Communication practices of healthcare professionals when caring for overweight/obese pregnant women: a scoping review
R Dieterich, J Demirci - Patient education and counseling, 2020 - Elsevier
Patient education and counseling, 2020•Elsevier
Objective To synthesize existing research on communication practices between healthcare
professionals and overweight and obese pregnant women. Methods Following PRISMA
guidance on conducting scoping reviews, we included original research addressing
communication/counseling practices of healthcare professionals with overweight and/or
obese pregnant women, published between 2008–2018, and available in English. Fourteen
articles are included in this review. Results Study findings were organized into three …
professionals and overweight and obese pregnant women. Methods Following PRISMA
guidance on conducting scoping reviews, we included original research addressing
communication/counseling practices of healthcare professionals with overweight and/or
obese pregnant women, published between 2008–2018, and available in English. Fourteen
articles are included in this review. Results Study findings were organized into three …
Objective
To synthesize existing research on communication practices between healthcare professionals and overweight and obese pregnant women.
Methods
Following PRISMA guidance on conducting scoping reviews, we included original research addressing communication/counseling practices of healthcare professionals with overweight and/or obese pregnant women, published between 2008–2018, and available in English. Fourteen articles are included in this review.
Results
Study findings were organized into three themes: (a) topics addressed during encounters, (b) providers’ comfort/confidence, knowledge and methods in communicating with overweight/obese pregnant women, and (c) overweight/obese pregnant women’s experiences in communicating with healthcare providers. The most prevalent topics addressed were gestational weight gain, physical activity, and nutrition. Healthcare professionals experience discomfort and are reluctant to address weight status with overweight/obese pregnant patients, use vague statements about weight gain and weight-related obstetric risks, and report low confidence when counseling obese pregnant women. Overweight/obese pregnant women perceive weight stigma when interacting with providers.
Conclusion
Weight-related counseling in obstetric care is suboptimal. Providers may benefit from training to more confidently and effectively counsel overweight and obese pregnant women about gestational weight gain, physical activity, and nutrition.
Practice implications
Patients perceive weight stigma in the obstetric setting, which may be prevented by effective, patient-centered communication.
Elsevier
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