Evidence map›Paper›PMID 27473076›Full record

ArticleBMC pregnancy and childbirth2016

Adopting a healthy lifestyle when pregnant and obese - an interview study three years after childbirth.

Anna Dencker, Åsa Premberg, Ellinor K Olander, Christine McCourt, Karin Haby, Sofie Dencker, Anna Glantz, Marie Berg

Registry-linked trialAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03147079 (Mighty Mums - a Lifestyle Intervention at Primary Care Level for Pregnant Women With Obesity), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03147079 nacompletednot on this map

Mighty Mums - a Lifestyle Intervention at Primary Care Level for Pregnant Women With Obesity

TypeinterventionalSponsorGöteborg UniversityRan2011 to 2017Enrolled1,354ConditionsObesity Complicating ChildbirthArmsLifestyle intervention
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
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  6. Review
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  11. Being targeted as a "severely overweight pregnant woman" -A qualitative interview study.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Anna DenckerCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden. anna.dencker@gu.se.
Åsa PrembergCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Ellinor K OlanderCentre for Maternal and Child Health Research, City University London, London, UK.
Christine McCourtCentre for Maternal and Child Health Research, City University London, London, UK.
Karin HabyAntenatal Health Care, Primary Health Care, Research and Development Unit, Närhälsan, Gothenburg, Sweden.
Sofie DenckerCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Anna GlantzPrimary Health Care, Närhälsan, Gothenburg, Sweden.
Marie BergCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity during pregnancy is increasing and is related to life-threatening and ill-health conditions in both mother and child. Initiating and maintaining a healthy lifestyle when pregnant with body mass index (BMI) ≥ 30 kg/m(2) can improve health and decrease risks during pregnancy and of long-term illness for the mother and the child. To minimise gestational weight gain women with BMI ≥ 30 kg/m(2) in early pregnancy were invited to a lifestyle intervention including advice and support on diet and physical activity in Gothenburg, Sweden. The aim of this study was to explore the experiences of women with BMI ≥ 30 kg/m(2) regarding minimising their gestational weight gain, and to assess how health professionals' care approaches are reflected in the women's narratives.

methodsSemi-structured interviews were conducted with 17 women who had participated in a lifestyle intervention for women with BMI ≥ 30 kg/m(2) during pregnancy 3 years earlier. The interviews were digitally recorded and transcribed in full. Thematic analysis was used.

resultsThe meaning of changing lifestyle for minimising weight gain and of the professional's care approaches is described in four themes: the child as the main motivation for making healthy changes; a need to be seen and supported on own terms to establish healthy routines; being able to manage healthy activities and own weight; and need for additional support to maintain a healthy lifestyle.

conclusionsTo support women with BMI ≥ 30 kg/m(2) to make healthy lifestyle changes and limit weight gain during pregnancy antenatal health care providers should 1) address women's weight in a non-judgmental way using BMI, and provide accurate and appropriate information about the benefits of limited gestational weight gain; 2) support the woman on her own terms in a collaborative relationship with the midwife; 3) work in partnership to give the woman the tools to self-manage healthy activities and 4) give continued personal support and monitoring to maintain healthy eating and regular physical activity habits after childbirth involving also the partner and family.

Indexed as

Health BehaviorHealthy LifestylePrenatal CareAdultDietExerciseFemaleHealth PromotionHumansInterviews as TopicMiddle AgedMotivationObesityPregnancyProfessional-Patient RelationsQualitative ResearchAntenatal health careBody mass indexGestational weight gainInterview studyLifestyle interventionObesity

Identifiers

PMID27473076
PMCPMC4967348

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.