Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study
Abstract Background Excess gestational weight gain has long- and short-term implications for women and children, and postpartum weight retention is associated with an increased risk of long-term obesity. Despite the existence of dietary and exercise guidelines, many women struggle to return to pre-p...
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doaj-7057494a535b45dba4f2293e535744622020-11-25T03:39:25ZengBMCBMC Pregnancy and Childbirth1471-23932019-10-0119111110.1186/s12884-019-2508-zExperiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory studyBeth Murray-Davis0Lindsay Grenier1Stephanie A. Atkinson2Michelle F. Mottola3Olive Wahoush4Lehana Thabane5Feng Xie6Jennifer Vickers-Manzin7Caroline Moore8Eileen K. Hutton9McMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster UniversityMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster UniversityDepartment of Pediatrics, McMaster UniversityR. Samuel McLaughlin Foundation- Exercise and Pregnancy Lab, School of Kinesiology, The University of Western OntarioGlobal Health, McMaster UniversityDepartment of Health Research Methods, Evidence and Impact, McMaster UniversityDepartment of Health Research Methods, Evidence and Impact, McMaster UniversityPublic Health Services-Healthy Families, Healthy & Safe Communities, City of HamiltonDepartment of Pediatrics, McMaster UniversityMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster UniversityAbstract Background Excess gestational weight gain has long- and short-term implications for women and children, and postpartum weight retention is associated with an increased risk of long-term obesity. Despite the existence of dietary and exercise guidelines, many women struggle to return to pre-pregnancy weight. Experiences of women in tackling postpartum weight loss are poorly understood. We undertook this study to explore experiences related to nutrition, exercise and weight in the postpartum in women in Ontario, Canada. Methods This was a nested qualitative study within The Be Healthy in Pregnancy Study, a randomized controlled trial. Women randomized to the control group were invited to participate. Semi-structured focus groups were conducted at 4–6 months postpartum. Focus groups were audio recorded, transcribed verbatim, coded and analyzed thematically using a constructivist grounded theory approach. Results Women experienced a complex relationship with their body image, due to unrealistic expectations related to their postpartum body. Participants identified barriers and enablers to healthy habits during pregnancy and postpartum. Gestational weight gain guidelines were regarded as unhelpful and unrealistic. A lack of guidance and information about weight management, healthy eating, and exercise in the postpartum period was highlighted. Conclusion Strategies for weight management that target the unique characteristics of the postpartum period have been neglected in research and in patient counselling. Postpartum women may begin preparing for their next pregnancy and support during this period could improve their health for subsequent pregnancies. Trial registration NCT01689961 registered September 21, 2012.http://link.springer.com/article/10.1186/s12884-019-2508-zGestational weight gainPostpartum weight retentionPostpartum womenExerciseNutritionWeight loss |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Beth Murray-Davis Lindsay Grenier Stephanie A. Atkinson Michelle F. Mottola Olive Wahoush Lehana Thabane Feng Xie Jennifer Vickers-Manzin Caroline Moore Eileen K. Hutton |
spellingShingle |
Beth Murray-Davis Lindsay Grenier Stephanie A. Atkinson Michelle F. Mottola Olive Wahoush Lehana Thabane Feng Xie Jennifer Vickers-Manzin Caroline Moore Eileen K. Hutton Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study BMC Pregnancy and Childbirth Gestational weight gain Postpartum weight retention Postpartum women Exercise Nutrition Weight loss |
author_facet |
Beth Murray-Davis Lindsay Grenier Stephanie A. Atkinson Michelle F. Mottola Olive Wahoush Lehana Thabane Feng Xie Jennifer Vickers-Manzin Caroline Moore Eileen K. Hutton |
author_sort |
Beth Murray-Davis |
title |
Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study |
title_short |
Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study |
title_full |
Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study |
title_fullStr |
Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study |
title_full_unstemmed |
Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study |
title_sort |
experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study |
publisher |
BMC |
series |
BMC Pregnancy and Childbirth |
issn |
1471-2393 |
publishDate |
2019-10-01 |
description |
Abstract Background Excess gestational weight gain has long- and short-term implications for women and children, and postpartum weight retention is associated with an increased risk of long-term obesity. Despite the existence of dietary and exercise guidelines, many women struggle to return to pre-pregnancy weight. Experiences of women in tackling postpartum weight loss are poorly understood. We undertook this study to explore experiences related to nutrition, exercise and weight in the postpartum in women in Ontario, Canada. Methods This was a nested qualitative study within The Be Healthy in Pregnancy Study, a randomized controlled trial. Women randomized to the control group were invited to participate. Semi-structured focus groups were conducted at 4–6 months postpartum. Focus groups were audio recorded, transcribed verbatim, coded and analyzed thematically using a constructivist grounded theory approach. Results Women experienced a complex relationship with their body image, due to unrealistic expectations related to their postpartum body. Participants identified barriers and enablers to healthy habits during pregnancy and postpartum. Gestational weight gain guidelines were regarded as unhelpful and unrealistic. A lack of guidance and information about weight management, healthy eating, and exercise in the postpartum period was highlighted. Conclusion Strategies for weight management that target the unique characteristics of the postpartum period have been neglected in research and in patient counselling. Postpartum women may begin preparing for their next pregnancy and support during this period could improve their health for subsequent pregnancies. Trial registration NCT01689961 registered September 21, 2012. |
topic |
Gestational weight gain Postpartum weight retention Postpartum women Exercise Nutrition Weight loss |
url |
http://link.springer.com/article/10.1186/s12884-019-2508-z |
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