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首页> 外文期刊>Maternal & child nutrition >Pregnant women's perceptions of gestational weight gain: A systematic review and meta‐synthesis of qualitative research
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Pregnant women's perceptions of gestational weight gain: A systematic review and meta‐synthesis of qualitative research

机译：孕妇对妊娠重量增益的看法：系统评价和质量研究的综合

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Abstract Excess gestational weight gain has numerous negative health outcomes for women and children, including high blood pressure, diabetes, and cesarean section (maternal) and high birth weight, trauma at birth, and asphyxia (infants). Excess weight gain in pregnancy is associated with a higher risk of long‐term obesity in both mothers and children. Despite a concerted public health effort, the proportion of pregnant women gaining weight in excess of national guidelines continues to increase. To understand this phenomenon and offer suggestions for improving interventions, we conducted a systematic review of qualitative research on pregnant women's perceptions and experiences of weight gain in pregnancy. We used the methodology of qualitative meta‐synthesis to analyze 42 empirical qualitative research studies conducted in high‐income countries and published between 2005 and 2015. With this synthesis, we provide an account of the underlying factors and circumstances (barriers, facilitators, and motivators) that pregnant women identify as important for appropriate weight gain. We also offer a description of the strategies identified by pregnant women as acceptable and appropriate ways to promote healthy weight gain. Through our integrative analysis, we identify women's common perception on the struggle to enact health behaviors and physical, social, and environmental factors outside of their control. Effective and sensitive interventions to encourage healthy weight gain in pregnancy must consider the social environment in which decisions about weight take place.
机译：摘要血液压力过多的血液压力增益为妇女和儿童具有许多负面健康成果，包括高血压，糖尿病和剖宫产（母体）和高生育体重，出生时创伤和窒息（婴儿）。怀孕的过度重量增长与母亲和儿童的长期肥胖风险更高。尽管有一致的公共卫生努力，但孕妇的比例越来越多的国家准则继续增加。要了解这种现象和提出改善干预措施的建议，我们对怀孕妇女的感知和体重增加经验进行了系统性审查。我们利用定性荟萃综合的方法来分析高收入国家进行的42次经验性定性研究研究，并在2005年至2015年间发布。通过这种综合，我们提供了潜在因素和情况（障碍，促进者和激励措施的叙述）孕妇认为适合适当的体重增加。我们还提供孕妇确定的策略描述，以促进健康体重增加的可接受和适当的方法。通过我们的综合分析，我们识别妇女对斗争的常见看法，以解决他们控制之外的健康行为和身体，社会，社会，环境因素的斗争。有效和敏感的干预措施，以鼓励健康体重增加在怀孕期间必须考虑对体重的决定进行的社会环境。

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