Gestational Weight Monitoring in Rural and Regional Populations: Women's Knowledge, Experience and Recommendations for Models of Care

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-04-16 DOI:10.1111/ajr.70042

Berneice Fitzpatrick, Susan de Jersey, Shelley Wilkinson, Nicole Ward

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引用次数: 0

Abstract

Objective

To explore women's knowledge and experience of weight monitoring during pregnancy to inform the development of a model of care that meets demonstrated needs.

Setting

A rural and regional health service in southern Queensland.

Participants

Women (n = 160) who used antenatal care in the health service from June 2018 to October 2022.

Design

An exploratory online survey was sent via short messaging service to women, including quantitative and qualitative questions with free-text options for additional comments. The data were analysed using descriptive statistics.

Results

One in five women could correctly identify the recommended gestational weight gain based on their pre-pregnancy body mass index. Half the women reported knowing weight gain recommendations was useful. A quarter of women had a negative experience with health professionals discussing their weight. One-fifth of women saw a dietitian, and an additional 9% would have liked to use the service, with 14% not knowing it was available.

Conclusion

Women would like to know more about achieving healthy weight gain and receive support to do so. Women report experiencing stigma when discussing pregnancy weight. Whilst the findings are similar to urban women's experience, rural women's ability to access care in the context of a rural setting presents a unique set of barriers. Further investigation is required to gather health professionals' experience in conjunction with the latest evidence to inform improvements to service delivery.

查看原文本刊更多论文

妊娠体重监测在农村和地区人口：妇女的知识，经验和护理模式的建议

目的探讨妇女对孕期体重监测的认识和经验，为制定符合需求的护理模式提供信息。地点昆士兰州南部的一个农村和地区医疗服务机构。参与者 2018 年 6 月至 2022 年 10 月期间在该医疗服务机构接受产前护理的妇女（n = 160）。设计通过短信服务向妇女发送了一份探索性在线调查，其中包括定量和定性问题，并提供自由文本选项供妇女发表补充意见。数据采用描述性统计进行分析。结果每五名妇女中就有一人能根据孕前体重指数正确识别建议的妊娠体重增加。半数妇女表示了解体重增加建议很有用。四分之一的妇女在与医护人员讨论体重时有过负面经历。五分之一的妇女曾见过营养师，另有 9% 的妇女希望使用这项服务，还有 14% 的妇女不知道有这项服务。结论妇女希望了解更多有关实现健康体重增加的信息，并在这方面获得支持。妇女表示，在讨论孕期体重问题时会感到耻辱。虽然调查结果与城市妇女的经历相似，但农村妇女在农村环境中获得医疗服务的能力却面临着一系列独特的障碍。需要进一步调查，结合最新证据收集医疗专业人员的经验，为改善服务提供依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.