Evidence map›Paper›PMID 39563230›Full record

ArticleBMC pregnancy and childbirth2024

When midwives ask permission to discuss weight with pregnant women with high body weight: a qualitative study.

Sofie Gyrup, Anne-Sofie Kortegaard, Sissel Due Jensen, Pernille Andreassen, Dorte Hvidtjørn

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Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sofie GyrupDepartment of Public Health, Aarhus University, Aarhus, Denmark. sofienel@rm.dk.
Anne-Sofie KortegaardDepartment of Public Health, Aarhus University, Aarhus, Denmark. annesofiekortegaardkristensen@gmail.com.
Sissel Due JensenDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Pernille AndreassenThe Danish National Center for Obesity, Aarhus University Hospital, Aarhus, Denmark.
Dorte HvidtjørnDepartment of Obstetrics and Gynaecology, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2021, 15% of pregnant women in Denmark had a Body Mass Index (BMI) of 30 kg/m

methodsWe observed nine midwifery consultations and, by way of purposive sampling, interviewed six pregnant women with high body weight, while nine midwives participated in two focus group interviews. A hermeneutic-phenomenological approach by Max van Manen was applied for the analysis.

resultsWe identified three themes in this study. "Addressing weight triggers risk and ambivalence", which explores the lived experiences of pregnant women, their personal history with their body weight and midwives' hesitancy to initiate weight-related conversations with pregnant women who have a high body weight. "Asking for permission - for whose sake?" highlights the experiences of asking permission among midwives and that pregnant women with a high body weight did not perceive the question as an opportunity to decrease weight-related conversations. "Weight conversation - a cue to feel wrong and guilty or to feel recognised as an individual?" emphasising that trust and shared decision-making are crucial factors for a relevant weight-related conversation but also that the conversation might trigger feelings such as guilt and self-doubt.

conclusionPregnant women with high body weight had a long history with their body weight that affected all aspects of their lifeworld and influenced weight-related conversations in the midwifery consultation. Some midwives hesitated to address weight, but seeking permission eased this challenge. Despite the midwife asking for permission, some of the pregnant women felt uneasy during the conversation, leaving them with a feeling of self-doubt. Relevant conversations occurred when women engaged in decision-making and trusted the midwife.

Indexed as

MidwiferyPregnant PeopleQualitative ResearchAdultBody Mass IndexBody WeightCommunicationDenmarkFemaleFocus GroupsHumansNurse-Patient RelationsPregnancyAsking permissionHealth communicationMidwifeObesityPhenomenologyPregnancyWeight prejudice

Identifiers

PMID39563230
PMCPMC11575119

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