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Dutch Midwives' Behavior and Determinants in Promoting Healthy Gestational Weight Gain, Phase 2: A Quantitative Approach

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BACKGROUND: Unhealthy gestational weight gain (GWG) contributes to long-term obesity in women and their offspring. The aim of this study is to quantify midwives' behavior in promoting healthy GWG and to identify the most important determinants related to this behavior.

METHODS: A survey based on the attitude–social influence–self-efficacy (ASE) model and prior qualitative research was conducted among 112 Dutch practicing midwives.

RESULTS: Midwives were moderately active in monitoring GWG and diet education and less active in physical activity education. Regression analysis showed that efforts to promote healthy GWG were associated with several determinants, including attitudes, self-efficacy, social influence, the involvement of other health workers, health promotion, and barriers.

PRACTICE IMPLICATIONS: The identified behavioral determinants provide insight into ways to stimulate midwives to promote healthy GWG.
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Keywords: ASE MODEL; GESTATIONAL WEIGHT GAIN; HEALTHY WEIGHT; MIDWIVES; PRENATAL CARE

Document Type: Research Article

Publication date: 01 September 2015

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