Service-wide management of healthy gestational weight gain following an implementation science approach

Maternal & Child Nutrition
Shelley Ann WilkinsonHelen Stapleton

Abstract

The aim of health guidelines is to ensure consistency in the delivery of care to minimise health-related complications. However, even when good evidence is available, professionals do not necessarily implement it. Following a 2011 survey (Time 1) of staff in a tertiary maternity hospital, a number of service changes were implemented to facilitate best practice delivery of care to pregnant women regarding gestational weight gain (GWG). A (second) staff survey was then undertaken to re-assess staff knowledge, attitudes and behaviours around the management of GWG in our hospital. This cross-sectional, prospective online survey was distributed to staff in antenatal clinic. The survey assessed staff awareness of pregnancy-related weight complications, knowledge and application of specific guidelines, and a guideline adherence score was calculated. Sixty-nine staff (44.8% response rate) completed the 2014 (Time 2) survey. Just over half (51.9%) stated they were familiar with clinical guidelines regarding weight management in pregnancy. Guideline adherence ranged from 3.7 ± 1.9 to 11.3 ± 1.0 /15 across different professional groups; significant improvements with adherence by dietitians were noted over time. Despite minimal change over...Continue Reading

References

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Citations

Sep 22, 2018·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Shelley A WilkinsonSally J McCray
Oct 4, 2019·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Shi Ying YimSusan J de Jersey
Nov 14, 2018·Maternal & Child Nutrition·Susan de JerseyKaren New

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