Evidence map›Paper›PMID 36907010›Full record

SynthesisMidwifery2023

A mixed methods systematic review of midwives' clinical practices related to prenatal care of women with obesity.

Suzanne Hyer, Jean W Davis, Jordan Lee Slowik, Emily Dove-Medows, Carmen Giurgescu

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Midwifery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  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. Article
  3. Review
  4. Fear of Childbirth Among Pregnant People Facing Anti-Fat Bias.International journal of environmental research and public health · 2024
    Article
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

5 authors at 2 institutions in 1 country.

Suzanne HyerCollege of Nursing, University of Central Florida, 12201 Research Parkway, Suite 300, Orlando, FL, USA. Electronic address: suzanne.hyer@ucf.edu.
Jean W DavisCollege of Nursing, University of Central Florida, 12201 Research Parkway, Suite 300, Orlando, FL, USA.
Jordan Lee SlowikCollege of Nursing, University of Central Florida, 12201 Research Parkway, Suite 300, Orlando, FL, USA.
Emily Dove-MedowsSchool of Nursing, University of Michigan, 500 S State St, Ann Arbor, MI, USA.
Carmen GiurgescuCollege of Nursing, University of Central Florida, 12201 Research Parkway, Suite 300, Orlando, FL, USA.
University of Central Florida · USUniversity of Michigan · US

Funding

Gestational weight gain and infant birthweight among Black women: Beyond individual-level factorsF32NR020295 · NINR · UNIVERSITY OF CENTRAL FLORIDA · PI HYER, SUZANNE M · 2022 to 2023
$130k
NINR NIH HHS F32 NR020295
6 · The paper itself

Abstract

objectiveMaternal obesity has been related to adverse maternal and infant outcomes. It is a persistent challenge of midwifery care worldwide and can present clinical challenges and complications. This review sought to identify evidence on the practice patterns of midwives related to prenatal care of women with obesity.

methodsThe databases Academic Search Premier, APA PsycInfo, CINAHL PLUS with Full Text, Health Source: Nursing/Academic Edition, and MEDLINE were searched November 2021. Search terms included weight, obesity, practices, and midwives. Inclusion criteria included quantitative, qualitative, and mixed method studies that addressed practice patterns of midwives related to prenatal care of women with obesity published in peer-reviewed journals, written in English. The recommended Joanna Briggs Institute approach to mixed methods systematic reviews was followed e.g. study selection, critical appraisal, data extraction, and a convergent segregated method of data synthesis and integration.

resultsSeventeen articles from 16 studies were included. The quantitative evidence showed a lack of knowledge, confidence, and support for midwives that would facilitate adequate management of pregnant women with obesity while the qualitative evidence revealed that midwives desire a sensitive approach to discussing obesity and the risks associated with maternal obesity. DISCUSSION: Quantitative and qualitative literature report consistent individual and system-level barriers to implementing evidence-based practices. Implicit bias training, midwifery curriculum updates, and the use of patient centered care models may help overcome these challenges.

Indexed as

MidwiferyPregnancy in ObesityFemaleHumansObesityPregnancyPrenatal CareQualitative ResearchMidwifeObesityPracticesWeight

Identifiers

PMID36907010
PMCPMC10147579
OpenAlexW4323275340

What OpenQuestion holds

Textmetadata
LicenceTDM
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.