Evidence map›Paper›PMID 28944991›Full record

ArticleMaternal & child nutrition2018

A qualitative study exploring midwives' perceptions and knowledge of maternal obesity: Reflecting on their experiences of providing healthy eating and weight management advice to pregnant women.

Mary T McCann, Lisa Newson, Catriona Burden, Jane S Rooney, Margaret S Charnley, Julie C Abayomi

Abstract readEvaluation Study
In one paragraph

Article in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. 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 · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Exploring Challenges and Co-Developing a Nutritional Resource for Antenatal Care: A Participatory Stakeholder Engagement Study With Midwives and Public Involvement.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  11. Pregnant Women's Experiences With a Collaborative Midwife-Dietitian Empowerment Programme to Improve Diet Quality.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  12. Article
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  15. Review
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  18. The lived experiences of women exploring a healthy lifestyle, gestational weight gain and physical activity throughout pregnancy.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  19. Adherence to Mediterranean Diet and Its Association with Maternal and Newborn Outcomes.International journal of environmental research and public health · 2022
    Article
  20. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2022
    Review
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

6 authors.

Mary T McCannUniversity of Ulster, Coleraine, Londonderry, UK.
Lisa NewsonNatural Sciences and Psychology, Liverpool John Moores University Faculty of Science, Liverpool, Merseyside, UK.ORCID 0000-0002-5874-8762
Catriona BurdenSports Studies, Leisure and Nutrition, Liverpool John Moores University, Liverpool, Merseyside, UK.
Jane S RooneyNursing and Allied Health, Liverpool John Moores University, Liverpool, Merseyside, UK.
Margaret S CharnleySports Studies, Leisure and Nutrition, Liverpool John Moores University, Liverpool, Merseyside, UK.
Julie C AbayomiSports Studies, Leisure and Nutrition, Liverpool John Moores University, Liverpool, Merseyside, UK.ORCID 0000-0002-8133-5595

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Midwives are responsible for providing advice regarding the complex issues of healthy eating and weight management during pregnancy. This study utilised an inductive data-driven thematic approach in order to determine midwives' perceptions, knowledge, and experiences of providing healthy eating and weight management advice to pregnant women. Semistructured interviews with 17 midwives were transcribed verbatim and data subjected to thematic analysis. The findings offer insight into the challenges facing midwives in their role trying to promote healthy eating and appropriate weight management to pregnant women. Three core themes were identified: (a) "If they eat healthily it will bring their weight down": Midwives Misunderstood; (b) "I don't think we are experienced enough": Midwives Lack Resources and Expertise; and (c) "BMI of 32 wouldn't bother me": Midwives Normalised Obesity. The midwives recognised the importance of providing healthy eating advice to pregnant women and the health risks associated with poor diet and obesity. However, they reported the normalisation of obesity in pregnant women and suggested that this, together with their high workload and lack of expertise, explained the reasons why systematic advice was not in standard antenatal care. In addition, the current lack of UK clinical guidance, and thus, possibly lack of clinical leadership are also preventing delivery of tailored advice. Implementation literature on understanding the barriers to optimal health care delivery and informing clinical practice through research evidence needs to be further investigated in this field. This study has recommendations for policy makers, commissioners, service providers, and midwives.

Indexed as

Attitude of Health PersonnelBody Weight MaintenanceClinical CompetenceEvaluation Studies as TopicFemaleHumansInterviews as TopicMaternal Health ServicesMidwiferyNurse MidwivesObesity ManagementPregnancyPregnancy ComplicationsPrenatal CareUnited Kingdomhealthy eatingmidwivesobesitypregnancyqualitativeself-efficacy

Identifiers

PMID28944991
PMCPMC6866163

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.