Midwives' and obstetricians' perspectives about pregnancy related weight management in Ethiopia: A qualitative study.

Asefa, F; Cummins, A; Dessie, Y; Foureu, M; Hayen, A

Midwives' and obstetricians' perspectives about pregnancy related weight management in Ethiopia: A qualitative study.

Asefa, F Cummins, A

Dessie, Y Foureu, M Hayen, A

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Publisher:: Public Library of Science (PLoS)
Publication Type:: Journal Article
Citation:: PloS one, 2020, 15, (12)
Issue Date:: 2020-01

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Field	Value	Language
dc.contributor.author	Asefa, F
dc.contributor.author	Cummins, A https://orcid.org/0000-0003-0626-3365
dc.contributor.author	Dessie, Y
dc.contributor.author	Foureu, M
dc.contributor.author	Hayen, A https://orcid.org/0000-0003-4046-8030
dc.date.accessioned	2021-01-19T03:59:17Z
dc.date.available	2020-12-04
dc.date.available	2021-01-19T03:59:17Z
dc.date.issued	2020-01
dc.identifier.citation	PloS one, 2020, 15, (12)
dc.identifier.issn	1932-6203
dc.identifier.issn	1932-6203
dc.identifier.uri	http://hdl.handle.net/10453/145483
dc.description.abstract	<h4>Background</h4>Midwives and obstetricians are key maternity care providers; they are the most trusted source of information regarding nutrition and gestational weight gain. However, their views, practices and perceived barriers to managing pregnancy related weight gain have not been studied in Ethiopia. The aim of this study was to explore midwives' and obstetricians' observations and perspectives about gestational weight gain and postpartum weight management in Ethiopia.<h4>Methods</h4>We conducted face-to-face interviews with 11 midwives and 10 obstetricians, from January 2019 to March 2019. All interview data were transcribed verbatim. We analysed the data using thematic analysis with an inductive approach.<h4>Results</h4>We identified three themes and associated subthemes. Midwives and obstetricians had limited knowledge of the optimal gestational weight gain. Almost all participants were unaware of the presence of the Institute of Medicine recommendations for optimal weight gain in pregnancy. According to the study participants, women in Ethiopia do not want to gain weight during pregnancy, but do want to gain weight after the birth. Counselling about gestational weight gain and postpartum weight management was not routinely provided for pregnant women. This is mostly because gestational weight gain counselling was not considered to be a priority by maternity care providers in Ethiopia.<h4>Conclusions</h4>The limited knowledge of and low attention to pregnancy related weight management by midwives and obstetricians in this setting needs appropriate intervention. Adapting a guideline for pregnancy weight management and integrating it into antenatal care is essential.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Public Library of Science (PLoS)
dc.relation.ispartof	PloS one
dc.relation.isbasedon	10.1371/journal.pone.0244221
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	General Science & Technology
dc.title	Midwives' and obstetricians' perspectives about pregnancy related weight management in Ethiopia: A qualitative study.
dc.type	Journal Article
utslib.citation.volume	15
utslib.location.activity	United States
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-01-19T03:58:48Z
pubs.issue	12
pubs.publication-status	Published
pubs.volume	15
utslib.citation.issue	12

Abstract:

Background

Midwives and obstetricians are key maternity care providers; they are the most trusted source of information regarding nutrition and gestational weight gain. However, their views, practices and perceived barriers to managing pregnancy related weight gain have not been studied in Ethiopia. The aim of this study was to explore midwives' and obstetricians' observations and perspectives about gestational weight gain and postpartum weight management in Ethiopia.

Methods

We conducted face-to-face interviews with 11 midwives and 10 obstetricians, from January 2019 to March 2019. All interview data were transcribed verbatim. We analysed the data using thematic analysis with an inductive approach.

Results

We identified three themes and associated subthemes. Midwives and obstetricians had limited knowledge of the optimal gestational weight gain. Almost all participants were unaware of the presence of the Institute of Medicine recommendations for optimal weight gain in pregnancy. According to the study participants, women in Ethiopia do not want to gain weight during pregnancy, but do want to gain weight after the birth. Counselling about gestational weight gain and postpartum weight management was not routinely provided for pregnant women. This is mostly because gestational weight gain counselling was not considered to be a priority by maternity care providers in Ethiopia.

Conclusions

The limited knowledge of and low attention to pregnancy related weight management by midwives and obstetricians in this setting needs appropriate intervention. Adapting a guideline for pregnancy weight management and integrating it into antenatal care is essential.

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http://hdl.handle.net/10453/145483