ArticlePatient education and counseling2017
Providing prenatal care to pregnant women with overweight or obesity: Differences in provider communication and ratings of the patient-provider relationship by patient body weight.
Article in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Structural weight stigma in healthcare toward preconception, pregnant, and postpartum women: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Patient-Provider Satisfaction and Communication in U.S. Prenatal Care: A Systematic Review.Maternal and child health journal · 2024Pooled it
- Obesity and postpartum hospital use among individuals without additional medical comorbidities.Obesity (Silver Spring, Md.) · 2025Article
- Fear of Childbirth Among Pregnant People Facing Anti-Fat Bias.International journal of environmental research and public health · 2024Article
- Shared Decision-Making and Body Mass Index in Australian Antenatal Care: An Exploratory OPTION12 Evaluation.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Satisfaction with perinatal care providers and the childbirth experience: the moderating role of body mass index.BMC pregnancy and childbirth · 2024Article
- Influence of weight etiology information and trainee characteristics on Physician-trainees' clinical and interpersonal communication.Patient education and counseling · 2019Article
- Modeling Health Disparities and Outcomes in Disenfranchised Populations.Community mental health journal · 2019Article
- Preferences for physician weight status among women with overweight.Obesity science & practice · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo examine the association of women's body weight with provider communication during prenatal care.
methodsWe coded audio recordings of prenatal visits between 22 providers and 117 of their patients using the Roter Interaction Analysis System. Multivariate, multilevel Poisson models were used to examine the relationship between patient pre-pregnancy body mass index and provider communication.
resultsCompared to women with normal weight, providers asked fewer lifestyle questions (IRR 0.66, 95% CI 0.44-0.99, p=0.04) and gave less lifestyle information (IRR 0.51, 95% CI 0.32-0.82, p=0.01) to women with overweight and obesity, respectively. Providers used fewer approval (IRR 0.68, 95% CI 0.51-0.91, p=0.01) and concern statements (IRR 0.68, 95% CI 0.53-0.86, p=0.002) when caring for women with overweight and fewer self-disclosure statements caring for women with obesity (IRR 0.40, 95% CI 0.19-0.84 p=0.02).
conclusionLess lifestyle and rapport building communication for women with obesity may weaken patient-provider relationship during routine prenatal care. PRACTICE IMPLICATIONS: Interventions to increase use of patient-centered communication - especially for women with overweight and obesity - may improve prenatal care quality.
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