APPLICATION OF MERCER MODEL IN THE EVALUATION OF THE RISK FACTORS OF OBESITY FOR PREGNANT WOMEN

Keywords: obesity; pregnancy; Mercer's conceptual framework; obesity risk factors; preventive strategies.

Abstract

The study presents an assessment of risk factors that affect obesity of a pregnant woman through components in the macrosystem, mesosystem, exosystem, and microsystem hierarchy according to Ramona Mercer's conceptual framework. Through the conceptual framework, we identify aspects with maternal and child impact in women with excessive body weight. The benefits of using the Mercer model are that multiple domains are identified and factors that affect nutrition, physical activity, and optimization of weight gain in a pregnant woman are taken into account. The conceptual framework supports the perception of contextual circumstances, helps to create conditions for changing health behavior and reducing health risks. Obesity in a pregnant woman, excessive weight gain and gestational body weight are influenced by physiological, psychological, behavioral, family, cultural and environmental factors. The interaction of factors creates preconditions for improving or worsening the health of a pregnant woman and a prenatal child during pregnancy. The process of caring for a pregnant woman with excessive body weight is focused on four concepts of obesity, pregnancy, complications and nursing management. The analysis of the conceptual framework helps to create preventive interventions and to select effective strategies. The aim of interventions is to achieve a change of environment for the pregnant woman, which may affect the regulation of body mass index, maintenance of gestational weight, behavioral changes, attitudes, nutritional adjustments, physical activity and reduced risk of complications in the mother and the child.

References

Aligood, M. R., Tommey, A. M. (2006). Nursing Theory:Utilization & Application. St. Louis: Mosby. [in English].
Bagchi, D. (2010). Global Perspectives on Childhood Obesity: Current Status, Consequences and Prevention. Philadelphia, PA: Academic Press. [in English].
Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. Cambridge, MA: Harvard University Press. [in English].
Bronfenbrenner, U. (2004). Ekological Theory. [Electronic resource]. Retrieved from http://www.des.emory.edu/mfp/302/302bron.PDF. [in English].
CEMACH. (2007). Saving Mothers' Lives - findings on the causes of maternal deaths and the care of pregnant women. [Electronic resource]. Retrieved from http://www.rcog.org.uk/news/cemach-release-saving-mothers-lives-findings-causes-maternal-deaths-and-care-pregnant-women. [in English].
Fattah, C., Farah, N., O'Toole, F., Barry, S., Stuart, B., Turner, M. J. (2009). Body Mass Index (BMI) in women booking for antenatal care: Comparison between selfreported and digital measurements.European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 144, no.1, 32-34. DOI: 10.1016/j.ejogrb.2009.01.015. [in English].
Fitzsimons, K. J., Modder, J. (2009). Obesity in pregnancy: risks and management. Royal Society of Medicine Press. Obstetric Medicine, 2 (2), 52-62. [in English].
Guelinckx, I., Devlieger, R., Beckers, K., Vansant, G. (2008). Maternal obesity: pregnancy complications, gestational weight gain and nutrition. Obesity Reviews, 9 (2), 140–150. [in English].
Institute of Medicine. (1990). Nutrition during pregnancy: part I: weight gain, part II: nutrient supplements., Washington, D.C: National Academy Press. [in English].
Jaleel, R. (2009). Impact Of Maternal Obesity On Pregnancy Outcome. Journal of Surgery Pakistan (International), 14 (1). [Electronic resource]. Retrieved from http://jsp.org.pk/Issues/JSP%2014-1%20Jan%20%20March%202009/Riffat%20Jalil.pdf. [in English].
Kumanyika, S. K., Brownson, R. C. (2007). Handbook of ObesityPrevention. New York: Springer. [in English].
Levin, B. E. (2000). The obesity epidemic: metabolic imprinting on genetically susceptible neural circuits. Obesity Research, 8 (4), 342–347. [in English].
Margerison, Z. C. E., Rehkopf, D., Abrams, D. (2010). Association of maternal gestational weight gain with short- and long-term maternal and child health outcomes. American Journal of Obstetricsand Gynecology, 202 (6), 574 – 574. [in English].
Matulníková, Ľ. (2012). Manažment telesnej hmotnosti u tehotnej ženy s obezitou. Ružomberok: Verbum. [in Polish].
Mercer, R. T. (2004). Becoming a Mother Versus Maternal Role Attainment. Journal of Nursing Scholarshop,36 (3), 226-232. [in English].
Nesheim, M. C., Yaktine, A. L. (2007). Seafood choices: balancing benefits and risks. Washington, DC: National Academies Press. [in English].
NIDDK. (2010). Weight-control Information Network. NIH Publication. Number 04–4158. [Electronic resource]. Retrieved from http://www.win.niddk.nih.gov. in English].
Olson, C. M., Strawderman, M. S. (2008). The relationship between food insecurity and obesity in rural childbearing women. Journal of Rural Health, 24 (1), 60-66. [in English].
Rankin, J., Tennant, P. W. G., Stothard, K, J., Bythell, M., Summerbell, C. D., Bell, R. (2010). Maternal body mass index and congenital anomaly risk: a cohort study. International Journal of Obesity, vol.34, no. 4. [in English].
Rasmussen, K. M., Yaktine, A. L. (2009). Weight Gain During Pregnancy: Reexamining the Guidelines. National Research Council. [Electronic resource]. Retrieved from http://www.nap.edu/catalog.php?record_id=12584. [in English].
Richens, Y., Lavender, T. (Eds.). (2010). Care for Pregnant Women who are Obese. Cambridgeshire: Huntingdom. [in English].
Rowlands, I., Graves, N., De Jersey, S., Mcintyre, H. D., Callaway, L. (2010). Obesity in pregnancy: outcomes and economics. Seminars in Fetal & Neonatal Medicine, 15 (2), 94-99. [in English].
Sidik, M. S., Rampal, L. (2009). The prevalence and factors associated with obesity among adult women in Selangor. Malaysia. Asia Pacific Family Medicine, 8 (2). DOI:10.1186/1447-056X-8-2. [in English].
Stapleton, R. D., Kahn, J. M., Evans, L. E., Critchlow, C.W., Gardella, C. M. (2005). Risk factors for group B streptococcal genitourinary tract colonization in pregnant women. Obstet Gynecol, vol.106, no. 6, 1557-2625. [in English].
Whitaker, R. C. (2004). Predicting Preschooler Obesity at Birth: The Role of Maternal Obesity in Early Pregnancy. Pediatrics, 114 (1), 29 – 36. [in English].

Abstract views: 113
PDF Downloads: 60
Published
2019-04-05
How to Cite
Matulníková, Ľudmila, & Mizerska, K. (2019). APPLICATION OF MERCER MODEL IN THE EVALUATION OF THE RISK FACTORS OF OBESITY FOR PREGNANT WOMEN. Scientific Journal of Polonia University, 34(3), 120-134. https://doi.org/10.23856/3415

Most read articles by the same author(s)