Barnmorskors erfarenheter av att bemöta gravida kvinnor med fetma vid inskrivningssamtal på mödravårdscentralen - En kvalitativ intervjustudie
Sammanfattning: Background: According to the National Board of Health and Welfare (2015), the number of women with a body mass index (BMI) over 30 has doubled since the mid 1990`s. By 2014, 25 percent of women who enrolled in maternity care in Sweden had an obesity (BMI 25.0-29.9) and 13.1 percent had an obesity (BMI in excess of 30). Women with obesity are at an increased risk of developing pregnancy diabetes, hypertension, preeclampsia and depression. Other complications with obesity are failure induction, shoulder dystocia, sectio, major born babies (LGA) and intrauterine fetal death. It is also common for prolonged opening and increases the risk of high postpartum bleeding. Women with (BMI in excess of 40) are at an increased risk of malformations in the fetus, such as neural tube effects, heart failure, and lip-jaw gums (Lendahls, 2016).In the local health guidelines for maternity care, the midwife in connection with the visitation to a midwife at antenatal carecenter will pay attention to any obesity. Then the midwife has an obligation to offer the pregnant woman extra visits focusing on lifestyle conversations.Objective: The purpose was to describe the midwives' experiences and experiences in caring for obese women who have obesity at antenatal care.Method: The chosen method is a qualitative content analysis with an inductive approach. Data collection will take place in the form of individual interviews with open questions. The informants consist of midwives who work at antenatal carecenter (MVC) in Västra Götaland.Results: In the results it appears that the majority of midwives feel that it is challenging and a good balance between establishing a good care relationship while informing about the risks associated with pregnancy and obesity.Conclusions: The result gives a better understanding of how antenatalcare midwives experiences the encounter with pregnant women with obesity. Based on these experiences, it is identified how the midwife can create a care relationship where the midwife knows safety in providing support and information and reducing the risk of the woman feeling offended.
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