{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T18:08:13Z","timestamp":1775153293575,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,12,7]],"date-time":"2012-12-07T00:00:00Z","timestamp":1354838400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Statewide (Queensland) Clinical Guidelines reflecting current best practice have recently become available for the management of pregnancy\u2010related obesity. However, dissemination of guidelines alone do not change practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To systematically assess evidence\u2013practice gap in the multidisciplinary management of overweight and obesity (ow\/ob) in pregnancy to inform an intervention to facilitate translating obesity guidelines into practice in a tertiary maternity service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>An online survey, available over a three\u2010week period (May\u2013June 2011), was disseminated to obstetric, midwifery and allied health staff. Outcomes of interest included a 15\u2010point guideline adherence score, knowledge of guideline content, advice given, knowledge of obesity\u2013pregnancy\u2010related complications, previous training and referral patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010four staff completed surveys (57% response rate). Widespread discordance with the guideline was noted. The majority (88.1%) reported overweight\/obesity (ow\/ob) as an important\/very important general obstetric issue, most correctly identified associated complications. However, only 32.1% were aware of existing guidelines, with only half correctly identifying <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> categories for ow\/ob. Compliance with referral recommendations varied; 20% of staff considered referral \u2018was not their job\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Staff are aware of negative outcomes associated with maternal ow\/ob, although few are fully compliant with referral guidelines or provide advice in line with recommendations. These findings will be categorised using implementation of science methodological frameworks, and effective behaviour change interventions will be constructed to facilitate translation of this important guideline into practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12011","type":"journal-article","created":{"date-parts":[[2012,12,7]],"date-time":"2012-12-07T10:39:30Z","timestamp":1354876770000},"page":"588-592","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Overweight and obesity in pregnancy: The evidence<b>\u2013<\/b>practice gap in staff knowledge, attitudes and practices"],"prefix":"10.1111","volume":"52","author":[{"given":"Shelley A.","family":"Wilkinson","sequence":"first","affiliation":[{"name":"Mater Medical Research Institute Mothers' and Babies theme Brisbane Queensland"},{"name":"Department of Nutrition and Dietetics Mater Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Mater Medical Research Institute Mothers' and Babies theme Brisbane Queensland"},{"name":"Australian Catholic University Faculty of Health Sciences Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,7]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Queensland Health.Obesity (Statewide Maternity and Neonatal Clinical Guideline).Brisbane:Queensland Health;2011[Accessed 15 June 2011]; Available from:http:\/\/www.health.qld.gov.au\/cpic\/documents\/mguideg_obesityv4.0.pdf"},{"key":"e_1_2_5_3_1","first-page":"s57","article-title":"What drives change? 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