Obesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services

Hdl Handle:
http://hdl.handle.net/10149/58268
Title:
Obesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services
Authors:
Heslehurst, N. (Nicola); Lang, R. (Rebecca); Rankin, J. (Judith); Wilkinson, J. R. (John); Summerbell, C. D. (Carolyn)
Affiliation:
University of Teesside. School of Health and Social Care. The Centre for Food, Physical Activity, and Obesity Research; Regional Maternity Survey Office. Newcastle; University of Durham. Wolfson Research Institute. The North East Public Health Observatory.
Citation:
Heslehurst, N. et al. (2007) 'Obesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services', BJOG An International Journal of Obstetrics and Gynaecology, 114 (3), pp.334-342.
Publisher:
Wiley-Blackwell
Journal:
BJOG An International Journal of Obstetrics and Gynaecology
Issue Date:
Jan-2007
URI:
http://hdl.handle.net/10149/58268
DOI:
10.1111/j.1471-0528.2006.01230.x
Abstract:
Objective: To gain a detailed understanding of healthcare professionals' perceptions of the impact that caring for obese pregnant women has on maternity services. Design: Qualitative interview study using purposeful sampling and face-to-face interviews. Setting: Sixteen maternity units in NHS Trusts in the North East Government Office Region of England, UK. Sample: Thirty-three maternity and obstetric healthcare professionals with personal experience of managing the care of obese pregnant women. Methods: Semi-structured interviews with healthcare professionals representing each maternity unit in the region. Transcripts were analysed using systematic content analysis. Main outcome measures: Views on the impact maternal obesity has on maternity services, the facilities required to care for obese mothers in pregnancy, and existing services directed towards maternal obesity. Results: Five dominant themes relating to service delivery emerged; booking appointments, equipment, care requirements, complications and restrictions, and current and future management of care. Many of the issues identified were associated with managing the care of obese women in pregnancy safely, resources and cost issues to be able to do this, multidisciplinary care requirements because of coexisting morbidities when the mother is obese, and restricted care options and patient choice. Conclusions: Healthcare professionals in the North East of England feel that maternal obesity has a major impact on services and resource, on the health of both the mother and child, and on the psychological wellbeing of the mother.
Type:
Article
Keywords:
maternal; maternity; obesity; pregnancy; service; NHS
ISSN:
1471-0528
Rights:
Subject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 22/12/09]
Citation Count:
10 [Scopus, 22/12/09]

Full metadata record

DC FieldValue Language
dc.contributor.authorHeslehurst, N. (Nicola)-
dc.contributor.authorLang, R. (Rebecca)-
dc.contributor.authorRankin, J. (Judith)-
dc.contributor.authorWilkinson, J. R. (John)-
dc.contributor.authorSummerbell, C. D. (Carolyn)-
dc.date.accessioned2009-04-01T10:47:35Z-
dc.date.available2009-04-01T10:47:35Z-
dc.date.issued2007-01-
dc.identifier.citationBJOG An International Journal of Obstetrics and Gynaecology; 114 (3): 334-342-
dc.identifier.issn1471-0528-
dc.identifier.doi10.1111/j.1471-0528.2006.01230.x-
dc.identifier.urihttp://hdl.handle.net/10149/58268-
dc.description.abstractObjective: To gain a detailed understanding of healthcare professionals' perceptions of the impact that caring for obese pregnant women has on maternity services. Design: Qualitative interview study using purposeful sampling and face-to-face interviews. Setting: Sixteen maternity units in NHS Trusts in the North East Government Office Region of England, UK. Sample: Thirty-three maternity and obstetric healthcare professionals with personal experience of managing the care of obese pregnant women. Methods: Semi-structured interviews with healthcare professionals representing each maternity unit in the region. Transcripts were analysed using systematic content analysis. Main outcome measures: Views on the impact maternal obesity has on maternity services, the facilities required to care for obese mothers in pregnancy, and existing services directed towards maternal obesity. Results: Five dominant themes relating to service delivery emerged; booking appointments, equipment, care requirements, complications and restrictions, and current and future management of care. Many of the issues identified were associated with managing the care of obese women in pregnancy safely, resources and cost issues to be able to do this, multidisciplinary care requirements because of coexisting morbidities when the mother is obese, and restricted care options and patient choice. Conclusions: Healthcare professionals in the North East of England feel that maternal obesity has a major impact on services and resource, on the health of both the mother and child, and on the psychological wellbeing of the mother.-
dc.publisherWiley-Blackwell-
dc.rightsSubject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 22/12/09]-
dc.subjectmaternal-
dc.subjectmaternity-
dc.subjectobesity-
dc.subjectpregnancy-
dc.subjectservice-
dc.subjectNHS-
dc.titleObesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services-
dc.typeArticle-
dc.contributor.departmentUniversity of Teesside. School of Health and Social Care. The Centre for Food, Physical Activity, and Obesity Research; Regional Maternity Survey Office. Newcastle; University of Durham. Wolfson Research Institute. The North East Public Health Observatory.-
dc.identifier.journalBJOG An International Journal of Obstetrics and Gynaecology-
ref.assessmentRAE 2008-
ref.citationcount10 [Scopus, 22/12/09]-
or.citation.harvardHeslehurst, N. et al. (2007) 'Obesity in pregnancy: a study of the impact of maternal obesity on NHS maternity services', BJOG An International Journal of Obstetrics and Gynaecology, 114 (3), pp.334-342.-
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