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Exploring Challenges and Co-Developing a Nutritional Resource for Antenatal Care: A Participatory Stakeholder
Julie Abayomi1, Helen Richards2, Camila Benavides2
1Health Research Institute, Edge Hill University, Ormskirk, UK.
Summary
Midwives need better training and resources for antenatal nutrition discussions. They co-developed practical solutions to overcome barriers and improve maternal health outcomes.
Area of Science:
- Maternal Health
- Public Health Nutrition
- Midwifery Practice
Background:
- Antenatal care guidelines emphasize nutrition and weight discussions, yet these are infrequently addressed by midwives.
- Barriers include time constraints and inadequate knowledge/skills among healthcare professionals.
- There is a need to explore effective strategies to support midwives in this crucial area.
Purpose of the Study:
- To engage antenatal midwives in collaborative discussions.
- To explore midwives' perspectives on designing and delivering nutrition resources.
- To identify practical and acceptable solutions for integrating nutrition advice into antenatal care.
Main Methods:
- Qualitative study employing Participatory Action Research (PAR).
- 26 midwives recruited from diverse NHS settings in Northwest England.
- Four co-designed stakeholder workshops facilitated by researchers, involving data collection through participant artefacts and reflections, analyzed via Reflexive Thematic Analysis.
Main Results:
- Theme 1: "We Want to Help, But We're Not Trained for This" highlighted systemic, professional, and emotional barriers.
- Theme 2: "Make It Real and Make It Work" presented midwives' co-produced recommendations for inclusive, culturally sensitive, and workflow-integrated tools and training.
- Patient and Public Involvement (PPI) representatives validated findings and contributed to interpretation.
Conclusions:
- Midwives require enhanced education and resource support for nutrition counseling.
- Despite systemic challenges, midwives proposed practical, implementable solutions.
- Evidence-based, context-specific tools and training can improve antenatal nutrition conversations and maternal/infant outcomes.
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