Postpartum Weight Management Experiences of Ghanaian Women: A Qualitative Inquiry

To explore postpartum weight management experiences of Ghanaian women.

Phenomenological qualitative study using in-depth interviews.

Six health care centers in Cape Coast, Ghana.

Twenty-eight women were recruited through consecutive sampling.

Themes regarding postpartum weight management experiences.

Braun and Clarke's reflective thematic analysis method was employed.

Three themes emerged: (1) body weight concerns, (2) dietary modifications, and (3) moderators of weight management decisions. Participants expressed distress over postpartum weight changes and longed to return to their prepregnancy size. However, they were hindered by child care responsibilities and a lack of clear guidance. Many participants postponed weight management efforts until breastfeeding demands lessened. Dietary modifications included reducing sugar intake, using herbal remedies, and adjusting meal timing. Moderators such as health care providers and social networks informed the participants of weight management efforts. Participants often relied on self-directed strategies informed by cultural beliefs and social networks because of inadequate professional advice.

Our results suggest several opportunities for health care professionals, peers, and families to support women in the postpartum period to manage their weight. Further studies could explore strategies that can be used to support women in their postpartum period to manage and address their body weight concerns.