ArticlePloS one2020
Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.PloS one · 2021Pooled it
- Where is communication breaking down? Narrative tensions in obesity-in-pregnancy clinical encounters.PloS one · 2025Article
- Obesity and risk of placenta accreta spectrum: A meta-analysis.Open medicine (Warsaw, Poland) · 2024Review
- Patterns of Labour Interventions and Associated Maternal Biopsychosocial Factors in Australia: a Path Analysis.Reproductive sciences (Thousand Oaks, Calif.) · 2023Article
- A mixed-methods study exploring women's perceptions and recommendations for a pregnancy app with monitoring tools.NPJ digital medicine · 2023Article
- Clinical guidelines for the management of weight during pregnancy: a qualitative evidence synthesis of practice recommendations across NHS Trusts in England.BMC pregnancy and childbirth · 2023Article
- Identifying target behaviors for weight management interventions for women who are overweight during pregnancy and the postpartum period: a qualitative study informed by the Behaviour Change Wheel.BMC pregnancy and childbirth · 2021Article
- Characteristics associated with uncomplicated pregnancies in women with obesity: a population-based cohort study.BMC pregnancy and childbirth · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundBetween 7-35% of the maternity population are obese in high income countries and 1-40% in lower or middle-income countries. Women with obesity are traditionally limited by the choices available to them during pregnancy and birth because of the higher risk of complications. This evidence synthesis set out to summarise how women with obesity's perceptions of pregnancy and birth risk influence the care choices that they make.
methodsA search of medical and health databases for qualitative studies written in the English language, published Jan 1993-April 2019 and reporting on pregnant women with obesity's perception of risk and influence of pregnancy and birth choices. Data was extracted by two reviewers onto a questions framework and then analysed using a thematic synthesis technique. Confidence in the qualitative findings was assessed using GRADE-CERQual.
results23 full texts were included. The common themes on perception of risk were: 'Self-blame arising from others' stereotyped beliefs ', 'Normalisation', 'Lack of preparation', 'Fearful acceptance and inevitability' and 'Baby prioritised over mother'. For influence of choices, the themes were: 'External influences from personal stresses', 'Restrictive guidelines', 'Relationship with healthcare professional' and 'Perception of Risk'.
conclusionsEvidence on what influences women with obesity's pregnancy choices is limited. Further research is needed on the best methods to discuss the risks of pregnancy and birth for women with obesity in a sensitive and acceptable manner and to identify the key influences when women with obesity make choices antenatally and for birth planning.
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