Evaluating the integration of a pregnancy weight gain chart into routine antenatal care: a mixed method study design

This study aimed to evaluate the implementation of routine weight monitoring using a pregnancy weight gain chart (PWGC), and assess Healthcare Professionals (HCPs) attitudes and practices around its use. A semi ‐quantitative survey was conducted with a consecutive sample of antenatal women at 16 and 36 weeks gestation. Women were weighed and a PWGC audit done at 36 weeks gestation to assess adherence to chart use and GWG. A cross‐sectional survey of antenatal HCPs at the Australian facility assessed st aff attitudes and practices relating to weight monitoring and PWGC use. Of the 291 women surveyed, 68% reported being given a PWGC. Of the audited PWGCs (n=258), 54% had less than three weights recorded, 36% had errors and 3% were unused. All HCPs surveyed (n=42) were aware of the PWGC, 63% reported using it to track GWG regularly, and 26% believed it to be only the woman's responsibility (i.e. not the midwives role) to complete it. Seventy‐seven percent reported they needed more training in counselling pregnant women, and insufficient time was a main barrier to weighing and conversing with women. It is feasible to implement a PWGC into routine antenatal care. Clarity over women's and HCPs responsibility for monitoring GWG and completion of the PWGC is needed. Training on correct PWGC use and counselling, and workforce engagement are required to overcome barriers and support healthy GW G.
Source: Maternal and Child Nutrition - Category: Nutrition Authors: Tags: ORIGINAL ARTICLE Source Type: research