{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:15:44Z","timestamp":1790846144990,"version":"4.1.0"},"reference-count":46,"publisher":"BMJ","issue":"11","funder":[{"DOI":"10.13039\/501100000145","name":"Alberta Innovates - Health Solutions","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000145","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000081","name":"Danone Institute of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000081","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,10,5]]},"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To understand current gestational weight gain (GWG) counselling practices of healthcare providers, and the relationships between practices, knowledge and attitudes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Concurrent mixed methods with data integration: cross-sectional survey and semistructured interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Prenatal healthcare providers in Canada: general practitioners, obstetricians, midwives, nurse practitioners and registered nurses in primary care settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Typically, GWG information was provided early in pregnancy, but not discussed again unless there was a concern. Few routinely provided women with individualised GWG advice (21%), rate of GWG (16%) or discussed the risks of inappropriate GWG to mother and baby (20% and 19%). More routinely discussed physical activity (46%) and food requirements (28%); midwives did these two activities more frequently than all other disciplines (P&lt;0.001). Midwives interviewed noted a focus on overall wellness instead of weight, and had longer appointment times which allowed them to provide more in-depth counselling. Regression results identified that the higher priority level that healthcare providers place on GWG, the more likely they were to report providing GWG advice and discussing risks of GWG outside recommendations (\u03b2=0.71, P&lt;0.001) and discussing physical activity and food requirements (\u03b2=0.341, P&lt;0.001). Interview data linked the priority level of GWG to length of appointments, financial compensation methods for healthcare providers and the midwifery versus medical model of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Interventions for healthcare providers to enhance GWG counselling practices should consider the range of factors that influence the priority level healthcare providers place on GWG counselling.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2017-018527","type":"journal-article","created":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T09:40:30Z","timestamp":1510652430000},"page":"e018527","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":38,"title":["Healthcare providers\u2019 gestational weight gain counselling practises and the influence of knowledge and attitudes: a cross-sectional mixed methods study"],"prefix":"10.1136","volume":"7","author":[{"given":"Jill","family":"Morris","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hara","family":"Nikolopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Berry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venu","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Vallis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Piccinini-Vallis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4298-9641","authenticated-orcid":false,"given":"Rhonda C","family":"Bell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,11,14]]},"reference":[{"key":"2024051615292597000_7.11.e018527.1","first-page":"1","article-title":"Outcomes of maternal weight gain","volume":"168","author":"Viswanathan","year":"2008","journal-title":"Evid Rep Technol Assess"},{"key":"2024051615292597000_7.11.e018527.2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318256cf1a"},{"key":"2024051615292597000_7.11.e018527.3","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1055\/s-0028-1110084","article-title":"The impact of maternal obesity on the incidence of adverse pregnancy outcomes in high-risk term pregnancies","volume":"26","author":"Joy","year":"2009","journal-title":"Am J Perinatol"},{"key":"2024051615292597000_7.11.e018527.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)01946-4"},{"key":"2024051615292597000_7.11.e018527.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00437.x"},{"key":"2024051615292597000_7.11.e018527.6","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.094268"},{"key":"2024051615292597000_7.11.e018527.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.02.034"},{"key":"2024051615292597000_7.11.e018527.8","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1002\/oby.21858","article-title":"The INTERGROWTH-21st gestational weight gain standard and interpregnancy weight increase: a population-based study of successive pregnancies","volume":"25","author":"Hutcheon","year":"2017","journal-title":"Obesity"},{"key":"2024051615292597000_7.11.e018527.9","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1053\/j.semperi.2015.05.009","article-title":"Pregnancy as a window to future health: excessive gestational weight gain and obesity","volume":"39","author":"Gilmore","year":"2015","journal-title":"Semin Perinatol"},{"key":"2024051615292597000_7.11.e018527.10","first-page":"170","article-title":"The impact of maternal obesity on maternal and fetal health","volume":"1","author":"Leddy","year":"2008","journal-title":"Rev Obstet Gynecol"},{"issue":"Suppl 2","key":"2024051615292597000_7.11.e018527.11","doi-asserted-by":"crossref","first-page":"S44","DOI":"10.1038\/ijo.2010.239","article-title":"Pre-pregnancy and pregnancy predictors of obesity","volume":"34","author":"Melzer","year":"2010","journal-title":"Int J Obes"},{"key":"2024051615292597000_7.11.e018527.12","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-167"},{"key":"2024051615292597000_7.11.e018527.13","unstructured":"Health Canada. 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