PREGNANT women; JUDGMENT sampling; CONTINUUM of care; DESCRIPTIVE statistics; GOVERNMENT aid; PRENATAL care; THEMATIC analysis; ATTITUDES of medical personnel; RESEARCH methodology; SOCIAL support; NEEDS assessment; QUALITY assurance; DIET; LABOR supply; PHYSICAL activity; PREGNANCY
- Publication
Nutrients, 2024, Vol 16, Issue 9, p1251
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu16091251