Weight stigma in the preconception, pregnancy, and postpartum periods: A systematic review of women's perspectives
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Summary: Weight stigma presents a significant challenge for women throughout the preconception, pregnancy, and postpartum (PPP) periods, manifesting in multiple areas of life, including interpersonal relationships, healthcare settings, and broader social contexts. This systematic review investigates weight stigma in women across their reproductive years, examining its impact, and exploring the socioecological factors that contribute to its persistence. We searched Medline, PsycINFO, Embase, Maternity and Infant Care (MIDIRS), and Global Health for peer‐reviewed articles published since 2010. Of the 3486 records identified, 38 were included in a narrative synthesis. Inductive thematic analysis was used to explore women's personal experiences of weight stigma. We then applied a socioecological lens to examine the interrelationships between individual, interpersonal, organizational, and societal factors contributing to weight stigma. Five overarching themes were identified: (1) the impact of weight stigma on PPP women; (2) weight stigma experiences across the socioecological contexts; (3) coping strategies; (4) women's voices as a call to action; and (5) interrelationships of weight stigma contexts. Our findings provide critical insights into the multifaceted nature of weight stigma, highlighting the need for future research, and the development of practical strategies that prioritize women's perspectives, and challenge harmful societal norms for positive change.
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In pregnancy populations, experiences of weight‐related stigma have also been associated with gestational weight gain above recommendations and increased risk of postpartum depression, independent of baseline BMI.
“In pregnancy populations, experiences of weight‐related stigma have also been associated with gestational weight gain above recommendations and increased risk of postpartum depression, independent of baseline BMI [45].”
From Preconception Perceptions, Knowledge and Behaviours of Women With Gestational Diabetes Mellitus: A Qualitative Study (2026) · cites this paper as [45]
Participants' accounts reflected the influence of wider societal and healthcare narratives that moralise women's bodies during the preconception, pregnancy and postpartum periods.
“Participants' accounts also reflected the influence of wider societal and healthcare narratives that moralise women's bodies during the preconception, pregnancy and postpartum periods [43, 44, 45].”
From Preconception Perceptions, Knowledge and Behaviours of Women With Gestational Diabetes Mellitus: A Qualitative Study (2026) · cites this paper as [45]
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Cited by
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Payne, E., Schoenaker, D., Turner, K., Murphy, H. R., Skouteris, H., Ismail, K., Silverio, S. A., & Benton, M. (2026) · Health Expectations · doi:10.1111/hex.70617 · Cited by 4 · see citing works
“Participants' accounts also reflected the influence of wider societal and healthcare narratives that moralise women's bodies during the preconception, pregnancy and postpartum periods [43–45].”
InfluentialSelf-citation
- Authors
- Dever, M., Skouteris, H., Incollingo Rodriguez, A. C., Hailu, H., Galvin, E., & Hill, B.
- Affiliations
- Monash University (AU)
- Psychological & Cognitive Sciences, Department of Social Science & Policy Studies Worcester Polytechnic Institute Worcester MA USA
- Corresponding author
- Hill, Briony
- ORCID
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2025-02-03
- Volume
- 26
- Issue
- 5
- Pages
- e13891-e13891
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- PMC
- PMC11964796
- OpenAlex
- W4407115305
- Cited by
- 26
- References
- 5
- Citations by year
- 2026: 19 · 2025: 7
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Obesity Reviews (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Monash University
- Australian Research Council (DP220101107, DE230100704)
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- weight stigma, preconception period, pregnancy, postpartum period, women's experiences, socio-ecological model, coping strategies, health care discrimination, interpersonal relationships, social norms, maternal health
- MeSH terms
- Adaptation, Psychological, Female, Humans, Obesity, Pregnancy, Postpartum Period, Social Stigma
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