Obesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services
Open Access
- 25 January 2007
- journal article
- research article
- Published by Wiley in BJOG: An International Journal of Obstetrics and Gynaecology
- Vol. 114 (3), 334-342
- https://doi.org/10.1111/j.1471-0528.2006.01230.x
Abstract
To gain a detailed understanding of healthcare professionals' perceptions of the impact that caring for obese pregnant women has on maternity services. Qualitative interview study using purposeful sampling and face-to-face interviews. Sixteen maternity units in NHS Trusts in the North East Government Office Region of England, UK. Thirty-three maternity and obstetric healthcare professionals with personal experience of managing the care of obese pregnant women. Semi-structured interviews with healthcare professionals representing each maternity unit in the region. Transcripts were analysed using systematic content analysis. Views on the impact maternal obesity has on maternity services, the facilities required to care for obese mothers in pregnancy, and existing services directed towards maternal obesity. Five dominant themes relating to service delivery emerged; booking appointments, equipment, care requirements, complications and restrictions, and current and future management of care. Many of the issues identified were associated with managing the care of obese women in pregnancy safely, resources and cost issues to be able to do this, multidisciplinary care requirements because of coexisting morbidities when the mother is obese, and restricted care options and patient choice. Healthcare professionals in the North East of England feel that maternal obesity has a major impact on services and resource, on the health of both the mother and child, and on the psychological wellbeing of the mother.Keywords
This publication has 20 references indexed in Scilit:
- Outcome of pregnancy in a woman with an increased body mass indexBJOG: An International Journal of Obstetrics and Gynaecology, 2005
- Obesity-Related Complications in Danish Single Cephalic Term PregnanciesObstetrics & Gynecology, 2005
- Maternal Prepregnancy Overweight and Obesity and the Pattern of Labor Progression in Term Nulliparous WomenObstetrics & Gynecology, 2004
- Obesity and pregnancyActa Obstetricia et Gynecologica Scandinavica, 2004
- The influence of obesity and diabetes on the risk of cesarean deliveryAmerican Journal of Obstetrics and Gynecology, 2004
- Obesity, obstetric complications and cesarean delivery rate–a population-based screening studyAmerican Journal of Obstetrics and Gynecology, 2004
- Prepregnancy weight and adverse perinatal outcomes in an ethnically diverse populationPublished by Wolters Kluwer Health ,2003
- Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in LondonInternational Journal of Obesity, 2001
- Association between pre-pregnancy obesity and the risk of cesarean deliveryObstetrics & Gynecology, 1997
- Pre-pregnancy weight and its relation to pregnancy outcomeJournal of Obstetrics and Gynaecology, 1995