Evaluation of a specialist antenatal nutrition clinic for women with a body mass index ≥ 40kg/m 2 : A qualitative study

• Published in: Midwifery 2022-06, Vol.109, p.103315
• Main Authors: Knight-Agarwal, Catherine R, Brewer, Kelly, Minehan, Michelle, Jani, Rati, Parker, Alison, Kaur, Gurneet, Alkinani, Ban, Golley, Pip
• Format: Article
• Language: English
• Subjects: Body Mass Index; Female; Humans; Nutritional Status; Pregnancy; Pregnant Women; Prenatal Care - methods; Qualitative Research
• ISSN: 1532-3099
• DOI: 10.1016/j.midw.2022.103315

To explore the views of women who attended a specialist antenatal nutrition clinic that was specifically developed and piloted for pregnant women with a BMI ≥ 40 kg/m . A phenomenological approach, using individual interviews, was employed. Discussions were audio recorded, transcribed verbatim and scrutinised using Interpretive Phenomenological Analysis. Themes were pinpointed and supported with direct quotes to demonstrate results. Eight women, with a BMI ≥ 40 kg/m , receiving antenatal care at a tertiary hospital in south eastern Australia and who participated in a specialist antenatal nutrition service were interviewed. Three main themes emerged: 1) Motivation to be Healthy; 2) Woman Centred Nutrition Care; 3) Conflicts, Confusion and Assumptions. Pregnant women with a BMI ≥ 40kgm responded positively to incorporating dietitians in the antenatal care setting. The reinforcement and reassurance provided by the specialist dietetic team was highly valued. More effective communication regarding referrals, improved consistency in information provided by the entire antenatal service and continuity of dietetic support beyond birth would add value to future interventions.