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Popular self-help pregnancy literature suggests a “generational disconnect” between pregnant women and their mothers, emphasizing the incommensurate experiences of the two…
Abstract
Popular self-help pregnancy literature suggests a “generational disconnect” between pregnant women and their mothers, emphasizing the incommensurate experiences of the two generations. Based on longitudinal, in-depth interviews with a diverse group of 64 pregnant women and 23 grandmothers-to-be, this chapter explores how different generations of women negotiate the idea of a disconnect and its implications for the medicalization of pregnancy. My findings showed limited support for the generational disconnect. Nearly all of the pregnant women I interviewed who were in contact with their mothers consulted them to assess issues related to pregnancy embodiment. Black and Latina women and white women with less than a college degree disregarded or even rejected the disconnect; they tended to frame their mothers’ advice as relevant. Their mothers attended prenatal care appointments and frequently expressed skepticism about medical directives. By contrast, I found that highly educated white women tended to endorse the generational disconnect when it came to matters related to pregnancy health behaviors – what to eat, how much to exercise – and their obstetric care. The mothers of these women not only largely supported the generational disconnect, but also bonded with their daughter over a shared appreciation for scientific understandings of pregnancy. Foregrounding women’s perspectives provides insights into meaning-making in pregnancy and the ways that mothers of pregnant women can both stymie and deepen medicalization of childbearing.
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Katarzyna Ługowska and Wojciech Kolanowski
The purpose of this study was to assess the nutritional behavior regarding the frequency of consumption of the main types of food by pregnant women attending antenatal classes in…
Abstract
Purpose
The purpose of this study was to assess the nutritional behavior regarding the frequency of consumption of the main types of food by pregnant women attending antenatal classes in comparison to non-attendees.
Design/methodology/approach
A questionnaire survey was conducted in Poland among 200 women in the first pregnancy, 100 of whom were attending antenatal classes and 100 were non-attendees.
Findings
Women attending antenatal classes exhibited more favorable health-related nutritional behaviors in comparison with those not attending. Attendees eat more vegetables and milk products whereas non-attendees declared more processed meat and sweets consumption. Three-fourth of non-attendees and two-fourth of attendees considered their diet as good. It was also found that the level of physical activity of pregnant women attending antenatal classes was significantly higher than among those who did not attend such classes.
Research limitations/implications
A limitation of the study was that it took place in Poland and voices from women of other European countries as well as diverse ethnicities were not represented. In addition, women were interviewed only during their pregnancy, and therefore it was not possible to investigate women's nutritional behaviors after delivery.
Practical implications
This research shows clearly that attending antenatal classes may involve with a beneficial effect on the nutritional behavior of pregnant women. It is expected that once established healthy nutritional habits should be practiced further.
Originality/value
This research is the indication of the important role of antenatal classes in developing more favorable health-related dietary behavior expressed by the participants. To our knowledge in Poland, it is the first time that the nutritional behavior of pregnant women attending and not attending antenatal classes were examined and compared. So far in Poland, the extent and type of nutritional education received by pregnant women across antenatal care has not been examined. This research can contribute to a broader recognition of nutritional knowledge and practice of pregnant women important for the health of mother and her baby.
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Maryam Ijaz, Zaheer Ahmed and Nauman Khalid
This study aims to assess the information-seeking behaviors, attitudes and beliefs about pregnancy-related nutrition, food-related myths and taboos and supplementation among…
Abstract
Purpose
This study aims to assess the information-seeking behaviors, attitudes and beliefs about pregnancy-related nutrition, food-related myths and taboos and supplementation among pregnant women in different communities of Pakistan.
Design/methodology/approach
A cross-sectional quantitative survey method was used in this study, which included 150 pregnant women from various locations in Lahore and Faisalabad.
Findings
Most participants were between the ages of 25 and 29, having 14 years of education. Regardless of age or number of children, all selected women had the same dietary awareness. Regarding myths and taboos, highly significant values (p = 0.001) were found in various studied variables. No significant difference was observed in knowledge level between age and number of children. It was observed that food myths and taboos significantly (p = 0.001) impact pregnant women’s dietary choices.
Research limitations/implications
This survey experienced limited representativeness; many participants provided incomplete food and nutritional information. This research was conducted in two major districts of Pakistan, i.e. Lahore and Faisalabad; therefore, the results can be generalized for a population of pregnant women living in the northeastern region of Pakistan.
Practical implications
This study can provide helpful insight for health-care professionals to improve pregnant women’s nutritional status and knowledge.
Social implications
The outcomes of this study can help guide how pregnant women might be educated and have better nutritional awareness at domestic and professional levels.
Originality/value
In Pakistan, there is a lack of research on pregnant women’s nutritional knowledge, and this research can assist health-care professionals in providing diversified knowledge to promote maternal health.
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In the contemporary US, pregnant women must navigate competing ideas about their bodies, including expectations for weight gain. Given that there are few social spaces where women…
Abstract
In the contemporary US, pregnant women must navigate competing ideas about their bodies, including expectations for weight gain. Given that there are few social spaces where women may gain weight without disapproval, pregnancy represents a period when women are allowed to put on weight. However, gaining weight means doing so within the context of the obesity “epidemic” and increased medical surveillance of the body. To explore how women navigate the medicalization of pregnancy weight, I draw on data from in-depth interviews with 40 pregnant and recently pregnant women. Findings indicate that women reframe the meaning of pregnancy weight as “baby weight,” rather than body weight. This allows them to view it as a temporary condition that is “for the baby,” while holding two concurrent body images – a pregnant and a non-pregnant version of themselves. Women also resist the quantification of their maternity weight, either by not keeping track or not looking at scales in the doctor’s office. Doing so prevented baby weight from turning back into body weight – a concrete and meaningful number on the scale. Such resistance to quantification is often accomplished with the help of doctors and healthcare professionals who do not explicitly discuss weight gain with their patients. These findings suggest that women rely on a variety of strategies to navigate the medicalization of pregnancy weight, and provides another lens through which to understand how and why women may make similar choices about other medicalized aspects of their pregnancy (or pregnancy experiences).
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Kaylee J. Hackney and Pamela L. Perrewé
Research examining the experiences of women in the workplace has, to a large extent, neglected the unique stressors pregnant employees may experience. Stress during pregnancy has…
Abstract
Research examining the experiences of women in the workplace has, to a large extent, neglected the unique stressors pregnant employees may experience. Stress during pregnancy has been shown consistently to lead to detrimental consequences for the mother and her baby. Using job stress theories, we develop an expanded theoretical model of experienced stress during pregnancy and the potential detrimental health outcomes for the mother and her baby. Our theoretical model includes factors from multiple levels (i.e., individual, interpersonal, sociocultural, and community) and the role they play on the health and well-being of the pregnant employee and her baby. In order to gain a deeper understanding of job stress during pregnancy, we examine three pregnancy-specific organizational stressors (i.e., perceived pregnancy discrimination, pregnancy disclosure, and identity-role conflict) that are unique to pregnant employees. These stressors are argued to be over and above the normal job stressors experienced and they are proposed to result in elevated levels of experienced stress leading to detrimental health outcomes for the mother and baby. The role of resilience resources and learning in reducing some of the negative outcomes from job stressors is also explored.
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Benedicta Twum - Dei, Richmond Aryeetey and Linda Nana Esi Aduku
This study aims to assess dietary choices of pregnant women and its relationship with their anaemia status.
Abstract
Purpose
This study aims to assess dietary choices of pregnant women and its relationship with their anaemia status.
Design/methodology/approach
A mixed-method study comprising a survey and three focus group discussions (FGDs). The survey included 380 adult pregnant women with data collected on food choices, preferences and haemoglobin (Hb) status.
Findings
More than 50% of women in the study had Hb concentration < 11.0 g/dl; mean Hb was 10.24 g/dl (SD = 1.59). Univariate analysis was used to generate descriptive tabulations for socio-demographic characteristics of respondents, dietary choices for women and anaemia status. T-test and bivariate analysis between dietary diversity score of the women among the food groups consumed as well as their anaemia (Hb) status. This showed that women with high dietary diversity score had improved Hb status (P = 0.003), and those who consumed meat and fish as well as dark leafy vegetables had significantly high diversity scores (P = 0.031 and P = 0.049). Thematic analysis was used for analysing qualitative data.
Research limitations/implications
The sample used in the study is unlikely to be fully representative of pregnant women in the Accra Metropolis. In addition, this study used a cross-sectional study design, making it difficult to establish causal associations between nutritional status and food choice of pregnant women. It does not also show variation in dietary practices by seasons of the year. The scope of the study did not allow for a detailed analysis, and this should be considered in future studies. Also, the study did not explore an obstetric factor like past bleeding history as well as the menstrual cycle of these pregnant women, as these factors are likely to interfere with the anaemia status of the pregnant women.
Originality/value
This paper contributes significant value by specifically focusing on and clarifying the complex relationship between dietary choices and aneamia among pregnant women. It also provides insights into the distinct dietary patterns and preferences of pregnant women, which may be contributing to the high prevalence of aneamia. The results of the study can inform the development of localized, evidence-based interventions to address this critical public health concern, ultimately leading to improved maternal and foetal health outcomes.
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Kadri Ojaperv and Sirje Virkus
This study aims to increase the understanding of the pregnancy-related information behavior (IB) of pregnant women in Estonia.
Abstract
Purpose
This study aims to increase the understanding of the pregnancy-related information behavior (IB) of pregnant women in Estonia.
Design/methodology/approach
The research involved a quantitative research methodology consisting of a semi-structured questionnaire. Data was collected from pregnant Estonian women through a self-administered Web-based questionnaire using a convenience sampling during the period from January to February 2019. A total of 300 pregnant women answered the questionnaire. The data were analysed using statistical analysis and the results of the study were compared with the results of previous studies.
Findings
The three topics on which information was most frequently sought were: fetal development, use of medicines during pregnancy and symptoms of pregnancy. The main sources of information were the internet and the midwife. The most reliable and valuable source of information was a midwife. Health-related information was sought mainly because it helped women make decisions related to pregnancy and childbirth. A number of factors facilitate the information seeking process. In addition, widespread access to the internet and technological skills facilitated IB. The following factors hindered the search for information: the controversy and/or ambiguity of information published on the internet and the time spent searching for information. Most women used wearable technologies during pregnancy.
Research limitations/implications
This study has several limitations. First, the weakness of online surveys is the potential lack of representativeness, as it excludes from the survey those who do not have access to or ability to use the internet for various reasons (Evans and Mathur, 2005; Limbu et al., 2021). Second, as most recruitment for the study took place online, there was a risk that those who did not use the internet could be excluded from the survey. Third, as the questionnaire was also shared in the Facebook news feed by the Women’s Clinic and Maternity Hospital of the East Tallinn Central Hospital, it may be that the respondents recruited through it more often used the support provided by medical professionals. Fourth, due to the volume limits of the study, it is not possible to present all the results of the study on the basis of socio-demographic characteristics and stage of pregnancy. Therefore, the findings cannot be generalized to the broader population and future studies should explore a larger and more representative populations.
Practical implications
This study will give some useful information to help to improve the services offered for pregnant women in Estonia.
Social implications
The findings of this study may inform how to better support this target group.
Originality/value
There is a lack of research in Estonia that focuses on the IB of pregnant women and this research fills this gap.
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Cosme Alvarado-Esquivel, Antonio Sifuentes-Alvarez and Carlos Salas-Martinez
We sought to evaluate the capacity of the Edinburgh Postnatal Depression Scale (EPDS) in discriminating mental disorders other than depression in pregnant women in northern…
Abstract
We sought to evaluate the capacity of the Edinburgh Postnatal Depression Scale (EPDS) in discriminating mental disorders other than depression in pregnant women in northern Mexico. Three hundred pregnant women attending prenatal consultations in a public hospital in Durango City, Mexico submitted a validated EPDS and were examined for mental disorders other than depression using the Diagnostic and Statistical Manual of Mental Disorders - 4th Ed. (DSM-IV) criteria. Sensitivity and specificity of cut-off points of the EPDS, and positive and negative predictive values were calculated. Of the 300 pregnant women studied, 21 had mental disorders other than depression by the DSM-IV criteria. The best EPDS score for screening mental disorders other than depression was 8/9. This threshold showed a sensitivity of 52.4%, a specificity of 67.0%, a positive predictive value of 11.5%, a negative predictive value of 95.4%, and an area under the curve of 0.643 (95% confidence interval: 0.52-0.76). The EPDS can be considered for screening mental disorders other than depression in Mexican pregnant women whenever a cut-off score of 8/9 is used. However, the tool showed small power to separate pregnant women with and without mental disorders other than depression.
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The study aims to investigate how pregnant and nursing mothers’ stories have been neglected in writing about gender, security and spaces.
Abstract
Purpose
The study aims to investigate how pregnant and nursing mothers’ stories have been neglected in writing about gender, security and spaces.
Design/methodology/approach
The study chronicles Agogo Traditional Area’s pregnant and nursing mothers’ resistance and survival in this conflicted environment. The author used photo voices in a participatory photography design to give conflict-area women a voice. Interviews and observations supported this. Pregnant and nursing mothers were sampled using the purposive and snowball sampling techniques. The data analysis considered narrative analysis, photographic and inductive approaches.
Findings
The findings highlighted how these mothers in vicious settings experienced healthcare access and problems, societal issues including gender dynamics, food insecurity, and emotional and psychological well-being.
Originality/value
The findings in this study expand the socio-cultural narratives of pregnant and nursing mothers in violent spaces.
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Theories of prosumption offer social marketers an opportunity to improve market segmentation strategies and health campaigns by improving understanding of audiences. The purpose…
Abstract
Purpose
Theories of prosumption offer social marketers an opportunity to improve market segmentation strategies and health campaigns by improving understanding of audiences. The purpose of this paper is to provide a framework to understand how women produce and consume ideologies of pregnancy.
Design/methodology/approach
A total of 19 pregnant women ages 24‐38 years completed qualitative, in‐depth interviews. Data analysis included a grounded theory approach and constant‐comparative method using open and axial coding to reduce the data and identify themes across the data.
Findings
This study addressed prosumption in three meaning‐making sites: the physiological basis of pregnancy; perceptions of medicine and the biomedical model during pregnancy; and perceptions of media surrounding pregnancy.
Research limitations/implications
This study applied prosumption theory in a new social context: pregnant women. Findings articulate the importance of gender and the necessity of incorporating women's lived experiences into theories of prosumption.
Practical implications
Social marketers benefit from improved understandings of pregnant women's body identity, perceptions, and opportunities for empowerment and agency in reproductive health. The proposed “purist pregnant woman” myth impacts effective strategies in social marketing and health communication campaigns. Findings suggest that pregnant women may serve as a receptive audience for a range of health issues.
Social implications
This study extends our understanding of prosumers, suggesting that prosumption of pregnancy reduces alienation, humanizes and demedicalizes health care and the birthing process.
Originality/value
This study offers theoretical and practical implications for social marketing and health communication campaigns to improve pregnancy health outcomes through an improved understanding of prosumers.
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