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dc.contributor.authorHaakstad, Lene Annette Hagen
dc.contributor.authorMjønerud, Julie
dc.contributor.authorMass, Emilie
dc.date.accessioned2021-02-02T07:28:37Z
dc.date.available2021-02-02T07:28:37Z
dc.date.created2020-06-15T13:10:36Z
dc.date.issued2020
dc.identifier.citationFrontiers in Psychology. 2020, 11, Artikkel 1463.en_US
dc.identifier.issn1664-1078
dc.identifier.urihttps://hdl.handle.net/11250/2725692
dc.descriptionThis is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_US
dc.description.abstractObjectives: Most studies regarding prevalence of prenatal lifestyle counselling are based on patient-report of provider advice. The aim of the present study was to describe midwives’ practice and views in promoting three distinct, but importantly related lifestyle factors: gestational weight gain (GWG), regular physical activity (PA) and nutrition. Design: A cross-sectional study. Setting: Healthcare clinics in Oslo and Akershus County, Norway. Participants: Clinics that expressed interest to participate provided an email list of the midwives. Out of 107 midwives invited to participate, 65 completed the 15-minute electronic survey (SurveyXact), giving a response rate of 60.7%. Outcome measures: We developed a new questionnaire based on questions and results from similar studies, as no validated questionnaires existed when we initiated this project in 2014. The final electronic questionnaire included a mix of close-ended questions, semi close-ended questions and 11-point Likert scales, and covered demographics, personal health behaviors, counselling practice, views and self-perceived role in lifestyle counselling. Results: Mean workload in prenatal care was 78% and mean years practicing was 8.9 (± 7.5). Across all three health-topics, most (74%-95%) reported to give advice on the first meeting, with a mean frequency of 2.2 (± 1.4), 2.7 (± 1.8) and 2.7 (± 2.0) for GWG, PA and nutrition counselling, respectively. About 40% did not report advice on GWG or gave advice discordant with the IOM recommendations (2009) for at least one pre-pregnancy BMI category. GWG was rated as more unpleasant to talk about than PA (3.0±2.8 versus 1.1±2.5, p<0.001) and nutrition (3.0±2.8 versus 1.2±2.5, p = 0.002). Also, regarding the importance of giving lifestyle advice, PA (9.6±0.9 versus 8.3±2.2, p<0.001) and nutrition (9.9±0.4 versus 8.3±2.2, p<0.001) were rated as more important than advice about GWG. Postpartum, nearly 40% gave advice about PA, whereas only two (3.1%) reported to discuss weight/weight retention (p<0.001). Conclusions: While most midwives gave advice on GWG, PA and nutrition at the first meeting, and rated lifestyle counselling as an important topic, the advice on GWG were often discordant with IOM recommendations, and the topic was viewed as more unpleasant to talk about than PA and nutrition.en_US
dc.language.isoengen_US
dc.subjectgestational weight gainen_US
dc.subjectlifestyle counselingen_US
dc.subjectmidwivesen_US
dc.subjectnutritionen_US
dc.subjectphysical activityen_US
dc.subjectpregnancyen_US
dc.subjectprenatal careen_US
dc.titleMAMMA MIA!: Norwegian midwives’ practices and views about gestational weight gain, physical activity and nutritionen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2020 Haakstad, Mjønerud and Dalhaug.en_US
dc.source.pagenumber9en_US
dc.source.volume11en_US
dc.source.journalFrontiers in Psychologyen_US
dc.identifier.doi10.3389/fpsyg.2020.01463
dc.identifier.cristin1815493
dc.description.localcodeInstitutt for idrettsmedisinske fag / Department of Sports Medicineen_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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