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I Am Pregnant and Want to Do Better But I Can’t: Focus Groups with Low-Income Overweight and Obese Pregnant Women

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Abstract

This study was conducted to identify factors that influenced stress, healthy eating and physical activity among low-income overweight or obese pregnant women. We conducted seven focus groups with 96 low-income overweight and obese pregnant women. Common themes were identified from audio tapes and transcripts. Women said that poor communication affected their relationships with spouses or significant others. They were frustrated or upset with significant others for three key reasons: failure to understand or listen to the pregnant women’s pregnancy concerns, refusal to be helpful when asked and being overly concerned with the woman’s safety. Most women said that they were emotional and took naps throughout the day after becoming pregnant. Many withdrew from their social interactions. They also faced numerous challenges that made healthy eating more difficult, e.g., craving for unhealthy foods and eating foods for comfort. To eat healthier, some reminded themselves to avoid overeating or stop eating in the car. Women were not physically active because of tiredness, lack of motivation, inadequate social support, or bad weather. Some stayed physically active to prevent excessive pregnancy weight gain and have an easier labor. Women equivocally said weighing themselves to manage weight would add to their stress and make them feel more depressed. When designing interventions to help low-income overweight and obese pregnant women avoid excessive pregnancy weight gain, it is important to include information and practical advice on stress management, emphasizing effective communication skills with significant others and helping them plan effective ways to manage negative feelings.

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Authors and Affiliations

  1. College of Nursing, Michigan State University, 1355 Bogue Street, RM C346, East Lansing, MI, 48824, USA

    Mei-Wei Chang

  2. Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, WI, USA

    Susan Nitzke

  3. WIC Program, Calhoun County Health Department, Calhoun County, MI, USA

    Diana Buist

  4. WIC Program, Genesee County Health Department, Flint, MI, USA

    Deborah Cain

  5. WIC Program, Jackson County Health Department, Jackson, MI, USA

    Stefanie Horning

  6. WIC Division, Michigan Department of Community Health, Lansing, MI, USA

    Kobra Eghtedary

Authors
  1. Mei-Wei Chang
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  2. Susan Nitzke
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  3. Diana Buist
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  4. Deborah Cain
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  5. Stefanie Horning
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  6. Kobra Eghtedary
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Correspondence to Mei-Wei Chang.

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Chang, MW., Nitzke, S., Buist, D. et al. I Am Pregnant and Want to Do Better But I Can’t: Focus Groups with Low-Income Overweight and Obese Pregnant Women. Matern Child Health J 19, 1060–1070 (2015). https://doi.org/10.1007/s10995-014-1605-x

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  • DOI: https://doi.org/10.1007/s10995-014-1605-x

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