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Preventive Counseling in Routine Prenatal Care—A Qualitative Study of Pregnant Women’s Perspectives on a Lifestyle Intervention, Contrasted with the Experiences of Healthcare Providers

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  • Laura Lorenz

    (Institute of Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine and University Hospital Cologne, University of Cologne, 50935 Cologne, Germany)

  • Franziska Krebs

    (Institute of Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine and University Hospital Cologne, University of Cologne, 50935 Cologne, Germany)

  • Farah Nawabi

    (Institute of Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine and University Hospital Cologne, University of Cologne, 50935 Cologne, Germany)

  • Adrienne Alayli

    (Institute of Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine and University Hospital Cologne, University of Cologne, 50935 Cologne, Germany)

  • Stephanie Stock

    (Institute of Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine and University Hospital Cologne, University of Cologne, 50935 Cologne, Germany)

Abstract

Maternal lifestyle during pregnancy and excessive gestational weight gain can influence maternal and infant short and long-term health. As part of the GeMuKi intervention, gynecologists and midwives provide lifestyle counseling to pregnant women during routine check-up visits. This study aims to understand the needs and experiences of participating pregnant women and to what extent their perspectives correspond to the experiences of healthcare providers. Semi-structured interviews were conducted with 12 pregnant women and 13 multi-professional healthcare providers, and were analyzed using qualitative content analysis. All interviewees rated routine check-up visits as a good setting in which to focus on lifestyle topics. Women in their first pregnancies had a great need to talk about lifestyle topics. None of the participants were aware of the link between gestational weight gain and maternal and infant health. The healthcare providers interviewed attributed varying relevance regarding the issue of weight gain and, accordingly, provided inconsistent counseling. The pregnant women expressed dissatisfaction regarding the multi-professional collaboration. The results demonstrate a need for strategies to improve multi-professional collaboration. In addition, health care providers should be trained to use sensitive techniques to inform pregnant women about the link between gestational weight gain and maternal and infant health.

Suggested Citation

  • Laura Lorenz & Franziska Krebs & Farah Nawabi & Adrienne Alayli & Stephanie Stock, 2022. "Preventive Counseling in Routine Prenatal Care—A Qualitative Study of Pregnant Women’s Perspectives on a Lifestyle Intervention, Contrasted with the Experiences of Healthcare Providers," IJERPH, MDPI, vol. 19(10), pages 1-24, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6122-:d:818076
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    References listed on IDEAS

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    1. Nicola Heslehurst & Louise Hayes & Daniel Jones & James Newham & Joan Olajide & Louise McLeman & Catherine McParlin & Caroline de Brun & Liane Azevedo, 2020. "The effectiveness of smoking cessation, alcohol reduction, diet and physical activity interventions in changing behaviours during pregnancy: A systematic review of systematic reviews," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-26, May.
    2. Franziska Krebs & Laura Lorenz & Farah Nawabi & Isabel Lück & Anne-Madeleine Bau & Adrienne Alayli & Stephanie Stock, 2021. "Recruitment in Health Services Research—A Study on Facilitators and Barriers for the Recruitment of Community-Based Healthcare Providers," IJERPH, MDPI, vol. 18(19), pages 1-16, October.
    3. Anja Oechsle & Michel Wensing & Charlotte Ullrich & Manuela Bombana, 2020. "Health Knowledge of Lifestyle-Related Risks during Pregnancy: A Cross-Sectional Study of Pregnant Women in Germany," IJERPH, MDPI, vol. 17(22), pages 1-18, November.
    4. Elisabeth Brobeck & Håkan Bergh & Sigrid Odencrants & Cathrine Hildingh, 2011. "Primary healthcare nurses’ experiences with motivational interviewing in health promotion practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(23‐24), pages 3322-3330, December.
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