Women in the preconception, pregnant, or postpartum period are susceptible to weight stigma, particularly due to the risk of excess weight gain during the reproductive life period and the negative effects of stigma on the health of both the mother and the child. Identifying the drivers and facilitators of weight stigma will help guide focused weight stigma prevention interventions. This systematic review aimed to identify the drivers and facilitators of weight stigma among preconception, pregnant, and postpartum women. In May 2022, Medline, Embase, PsycINFO, and the Maternity and Infant Care Database were searched for peer-reviewed articles published since 2010 using search terms weight AND stigma AND preconception, OR pregnant, OR postpartum. Of the 1724 articles identified, 34 fulfilled the inclusion criteria and were included in a narrative synthesis. Women reported facing insensitive language, misconceptions about obesity across all settings, and inappropriate media representation. The unavailability of appropriate equipment at facilities was reported by both women and health professionals. Our findings indicate that a rigorous effort by all stakeholders is necessary to promote regulatory, legal, and educational initiatives designed to reduce weight stigma and discrimination against women in the reproductive period.

中文翻译：

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孕前、孕妇和产后妇女体重耻辱的驱动因素和促进因素：系统评价

处于孕前、怀孕或产后阶段的女性容易受到体重耻辱的影响，特别是因为在育龄期体重增加过多的风险以及耻辱对母亲和孩子健康的负面影响。确定体重耻辱的驱动因素和促进因素将有助于指导有针对性的体重耻辱预防干预措施。本系统综述旨在确定孕前、孕妇和产后妇女体重耻辱的驱动因素和促进因素。 2022 年 5 月，使用搜索词“体重 AND 耻辱 AND 先入为主”、“OR 怀孕”或“产后”对 Medline、Embase、PsycINFO 和妇婴护理数据库搜索了自 2010 年以来发表的同行评审文章。在确定的 1724 篇文章中，有 34 篇符合纳入标准并被纳入叙述性综合报告中。女性报告称，她们面临着麻木不仁的语言、各种环境下对肥胖的误解以及不恰当的媒体报道。妇女和卫生专业人员都报告说，设施中缺乏适当的设备。我们的研究结果表明，所有利益相关者都必须做出不懈努力，以促进旨在减少生育期妇女体重耻辱和歧视的监管、法律和教育举措。