Knight-Agarwal CR, Williams LT, Davis D, Davey R, Shepherd R, Downing A, et al. The perspectives of...

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Knight-Agarwal CR, Williams LT, Davis D, Davey R, Shepherd R, Downing A, et al. The perspectives of obese women receiving antenatal care: A qualitative study of women's experiences. Women and birth: Journal of the Australian College of Midwives. 2016;29(2):189-95.Report formatFor this assessment, imagine that you have been asked to assess the suitability of a manuscript being considered for publication by a journal that specialises in qualitative health research. You need to critically appraise the article and asses its quality, rigour, validity and reliability. Be sure to reference the appropriate sources that have you use to guide your appraisal.															Presentation:																					Preparation:																			Report																					When identifying the methodological elements of the article consider the following: Is the methodology explicitly stated? Are the methods of data collection clearly explained and are they appropriate for the methodology?					When critically analysing the methodology consider these questions:								- Was the sampling described/ appropriate?				- Was the analysis described/ appropriate?				- Did the researcher consider reflexivity?				- Were ethical issues adequately addressed?									When considering the overall validity and quality of the data comment on whether the conclusions are supported by the data?								Think about aspects of reliability, validity and rigour				Are the results presented supported by examples from the data? Is there a clear link between the results and the discussion? Are the conclusions reasonable?										The perspectives of obese women receiving antenatal care: A qualitative study of women's experiences See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/283792648 The perspectives of obese women receiving antenatal care: A qualitative study of women's experiences Article  in  Women and Birth · November 2015 DOI: 10.1016/j.wombi.2015.10.008 CITATIONS 21 READS 279 7 authors, including: Some of the authors of this publication are also working on these related projects: Universal Health Coverage for excluded communities in Kerala View project Digital health information system evaluation View project Catherine Ruth Knight-Agarwal University of Canberra 5 PUBLICATIONS   111 CITATIONS    SEE PROFILE Lauren T Williams Griffith University 127 PUBLICATIONS   1,243 CITATIONS    SEE PROFILE Deborah Lee Davis University of Canberra 119 PUBLICATIONS   1,211 CITATIONS    SEE PROFILE Rachel Davey University of Canberra 181 PUBLICATIONS   4,067 CITATIONS    SEE PROFILE All content following this page was uploaded by Rachel Davey on 17 October 2017. The user has requested enhancement of the downloaded file. https://www.researchgate.net/publication/283792648_The_perspectives_of_obese_women_receiving_antenatal_care_A_qualitative_study_of_women%27s_experiences?enrichId=rgreq-7046ef2b2c3ffce12a7417a146fa2bbe-XXX&enrichSource=Y292ZXJQYWdlOzI4Mzc5MjY0ODtBUzo1NTA1NDYxMDY4MzkwNDFAMTUwODI3MTgyODgzMA%3D%3D&el=1_x_2&_esc=publicationCoverPdf https://www.researchgate.net/publication/283792648_The_perspectives_of_obese_women_receiving_antenatal_care_A_qualitative_study_of_women%27s_experiences?enrichId=rgreq-7046ef2b2c3ffce12a7417a146fa2bbe-XXX&enrichSource=Y292ZXJQYWdlOzI4Mzc5MjY0ODtBUzo1NTA1NDYxMDY4MzkwNDFAMTUwODI3MTgyODgzMA%3D%3D&el=1_x_3&_esc=publicationCoverPdf https://www.researchgate.net/project/Universal-Health-Coverage-for-excluded-communities-in-Kerala?enrichId=rgreq-7046ef2b2c3ffce12a7417a146fa2bbe-XXX&enrichSource=Y292ZXJQYWdlOzI4Mzc5MjY0ODtBUzo1NTA1NDYxMDY4MzkwNDFAMTUwODI3MTgyODgzMA%3D%3D&el=1_x_9&_esc=publicationCoverPdf 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https://www.researchgate.net/institution/University_of_Canberra?enrichId=rgreq-7046ef2b2c3ffce12a7417a146fa2bbe-XXX&enrichSource=Y292ZXJQYWdlOzI4Mzc5MjY0ODtBUzo1NTA1NDYxMDY4MzkwNDFAMTUwODI3MTgyODgzMA%3D%3D&el=1_x_6&_esc=publicationCoverPdf https://www.researchgate.net/profile/Rachel_Davey?enrichId=rgreq-7046ef2b2c3ffce12a7417a146fa2bbe-XXX&enrichSource=Y292ZXJQYWdlOzI4Mzc5MjY0ODtBUzo1NTA1NDYxMDY4MzkwNDFAMTUwODI3MTgyODgzMA%3D%3D&el=1_x_7&_esc=publicationCoverPdf https://www.researchgate.net/profile/Rachel_Davey?enrichId=rgreq-7046ef2b2c3ffce12a7417a146fa2bbe-XXX&enrichSource=Y292ZXJQYWdlOzI4Mzc5MjY0ODtBUzo1NTA1NDYxMDY4MzkwNDFAMTUwODI3MTgyODgzMA%3D%3D&el=1_x_10&_esc=publicationCoverPdf Women and Birth xxx (2015) xxx–xxx G Model WOMBI-482; No. of Pages 7 ORIGINAL RESEARCH – QUALITATIVE The perspectives of obese women receiving antenatal care: A qualitative study of women’s experiences Catherine R. Knight-Agarwal a,*, Lauren T. Williams b, Deborah Davis c, Rachel Davey d, Rebecca Shepherd a, Alice Downing a, Kathryn Lawson a a Discipline of Nutrition and Dietetics, School of Public Health and Nutrition, Faculty of Health, The University of Canberra, University Drive, Bruce, ACT 2617, Australia b Discipline of Nutrition and Dietetics, School of Allied Health Sciences, Griffith University, Gold Coast Campus, Parklands Drive, Southport, QLD 4215, Australia c Discipline of Nursing and Midwifery, Faculty of Health, The University of Canberra, University Drive, Bruce, ACT 2617, Australia d Centre for Action and Research in Public Health, Faculty of Health, The University of Canberra, University Drive, Bruce, ACT 2617, Australia A R T I C L E I N F O Article history: Received 6 May 2015 Received in revised form 9 October 2015 Accepted 17 October 2015 Keywords: High BMI Pregnancy Women’s health Qualitative study Phenomenology A B S T R A C T Background: The prevalence of overweight and obesity is increasing amongst women of child bearing age. Maternal obesity has implications for both mother and baby including increased health risks from gestational hypertensive disorders, caesarean section and stillbirth. Despite the increasing prevalence of maternal obesity little is known of the experiences of these women within the health care system. The aim of this research was to investigate the perspectives of pregnant women with a body mass index (BMI) of �30 kg/m2 receiving antenatal care. Methods: A qualitative study using individual interviews was undertaken. Sixteen pregnant women with a BMI �30 kg/m2 participated. Interviews were audio recorded, transcribed, cross checked for consistency and then entered into a word processing document for analysis. Data was analysed using Interpretative Phenomenological Analysis. In any phenomenological study the researcher’s objective is to elicit the participant’s views on their lived experiences. Findings: Four major themes emerged: (1) obese during pregnancy as part of a long history of obesity; (2) lack of knowledge of the key complications of obesity for both mother and child; (3) communication about weight and gestational weight gain can be conflicting, confusing and judgmental; (4) most women are motivated to eat well during pregnancy and want help to do so. Conclusion: Specialist lifestyle interventions for obese women should be a priority in antenatal care. Extra support is required to assist obese women in pregnancy achieve recommended nutritional and weight goals. Health professionals should approach the issue of maternal obesity in an informative but non-judgmental way. � 2015 Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd) on behalf of Australian College of Midwives. Contents lists available at ScienceDirect Women and Birth jo u rn al h om ep age: w ww.els evier .c o m/lo c ate /wo mb i 1. Introduction Worldwide, obesity is identified as a major public health problem. In Australia, the prevalence of overweight and obesity has been steadily increasing for the past three decades. In 2011– 12, approximately 60% of Australian adults were classified as overweight or obese, and more than 25% of these fell into the obese category.1 There is an increasing incidence of obesity in * Corresponding author at: Locked Bag 1, University of Canberra, ACT 2601, Australia. Tel.: +61 0407806663. E-mail address: Cathy.Knight-Agarwal@canberra.edu.au (C.R. Knight-Agarwal). Please cite this article in press as: Knight-Agarwal CR, et al. The pers study of women’s experiences. Women Birth (2015), http://dx.doi.o http://dx.doi.org/10.1016/j.wombi.2015.10.008 1871-5192/� 2015 Published by Elsevier Australia (a division of Reed International Bo young women with the Australian Health Survey reporting 42.4% of women in the peak child bearing years of 25–34 to be overweight or obese.2 Maternal obesity and excess weight gain during pregnancy are associated with increased incidence of gestational diabetes, caesarean sections and increased stillbirth and neonatal death.3–6 Along with the personal consequences, obesity significantly burdens the current health care system. A US study estimated that maternal obesity is associated with an increased direct cost of $US2387 per pregnancy.7 Occupa- tional health and safety issues can be encountered by staff caring for obese pregnant women including difficulty lifting patients and obtaining access to bariatric beds and operating tables.8,9 pectives of obese women receiving antenatal care: A qualitative rg/10.1016/j.wombi.2015.10.008 oks Australia Pty Ltd) on behalf of Australian College of Midwives. http://dx.doi.org/10.1016/j.wombi.2015.10.008 mailto:Cathy.Knight-Agarwal@canberra.edu.au http://dx.doi.org/10.1016/j.wombi.2015.10.008 http://www.sciencedirect.com/science/journal/18715192 www.elsevier.com/locate/wombi http://dx.doi.org/10.1016/j.wombi.2015.10.008 C.R. Knight-Agarwal et al. / Women and Birth xxx (2015) xxx–xxx2 G Model WOMBI-482; No. of Pages 7 At the same time, there has been less emphasis on weighing pregnant women in Australian antenatal clinics despite both national and international recommendations.10 While acknowl- edging the limitations of body mass index (BMI), it is considered to be reliable at a population level.11 The Australian Government released clinical practice guidelines for antenatal care in 2013 which recommend gestational weight gain advice to women in relation to their BMI at conception.10 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists advocate for women to have their BMI documented at their first antenatal appointment. They also recommend those in high BMI categories be offered referral to allied health services such as dietetics.12 The US Institute of Medicine recommends health professionals record women’s weight, height, and BMI as part of routine antenatal and post-natal care.13 Likewise, the UK National Institute for Health and Care Excellence encourages maternity care providers to monitor and assess weight management before, during and after pregnancy.14 Perhaps as a result of weighing no longer being a significant part of antenatal practice, there appears to be a lack of knowledge amongst pregnant women about the effects of obesity on maternal and child health.9 In a prospective cohort study, Sui and colleagues reported that obese pregnant women were significantly (p

Kuldeep · Accepted Answer

Running Head: Antenatal Care
Antenatal Care
Student Name:
Unit Name:
University Name:
Date:
Contents
When identifying the methodological elements of the article consider the following: Is the methodology explicitly stated? Are the methods of data collection clearly explained and are they appropriate for the methodology?	3
When critically analysing the methodology considers these questions:	3
Was the sampling described/ appropriate?	3
Was the analysis described/ appropriate?	3
Did the researcher consider reflexivity?	4
Were ethical issues adequately addressed?	4
When considering the overall validity and quality of the data comment on whether the conclusions are supported by the data?	5
Think about aspects of reliability, validity and rigour	5
Are the results presented supported by examples from the data? Is there a clear link between the results and the discussion? Are the conclusions reasonable?	7
References	8
When identifying the methodological elements of the article consider the following: Is the methodology explicitly stated? Are the methods of data collection clearly explained and are they appropriate for the methodology?
The method of this article is clearly stated, and the method of data collection is clearly stated, and they are applicable to the method. In this article, qualitative research is conducted using personal interviews (Knight-Agarwal et al., 2016). Sixteen pregnant womens with BMI ≥ 30 kg/m (16) participated in the study. The interviews were transcribed, recorded, cross-checked for constancy, or then enter into word processing document for analysis. The data is analyzed using interpretive phenomenological analysis. In some phenomenological study, purpose of the researcher is to let participants have an opinion about their own life experiences.
When critically analysing the methodology considers these questions:
Was the sampling described/ appropriate?
Yes, because the author participated in the waiting room of antenatal clinic through the operation time and contacted all the women about this research, so sampling is appropriate (Knight-Agarwal et al., 2016). Those who express interest (or get permission) will be asked a few basic questions, for example what is your weight? , What is your height? , Your birth date moreover how many pregnancy weeks? The researchers then measured the BMI or examine the woman eligibility to take part. Eligibility criteria include BMI of _30 kg/m2, age 18 years and older, at least pregnancy of 12 weeks, and they are receiving care throughout local health services (Knight-Agarwal et al., 2016). 
Was the analysis described/ appropriate?
The explanatory phenomenological analysis set of rules explained by Smith and Osborn21 was applying to the imformation. The initial step of the analysis involves repeat reading of each transcribed interviews. Then gather these codes into preliminary themes and ensure that these themes are consistent with information (Knight-Agarwal et al., 2016). After repeating this process for every transcript, the result set of the preliminary topics will be checked to identify repeating patterns on all 16 transcripts. Finally, a group of superior topics appeared, and each topic was assigned a corresponding quotation mark.

Knight-Agarwal CR, Williams LT, Davis D, Davey R, Shepherd R, Downing A, et al. The perspectives of obese women receiving antenatal care: A qualitative study of women's experiences. Women and birth:...

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