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Beliefs, Attitudes, and Practices of Latinas Related to Gestational Weight Gain: A Qualitative Meta-Synthesis

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Abstract

Introduction

Excessive and inadequate gestational weight gain (GWG) are associated with a number of negative health outcomes for mother and infant. Approximately two-thirds or more of Latinas gain outside of GWG guidelines. Acculturation plays a role in GWG-related factors, however the views of Latinas are often aggregated in overall study samples, thus trivializing the specific needs of this demographic group. The purpose of the present meta-ethnography was to better understand GWG beliefs, attitudes, and practice among Latinas by synthesizing extant qualitative findings on this topic.

Methods

Qualitative studies offer an important window into Latinas’ views and practices related to GWG. A qualitative meta-ethnography (a form of meta-synthesis) was implemented to synthesize qualitative studies about Latinas’ views of GWG-related factors. An initial sample of articles was distilled based on meta-ethnography guidelines from Noblit and Hare (1988) to a final sample of six qualitative articles that included perspectives from Latinas.

Results

Six concepts emerged across the studies, they included: shifts in feeling control, inconsistent/lacking information, self vs. other, applied wisdom, isolation vs. support, and everyday practicality. Studies met most quality assessment criteria (Atkins et al., BMC Medical Research Methodology 8:21, 2008).

Discussion

The views of Latinas about GWG-related factors are often buried in with perspectives of other women, which hides important details that are valuable for health program interventions designed to support these women. Future research should further explore the cultural differences in experience among Latinas to produce information and resources that are culturally relevant and relatable.

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References

  • Atkins, S., Lewin, S., Smith, H., Engel, M., Fretheim, A., & Volmink, J. (2008). Conducting a meta-ethnography of qualitative literature: lessons learnt. BMC Medical Research Methodology, 8, 21.

    Article  Google Scholar 

  • Britten, N., Campbell, R., Pope, C., Donovan, J., Morgan, M., & Pill, R. (2002). Using meta ethnography to synthesise qualitative research: a worked example. Journal of Health Services Research & Policy, 7(4), 209–215.

    Article  Google Scholar 

  • Brunton, L., Bower, P., & Sanders, C. (2015). The contradictions of telehealth user experience in chronic obstructive pulmonary disease (COPD): a qualitative meta-synthesis. PLoS One, 10(10), e0139561.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention (2012). Pediatric and pregnancy nutrition surveillance system: pregnancy data tables by health indicators. Retrieved from: http://www.cdc.gov/pednss/pnss_tables/tables_health_indicators.htm#Maternal%20Health. Accessed January 10, 2015.

  • Champlin, S., Walker, L. O., & Mackert, M. (2016). Gestational weight gain through a health literacy lens: A scoping review. Journal of Perinatal Education, 25(4), 242–256.

    Article  Google Scholar 

  • Deputy, N. P., Sharma, A. J., Kim, S. Y., & Hinkle, S. N. (2015). Prevalence and characteristics associated with gestational weight gain adequacy. Obstetrics & Gynecology, 125(4), 773–781.

    Article  Google Scholar 

  • Dodd, J., Grivell, R., Crowther, C., & Robinson, J. (2010). Antenatal interventions for overweight or obese pregnant women: a systematic review of randomised trials. BJOG, 117, 1316–1326.

    Article  CAS  Google Scholar 

  • Dillon, P. J., & Basu, A. (2014). HIV/AIDS and minority men who have sex with men: a meta-ethnographic synthesis of qualitative research. Health Communication, 29, 182–192.

    Article  Google Scholar 

  • Duthie, E. A., Drew, E. M., & Flynn, K. E. (2013). Patient-provider communication about gestational weight gain among nulliparous women: a qualitative study of the views of obstetricians and first-time pregnant women. BMC Pregnancy and Childbirth, 13(1), 1.

    Article  Google Scholar 

  • Evenson, K. R., Moos, M.-K., Carrier, K., & Siega-Riz, A. M. (2009). Perceived barriers to physical activity among pregnant women. Maternal & Child Health Journal, 13(3), 346–375.

    Article  Google Scholar 

  • Fletcher, G. E., Teeters, L., Schlundt, D., Bonnet, K., & Heerman, W. J. (2018). Maternal conception of gestational weight gain among Latinas: a qualitative study. Health Psychology, 37(2), 132–138.

    Article  Google Scholar 

  • France, E. F., Cunningham, M., Ring, N., Uny, I., Duncan, E. A. S., Jepson, R. G., & Noyes, J. (2019). Improving reporting of the meta-ethnography: the eMERGe reporting guidance. BMC Medical Research Methodology, 19(1), 25–38.

    Article  Google Scholar 

  • Goldstein, R. F., Abell, S. K., Ranasinha, S., Misso, M., Boyle, J. A., Black, M. H., & Teede, H. J. (2017). Association of gestational weight gain with maternal and infant outcomes: a systematic review and meta-analysis. Journal of the American Medical Association, 317(21), 22107–2225.

    Google Scholar 

  • Groth, S. W., & Kearney, M. H. (2009). Diverse women’s beliefs about weight gain in pregnancy. Journal of Midwifery & Women’s Health, 54, 452–457.

    Article  Google Scholar 

  • Heerman, W. J., Bian, A., Shintani, A., & Barkin, S. L. (2014). Interaction between maternal prepregnancy body mass index and gestational weight gain shapes infant growth. Academic Pediatrics, 14(5), 463–470.

    Article  Google Scholar 

  • Institute of Medicine. (2009). Weight gain during pregnancy: reexamining the guidelines. Washington, DC: National Academies Press.

    Google Scholar 

  • Lindsay, A. C., Wallington, S. F., Greaney, M. L., Machado, M. M. T., & De Andrade, G. P. (2017). Patient-provider communication and counseling about gestational weight gain and physical activity: a qualitative study of the perceptions and experiences of Latinas pregnancy with their first child. International Journal of Environmental Research and Public Health, 14, E1412.

    Article  Google Scholar 

  • Muktabhant, B., Lumbiganon, P., Ngamjarus, C., & Dowswell, T. (2012). Interventions for preventing excessive weight gain during pregnancy. Cochrane Database of Systematic Reviews, 18, 1–121.

    Google Scholar 

  • Noblit, G. W., & Hare, R. D. (1988). Meta-ethnography: synthesizing qualitive studies. Newbury Park, CA: Sage.

    Book  Google Scholar 

  • Park, S., Sappenfield, W. M., Bish, C., Salihu, H., Goodman, D., & Bensyl, D. M. (2011). Assessment of the institute of medicine recommendations for weight gain during pregnancy: Florida, 2004–2007. Maternal and Child Health Journal, 15(3), 289–301.

    Article  Google Scholar 

  • Pawlak, M. T., Alvarez, B. T., Jones, D. M., & Lezotte, D. C. (2015). The effect of race/ethnicity on gestational weight gain. Journal of Immigrant and Minority Health, 17(2), 325–332.

    Article  Google Scholar 

  • Siega-Riz, A. M., Viswanathan, M., Moos, M.-K., Deierlein, A., Mumford, S., et al. (2009). A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: birthweight, fetal growth, and postpartum weight retention. American Journal of Obstetrics and Gynecology, 201(4), 339.e331-339.e314.

    Article  Google Scholar 

  • Subhan, F. B., Colman, I., McCargar, L., Bell, R. C., & APrON Study Team. (2017). Higher pre-pregnancy BMI and excessive gestational weight gain are risk factors for rapid weight gain in infants. Maternal and Child Health Journal, 1–12. (Epub ahead of print).

  • Thornton, P. L., Kieffler, E. C., Salabarría-Peña, Y., Odoms-Young, A., Willis, S. K., Kim, H., & Salinas, M. A. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support. Maternal & Child Health Journal, 10(1), 95–104.

    Article  Google Scholar 

  • Tovar, A., Chasan-Taber, L., Bermudez, O. I., Hyatt, R. R., & Must, A. (2010). Knowledge, attitudes, and beliefs regarding weight gain during pregnancy among Hispanic women. Maternal & Child Health Journal, 14(6), 938–949.

    Article  Google Scholar 

  • U. S. Census. (2017). QuickFacts: United States. Accessed June 30, 2018, at: https://www.census.gov/quickfacts/fact/table/US/PST045217

  • Vanstone, M., Kandasamy, S., Giacomini, M., DeJean, D., & McDonald, S. D. (2017). Pregnant women’s perceptions of gestational weight gain: a systematic review and meta-synthesis of qualitative research. Maternal & Child Nutrition, 13(4), e12374.

    Article  Google Scholar 

  • Viswanathan, M., Siega-Riz, A. M., Moos, M.-K., Deierlein, A., Mumford, S., & Lohr, K. N. (2008). Outcomes of maternal weight gain, evidence report/technology assessment no. 168. Rockville, MD: Agency for Heatlhcare Research and Quality.

    Google Scholar 

  • Walker, L. O., Cheng, H.-R., & Brown, A. (2014). Birth outcomes of Hispanic women and risks or strengths associated with ethnicity and Texas border residence. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43, 422–434.

    Article  Google Scholar 

  • Wang, M. L., Arroyo, J., Druker, S., Sankey, H. Z., & Rosal, M. C. (2015). Knowledge, attitudes, and provider advice by pre-pregnancy status: a qualitative study of pregnant Latinas with excessive gestational weight gain. Women & Health, 55, 805–828.

    Article  Google Scholar 

  • Zimmer, L. (2006). Qualitative meta-synthesis: a question of dialoguing with texts. Journal of Advanced Nursing, 53(3), 311–318.

    Article  Google Scholar 

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Champlin, S., Walker, L.O. & Mackert, M. Beliefs, Attitudes, and Practices of Latinas Related to Gestational Weight Gain: A Qualitative Meta-Synthesis. Matern Child Health J 25, 107–117 (2021). https://doi.org/10.1007/s10995-020-03092-1

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