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Clinician's Attitudes to the Introduction of Routine Weighing in Pregnancy
Tim Hasted1, Helen Stapleton2, Michael M Beckmann3
1Department of Obstetrics and Gynaecology, Mater Health Services, Brisbane, QLD 4101, Australia; University of Queensland School of Medicine, Brisbane, QLD 4006, Australia.
Journal of Pregnancy
|July 23, 2016
Summary
Routine weighing of pregnant women is supported by most clinicians, but barriers exist. Implementation strategies will address identified gaps in knowledge, resources, and clinician confidence for better gestational weight gain management.
Area of Science:
- Maternal Health
- Obstetrics
- Public Health
Background:
- Excessive gestational weight gain presents risks to mother and infant.
- Routine weighing in pregnancy is increasingly recommended by health bodies.
- A tertiary maternity hospital planned to reintroduce routine weighing at all antenatal visits.
Purpose of the Study:
- To explore clinicians' views on barriers and enablers to routine weighing during pregnancy.
- To identify variations in current practice, knowledge, and attitudes among different staff groups.
- To inform the implementation of routine weighing protocols.
Main Methods:
- Qualitative content analysis of focus group interviews with 44 maternity staff.
- Participants included midwives, medical staff, and dietitians.
- Exploration of barriers and enablers to routine weighing throughout pregnancy.
Main Results:
- Most clinicians supported routine weighing.
- Identified barriers included resource/staff access, counselling capacity, and impact on patient relationships.
- Concerns were raised regarding providing evidence-based interventions.
Conclusions:
- Clinician support for routine pregnancy weighing is significant.
- Barriers to implementation were identified across professional groups.
- Tailored strategies are needed to address knowledge, resource, and skill gaps for successful implementation.
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