Dissertation: Brief Action Plan Applied to Obesity in Pregnancy

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Obesity in Pregnancy

Brief ActionPlan applied to obesity in Pregnancy

Obesity and Pregnancy

The study used both qualitative and quantitative data. Qualitative data validated the findings of the quantitative analysis. The research was carried along a set of motivational interview questions. A structural framework known as the UB-PAP (Ultra-brief Personal Action Plan) was applied as the structural framework, and it helped in capturing the qualitative values of the population. The obese pregnant mothers responded to the interview questions and those who scored 7 and above were subjected to a personal action plan. The maternal and infant morbidity and mortality statistics were obtained from the EMR (electronic media records). Other data were sourced from journal articles, the department of Health and Human services, and the state surveillance data on behaviors.

Table of contents

Chapter 1-5

Introduction- -5

Background-5

Aims and Objectives-6

Nature of the Study-7

1.5 Importance of the Study-7

1.6 Research questions-9

1.7 Hypotheses-10

Chapter 2-11

2.1 Research context-11

Chapter 3-12

Literature Review-12

Chapter 4-14

Research Methodology-14

4.1 Sampling-14

4.2 Qualitative and quantitative sampling-15

4.3 the UB-PAP framework questions-18

4.4 Data analysis-19

4.5 Findings-20

4.6 Limitations-21

4.7 Conclusion and Recommendations-21

References -22

Chapter 1 Introduction

1.1Background

The proportion of the population considered to suffer from obesity jumped radically between the 1980s and 2009 (Krauss, Winston, Fletcher, & Grundy, 2000). The obesity outbreak in the United States continues to spread resulting in the growth of America's biomass percentage. Biomass refers to the product of the population distribution and the average body mass. Maternal obesity is an independent risk factor for possible adverse maternal and fetal morbidity and mortality. Various authors agree that obesity increases the general health problems throughout a woman's lifetime (Thomson, 2012).

The Healthy people 2010 report from the U.S. Department of Health and Human Services ("Healthy People 2010," 2008), and statewide surveillance data from the Behavior Risk Factor Surveillance System are few of these reporting systems, and provide the overall obesity trend. Obesity is increasing rapidly among Americans and worldwide populations (Gee, 2004). The health care expenditures in the United States of America continue to rise due to obesity and is approaching 300 billion dollars, yet obesity lingers despite the diet and exercise. United States boasts of the State of the Art health care system, yet limited access to basic health care for the same continues to fail at combating obesity (Kelly, 2006).

The most alarming finding of this study ascertained that the children of these adolescent mothers by age two were at risk of obesity and by age three twelve percent were considered obese. These findings were in keeping with the present day trend of long-term obesity and a two folded increase in maternal obesity (Kelly, 2006).

The population of this study is based in Lowell, MA at the Lowell Community Health Center. The pregnancy demographics and outcomes of this community were last studied in 1989. The population at the time were primarily Cambodian refugees, but now the clinic serve over twenty nine different types of world population, including Portuguese, Burmese, and African ethnicities, some African-American, Hispanic, and Caucasian mixed races. The research by Gee (2004) found that there was an increase in primary cesarean sections, which an operative procedure is done due to the smaller stature of the client and now the large birth size of the infant. There has not been a more recent study at the center ever since.

1.2 Definition of terms

Maternal obesity- the obesity of a pregnant woman

Gestational weight -- the weight of an infant at a specific gestational stage

UB-PAP- a motivational interview intervention approach for pregnant, obese women. It stands for Ultra-Brief Action Plan.

Prenatal care- this is the care provided for pregnant women before and during pregnancy.

BMI-this is a simple index of weight for height and is used to classify overweight, underweight, and obesity in adults.

1.3 Aims and Objectives

The study aims to combine the variables and show their correlation. The UB-PAP approach would offer the conventional framework for the study. Kelly (2006) argues that the framework would come in handy in showing the positive improvements achieved in the obesity rate among pregnant, obese adults. The success of the framework would enhance the campaign for other health centers to utilize the tool in their intervention procedures. In short, the research aims to reintroduce a basic health prevention strategy that is cost effective and simple to perform.

1.4 Nature of the study

The intention is to examine the effectiveness of the UB-PAP in the management of the BMI of pregnant, obese women. Through analyzing the behaviors of the women, the study seeks to determine whether the tool has been effective in causing behavior change among pregnant, obese women. The study focuses its analysis on both positive and negative behaviors of the obese pregnant women. The comparison would offer a measure of the achievement realized by the motivational tool (Visser & Atkinson, 2012). The Lowell Community Health Centers is the health centre that acted as the main data source. Data on physical fitness and medical history records were gathered from the centre. The research relied on historical data in order to widen the scope of comparison for the various values of the variables.

The study will also look into the complications associated with obese pregnancies, as well as the risk factors. More clearly, the research will investigate the relationship between obesity and the caeserean procedure. Data for this exercise would be picked from the Lowell Community Health Centre. Another area of importance for this study is the outcomes related to high BMI levels. Through analyzing the negative effects of obesity, the research seeks to trigger the proactiveness of obese pregnant women to seek intervention. Comparing data on obese women and the caesarean procedure attempts reinforced the notion that obesity causes birth complications amongst obese pregnant women. The consolidation of the mentioned data with data from the EMR (Electronic Media Records) helped in the arrival of H2.

Other data sources for this study include records from the United States section for Health and Human services. The "Healthy People 2010 report" provided the statistics. Other data were obtained from statewide surveillance information from the behavior risk factor surveillance system. The system offered a set of past behaviors of the sample population. The research also relied on other secondary sources like publications, books, and practitioners' records. Through showing the effectiveness of the motivational tool for the pregnant, obese women, the research purposes to close the gap in knowledge on the utilization of the UB-PAP upon maternal obesity.

1.5 Importance of the study

The risk of obesity upon pregnancy, along with the medicalization of prenatal care is prevalent (Hay, 2008). The importance of this study is to centre efforts upon halting further escalation of BMI, by the normalization of pregnancy among the obese pregnant client. Instead of focusing upon clinician desires, the study focuses more on the client. There will be motivation for the client to change their lifestyle and perhaps, maintain BMI, and normal gestational weight goals, throughout the pregnancy and post partum.

Barrier (2000) states that known adverse outcome related to high BMI in pregnancy are hypertension gestational diabetes, pre-term delivery, and induction of labor, increase risk of neonatal death, maternal death, cesarean births, wound infections, hemorrhage, and early spontaneous abortions (Kelly, 2006). This study focuses on preventing the occurrence of complications during the birth process.

The study also explored the lifestyle traits and patterns that expose obese pregnant women to birth complications. The research focused its analysis on investigating how poor nutritional trend, unhealthy lifestyle habits, low motivation for pregnancy visits, and lack of physical exercise expose the life of the expectant mother to labor related complications.

1.6 Research questions

1. How do physical exercise and a healthy diet help to maintain the appropriate gestation weight for pregnant obese mothers with BMI 30Kg/m?

2. What are some of the common traits for pregnant, obese women who experience low motivation for prenatal visits?

3. How can the UB-PAP be designed for pregnant, obese women with low income sources?

4. How does a negative lifestyle promote the progression of high gestational weight amongst pregnant women?

5. How does the "Brief Action Motivational Tool" help in addressing the negative outcomes of obese pregnancies?

6. How does technology aid in preventing gestational weight gain among pregnant women?

7. What has been the effectiveness of the mid-wifery model over the medical care model in the improvement of an obese pregnant client's condition?

1.7 Hypothesis

The research divided its hypothesis into two statements that helped in the determination of the research design. The two hypotheses statements reflected the nature of the study. The research relied on both qualitative and quantitative data, and this formed the first and the second hypotheses respectively.

H1- the "Brief Action Motivational Tool" is effective in the motivation for obese pregnant women with BMI of 30Kg/m2

H2- Lifestyle determines the progression of obesity among pregnant, obese women.

Chapter 2: Reseach Context

The research comprises of five chapters including, introduction, research… [END OF PREVIEW]

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