Changing behaviour in pregnant women : a scoping review

Zinsser, Laura A.; Stoll, Kathrin; Wieber, Frank; Pehlke-Milde, Jessica; Gross, Mechthild Maria

doi:10.1016/j.midw.2020.102680

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-19825

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Changing behaviour in pregnant women : a scoping review
Authors:	Zinsser, Laura A. Stoll, Kathrin Wieber, Frank Pehlke-Milde, Jessica Gross, Mechthild Maria
et. al:	No
DOI:	10.1016/j.midw.2020.102680 10.21256/zhaw-19825
Published in:	Midwifery
Volume(Issue):	85
Issue:	102680
Issue Date:	2020
Publisher / Ed. Institution:	Elsevier
ISSN:	0266-6138 1532-3099
Language:	English
Subjects:	Pregnancy; Behaviour change wheel; Empowerment; Health promotion; Midwifery; Intervention
Subject (DDC):	618: Gynecology, obstetrics and midwifery
Abstract:	Objectives: Behaviour change programmes (BCPs) for pregnant women are frequently implemented as part of health promotion initiatives. At present, little is known about the types of behaviour change programmes that are being implemented and whether these programmes are designed and delivered in accordance with the principles of high quality maternity care. In this scoping review, we provide an overview of existing interventions related to behaviour change in pregnancy with a particular emphasis on programmes that include empowerment components to promote autonomy and woman-led decisionmaking. Methods: A systematic search strategy was applied to check for relevant papers in August 2017 and again in October 2018. Results: Thirty studies met the criteria for inclusion. These studies addressed weight management, smoking cessation, general health education, nutrition, physical activity, alcohol consumption and dental health. The main approach was knowledge gain through education. More than half of the studies ( n = 17) included three or more aspects of empowerment as part of the intervention. The main aspect used to foster women‘s empowerment was skills and competencies. In nine studies midwives were involved, but not as programme leaders. Conclusions: Education for knowledge gain was found to be the prevailing approach in behaviour change programmes. Empowerment aspects were not a specific focus of the behaviour change programmes. This review draws attention to the need to design interventions that empower women, which may be beneficial through their live. As midwives provide maternal healthcare worldwide, they are well-suited to develop, manage, implement or assist in BCPs.
URI:	https://digitalcollection.zhaw.ch/handle/11475/19825
Fulltext version:	Published version
License (according to publishing contract):	CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Midwifery and Reproductive Health (IHG)
Appears in collections:	Publikationen Gesundheit

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Zinsser, L. A., Stoll, K., Wieber, F., Pehlke-Milde, J., & Gross, M. M. (2020). Changing behaviour in pregnant women : a scoping review. Midwifery, 85(102680). https://doi.org/10.1016/j.midw.2020.102680

Zinsser, L.A. et al. (2020) ‘Changing behaviour in pregnant women : a scoping review’, Midwifery, 85(102680). Available at: https://doi.org/10.1016/j.midw.2020.102680.

L. A. Zinsser, K. Stoll, F. Wieber, J. Pehlke-Milde, and M. M. Gross, “Changing behaviour in pregnant women : a scoping review,” Midwifery, vol. 85, no. 102680, 2020, doi: 10.1016/j.midw.2020.102680.

ZINSSER, Laura A., Kathrin STOLL, Frank WIEBER, Jessica PEHLKE-MILDE und Mechthild Maria GROSS, 2020. Changing behaviour in pregnant women : a scoping review. Midwifery. 2020. Bd. 85, Nr. 102680. DOI 10.1016/j.midw.2020.102680

Zinsser, Laura A., Kathrin Stoll, Frank Wieber, Jessica Pehlke-Milde, and Mechthild Maria Gross. 2020. “Changing Behaviour in Pregnant Women : A Scoping Review.” Midwifery 85 (102680). https://doi.org/10.1016/j.midw.2020.102680.

Zinsser, Laura A., et al. “Changing Behaviour in Pregnant Women : A Scoping Review.” Midwifery, vol. 85, no. 102680, 2020, https://doi.org/10.1016/j.midw.2020.102680.