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首页> 外文期刊>Journal of women’s health >Preventing excessive weight gain in pregnancy: how do prenatal care providers approach counseling?
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Preventing excessive weight gain in pregnancy: how do prenatal care providers approach counseling?

机译：预防怀孕期间体重增加过多：产前保健提供者如何进行咨询？

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BACKGROUND: Excessive weight gain during pregnancy is becoming more common and is associated with many adverse maternal and infant outcomes. There is a paucity of data on how weight gain counseling is actually provided in prenatal care settings. Our objective was to study prenatal care providers and their knowledge, attitudes, and practices regarding prevention of excessive weight gain during pregnancy and, secondarily, their approach to nutrition and physical activity counseling during pregnancy. METHODS: We conducted seven focus groups of general obstetrician/gynecologists, midwives, and nurse practitioners. We analyzed data using qualitative methods. RESULTS: Providers agreed to participate because they were unsure of the effectiveness of their counseling efforts and wanted to learn new techniques for counseling patients about weight gain, nutrition, and physical activity. We identified several barriers to weight gain counseling, including insufficient training, concern about the sensitivity of the topic, and the perception that counseling is ineffective. Providers all agreed that weight gain was an important topic with short-term and long-term health consequences, but they described widely disparate counseling styles and approaches. CONCLUSIONS: Prenatal care providers are deeply concerned about excessive weight gain and its sequelae in their patients but encounter barriers to effective counseling. Providers want new tools to help them address weight gain counseling during pregnancy.
机译：背景：怀孕期间体重增加过多变得越来越普遍，并且与许多不利的母婴结局有关。在产前保健环境中实际上如何提供体重增加咨询的数据很少。我们的目标是研究产前保健提供者及其在怀孕期间防止体重过多增加方面的知识，态度和做法，其次是在怀孕期间进行营养和身体活动咨询的方法。方法：我们进行了七个主题小组，由普通妇产科医生/妇产科医生，助产士和护士执业医师组成。我们使用定性方法分析了数据。结果：医疗服务提供者同意参加，因为他们不确定其咨询工作的有效性，并希望学习有关为患者增加体重，营养和身体活动提供咨询的新技术。我们确定了减肥咨询的几个障碍，包括培训不足，对主题敏感性的担忧以及对咨询无效的看法。提供者都同意体重增加是一个短期和长期健康影响的重要话题，但是他们描述了各种各样的咨询方式和方法。结论：产前护理人员对患者体重过度增加及其后遗症深表关注，但遇到了有效咨询的障碍。提供者需要新的工具来帮助他们解决怀孕期间的体重增加咨询。

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