ArticleBMJ open2017
Healthcare providers' gestational weight gain counselling practises and the influence of knowledge and attitudes: a cross-sectional mixed methods study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Targeting obstetric providers in interventions for obesity and gestational weight gain: A systematic review.PloS one · 2018Pooled it
- Gestational Weight Gain Counseling Insights from Healthcare Providers and Saudi Women: Riyadh Mother and Baby Follow-Up Study (RAHMA Explore).Healthcare (Basel, Switzerland) · 2026Article
- Implementing clinical guidelines for gestational weight gain care: a novel application of best-worst scaling to prioritise barriers.BMC health services research · 2025Article
- Nutritional Screening During Pregnancy: Women's Views of Weight Monitoring as Part of This Process.Nutrients · 2025Article
- Exploring Beliefs, Concerns, Prenatal Care Advice, and Sources of Information About Gestational Weight Gain Among Immigrant Central American Pregnant Women in the United States.International journal of environmental research and public health · 2024Article
- Antenatal care practices for gestational weight gain: a cross sectional survey of antenatal care providers reported provision and barriers to providing recommended care.BMC pregnancy and childbirth · 2024Article
- Barriers and enablers to addressing smoking, nutrition, alcohol consumption, physical activity and gestational weight gain (SNAP-W) as part of antenatal care: A mixed methods systematic review.Implementation science communications · 2024Review
- Article
- Nutritional Knowledge about Maternal and Newborn Health among Physiotherapists during the COVID-19 Pandemic in Minas Gerais, Brazil.Nutrients · 2024Article
- Prevalence and related factors of inappropriate gestational weight gain among pregnant women with overweight/ obesity in Thailand.BMC pregnancy and childbirth · 2023Article
- Study protocol for an economic evaluation and budget impact of implementation strategies to support routine provision of antenatal care for gestational weight gain: a stepped-wedge cluster trial.Implementation science communications · 2023Article
- Strengthening maternal nutrition counselling during routine health services: a gap analysis to guide country programmes.Public health nutrition · 2023Review
- A theory driven, pragmatic trial implementing changes to routine antenatal care that supports recommended pregnancy weight gain.BMC pregnancy and childbirth · 2022Article
- The impact of IOM recommendations on gestational weight gain among US women: An analysis of birth records during 2011-2019.PLOS global public health · 2022Article
- An implementation intervention to increase the routine provision of antenatal care addressing gestational weight gain: study protocol for a stepped-wedge cluster trial.Implementation science communications · 2021Article
- Healthcare Professional Training Regarding Gestational Weight Gain: Recommendations and Future Directions.Current obesity reports · 2021Review
- Association Between Maternal Body Mass and Physical Activity Counseling During Pregnancy.Frontiers in psychology · 2021Article
- The association between personal weight gain goals, provider recommendations, and appropriate gestational weight gain.American journal of obstetrics & gynecology MFM · 2020Article
- Gestational weight gain counselling practices among different antenatal health care providers: a qualitative grounded theory study.BMC pregnancy and childbirth · 2020Article
- Knowledge, Behaviors, and Social Factors That Influence Pregnancy Weight Gain among Youth Ages 16-24 Years.Journal of pediatric and adolescent gynecology · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo understand current gestational weight gain (GWG) counselling practices of healthcare providers, and the relationships between practices, knowledge and attitudes.
designConcurrent mixed methods with data integration: cross-sectional survey and semistructured interviews.
participantsPrenatal healthcare providers in Canada: general practitioners, obstetricians, midwives, nurse practitioners and registered nurses in primary care settings.
resultsTypically, GWG information was provided early in pregnancy, but not discussed again unless there was a concern. Few routinely provided women with individualised GWG advice (21%), rate of GWG (16%) or discussed the risks of inappropriate GWG to mother and baby (20% and 19%). More routinely discussed physical activity (46%) and food requirements (28%); midwives did these two activities more frequently than all other disciplines (P<0.001). Midwives interviewed noted a focus on overall wellness instead of weight, and had longer appointment times which allowed them to provide more in-depth counselling. Regression results identified that the higher priority level that healthcare providers place on GWG, the more likely they were to report providing GWG advice and discussing risks of GWG outside recommendations (β=0.71, P<0.001) and discussing physical activity and food requirements (β=0.341, P<0.001). Interview data linked the priority level of GWG to length of appointments, financial compensation methods for healthcare providers and the midwifery versus medical model of care.
conclusionsInterventions for healthcare providers to enhance GWG counselling practices should consider the range of factors that influence the priority level healthcare providers place on GWG counselling.
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