Cited by 193Obesity and Health PracticesObesity, Physical Activity, DietEating Disorders and Behaviors

Weight stigma in maternity care: women’s experiences and care providers’ attitudes

Open access
Mulherin, Kate, Miller, Yvette D, Barlow, Fiona Kate, Diedrichs, Phillippa C, Thompson, Rachel·2013·BMC Pregnancy and Childbirth

Abstract

BACKGROUND: Weight stigma is pervasive in Western society and in healthcare settings, and has a negative impact on victims' psychological and physical health. In the context of an increasing focus on the management of overweight and obese women during and after pregnancy in research and clinical practice, the current studies aimed to examine the presence of weight stigma in maternity care. Addressing previous limitations in the weight stigma literature, this paper quantitatively explores the presence of weight stigma from both patient and care provider perspectives. METHODS: Study One investigated associations between pre-pregnancy body mass index (BMI) and experiences of maternity care from a state-wide, self-reported survey of 627 Australian women who gave birth in 2009. Study Two involved administration of an online survey to 248 Australian pre-service medical and maternity care providers, to investigate their perceptions of, and attitudes towards, providing care for pregnant patients of differing body sizes. Both studies used linear regression analyses. RESULTS: Women with a higher BMI were more likely to report negative experiences of care during pregnancy and after birth, compared to lower weight women. Pre-service maternity care providers perceived overweight and obese women as having poorer self-management behaviours, and reported less positive attitudes towards caring for overweight or obese pregnant women, than normal-weight pregnant women. Even care providers who reported few weight stigmatising attitudes responded less positively to overweight and obese pregnant women. CONCLUSIONS: Overall, these results provide preliminary evidence that weight stigma is present in maternity care settings in Australia. They suggest a need for further research into the nature and consequences of weight stigma in maternity care, and for the inclusion of strategies to recognise and combat weight stigma in maternity care professionals' training.

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Crossref · 10.1186/1471-2393-13-19

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  • Midwives fear a hostile response from women that they are trying to form a professional bond with.

    “Midwives may lack the confidence to raise the issue of obesity and fear a hostile response from women that they are trying to form a professional bond with 112 , 117”

    From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [117]

    The Discussion reports that midwives often felt uncomfortable raising weight-related issues with women and discusses the development of warm, sensitive care relationships (page not available in our copy). It does not say that midwives feared a hostile response or that this fear arose while forming a professional bond. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • With high workloads and time pressure, it can be difficult to maintain an awareness of unconscious bias around obese women and implement personal strategies to overcome that bias.

    “and, with high workloads and time pressure, it can be difficult to maintain an awareness of unconscious bias around obese women and implement personal strategies to overcome that bias. 117 , 118”

    From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [117]

    The Discussion (page unavailable in our copy) suggests that inadequate workplace resources and support may exacerbate factors contributing to weight stigma and impair care for pregnant patients with a higher BMI. It does not specifically address high workloads, time pressure, awareness of unconscious bias, or difficulty implementing personal strategies to overcome it. (LLM, conf=0.79)

    Experimental — accuracy not yet measured
  • Midwives may lack the confidence to raise the issue of obesity.

    “Midwives may lack the confidence to raise the issue of obesity and fear a hostile response from women that they are trying to form a professional bond with 112 , 117”
  • Conversations about overweight may be compromised by ingrained weight stigma among health professionals.

    “Those conversations may be compromised by ingrained weight stigma among health professionals, which training programmes need to overcome. 117”

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Research works printed but not linked: 1

  1. Redshaw M Rowe R Hockey C Brocklehurst P Recorded delivery: a national survey of women’s experience of maternity care 2006 2007 Oxford, UK: National Perinatal Epidemiology Unit, University of Oxford

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Authors
Mulherin, K., Miller, Y. D., Barlow, F. K., Diedrichs, P. C., & Thompson, R.
Affiliations
  • The University of Queensland (AU)
  • Queensland University of Technology (AU)
  • University of the West of England (GB)
  • Dartmouth College (US)
Corresponding author
Mulherin, Kate
Venue
BMC Pregnancy and Childbirth
Published
2013-01-22
Volume
13
Issue
1
Pages
19-19
ISSN
1471-2393 (ISSN-L)
OpenAlex
W2165869962
Cited by
193
References
47
Citations by year
2026: 7 · 2025: 18 · 2024: 20 · 2023: 19 · 2022: 13 · 2021: 42 · 2020: 10 · 2019: 8 · 2018: 12 · 2017: 9 · 2016: 21 · 2015: 7 · 2014: 6 · 2013: 1
FWCI
22.15
Type
journal article
Language
en
Open access
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by)
  • UWE Research Repository (UWE Bristol) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • University of Queensland
  • Queensland Government
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, obstetric care, overweight in pregnancy, obese pregnant women, body mass index, patient experience, maternity care providers, self-management behavior, health professions education
MeSH terms
Adolescent, Adult, Attitude of Health Personnel, Australia, Female, Health Services Needs and Demand, Humans, Maternal Health Services, Obesity, Pregnancy, Prejudice, Professional-Patient Relations, Quality of Health Care, Self Care, Stereotyping, Body Mass Index, Linear Models, Qualitative Research, Overweight, Self Report

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