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Planning, implementation and evaluation of antenatal weight management programmes: What are the key components? A
Sarah MacAulay1, Briege M Lagan2, Karen Casson2
1School of Nursing/Institute of Nursing & Health Research, Ulster University, Belfast, County Antrim, Northern Ireland BT37 0QB, United Kingdom; Wales Cancer Network, 1st Floor, River House, Bridge Court, Cardiff, Wales CF15 9SS, United Kingdom.
Midwifery
|October 19, 2019
Summary
Antenatal weight management programmes often fail to meet guidelines for user involvement and BMI thresholds. Successful programmes require midwife confidence, strategic communication, and user engagement from planning to evaluation.
Area of Science:
- Maternal Health
- Public Health Interventions
- Obesity Management
Background:
- Overweight and obesity in pregnancy pose significant risks.
- Effective antenatal weight management programmes are crucial for maternal and infant outcomes.
- Current UK programmes face challenges in planning, delivery, and evaluation.
Purpose of the Study:
- To identify key components for successful antenatal weight management programmes.
- To understand barriers and facilitators in programme planning, delivery, and evaluation.
- To inform the development and improvement of these interventions.
Main Methods:
- A sequential explanatory mixed-methods design was employed.
- Online surveys were distributed to UK maternity services and local government councils.
- One-to-one telephone interviews were conducted with programme stakeholders.
Main Results:
- Many programmes do not adhere to recommended BMI inclusion criteria (≥30 kg/m²).
- Service user involvement in planning was low (20.6%).
- Effective communication strategies and midwife confidence are vital for programme uptake and success.
Conclusions:
- National guidelines on user involvement and BMI thresholds are not consistently followed.
- Adequate resources, staff training, and protected time are essential for programme effectiveness.
- Enhanced organisational support and strategic communication are needed to improve programme reach and impact.
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