Browse by author
Lookup NU author(s): Susan LennieORCiD, Professor Luke ValeORCiD, Emerita Professor Dawn Teare, Raya Vinogradov, Professor Nicola HeslehurstORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
Background/objectives: Maternal adiposity is a known risk factor for adverse pregnancy outcomes, yet routine antenatal care primarily relies on body mass index (BMI), which has limitations. This study aimed to explore the acceptability of incorporating a broader range of adiposity measurements into early pregnancy antenatal care, assessing pregnant women’s perceptions to inform implementation strategies. Methods: A qualitative study using semi-structured interviews was conducted with 14 pregnant women purposively sampled to capture variation in BMI, age, and parity. Interviews occurred approximately 4–5 months post-measurement experience. The Theoretical Framework of Acceptability (TFA) guided thematic analysis of transcribed data, with independent coding to ensure rigour. Results: Participants generally viewed the current reliance on BMI as outdated and expressed neutral to positive attitudes toward the use of more detailed adiposity measurements. Most reported little emotional discomfort with the process. However, some reflected likelihood of more body self-consciousness had it been their first pregnancy. Time involved in measurements was not seen as burdensome, however waiting between pro- cedures was a minor inconvenience. Self-assessing body shape was described as difficult. Women emphasised the importance of choice, autonomy, and informed consent, especially in relation to partner involvement, the gender of the anthropometrist, and the nature of the procedures. Clear, advance communication and supportive explanations during appoint- ments were seen as essential to ensuring a positive experience. Conclusions: Expanding adiposity assessments in early pregnancy is acceptable to women if implemented ethically, prioritising consent, privacy, emotional safety, and effective communication. Integration into routine care requires staff training and pre-appointment guidance.
Author(s): Lennie SC, Vale L, Teare MD, Vinogradov R, Heslehurst N
Publication type: Article
Publication status: Published
Journal: Healthcare
Year: 2025
Volume: 13
Issue: 20
Online publication date: 10/10/2025
Acceptance date: 10/09/2025
Date deposited: 24/10/2025
ISSN (electronic): 2227-9032
Publisher: MDPI
URL: https://doi.org/10.3390/healthcare13202558
DOI: 10.3390/healthcare13202558
Data Access Statement: The raw data supporting the conclusions of this article will be made available by the authors on request.
Altmetrics provided by Altmetric
