Maternal obesity is associated with increased risk of gestational diabetes and other complications. Although antenatal interventions to help prevent these complications are ongoing, an understanding of overweight and obese pregnant women's opinions and attitudes is lacking. Therefore, this study aims to explore these women's experiences and perceptions of dietary behaviours and weight management during pregnancy. Secondary analysis of qualitative data originally collected to examine lifestyle behaviours in pregnant women was conducted. The data were from a purposive sample of overweight and obese pregnant women attending a public antenatal clinic in Cork, Ireland. The data were explored using thematic analysis. Interviews with 30 overweight and obese pregnant women were analysed. Three themes were developed relating to overweight and obese women's dietary behaviours and weight management perceptions including 'pregnancy's influence on dietary behaviours', 'external influences on dietary behaviours' and 'perception of and preferences for weight related advice and resources'. Together these themes reveal women's experiences of diet and how pregnancy factors (physiological changes) and external factors (family and friends) can influence dietary behaviours. Furthermore, perceptions of weight management advice and lack thereof were highlighted with women drawing attention to potential resources for future use during pregnancy. This study provides important insights into overweight and obese pregnant women's dietary behaviours and perceptions of weight management. According to these findings, there is a need for clear and unambiguous information about weight management, acceptable weight gain, food safety and how to achieve a balanced diet.

中文翻译：

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饮食行为和体重管理：孕妇看法的主题分析。

母亲肥胖与妊娠糖尿病和其他并发症的风险增加有关。尽管帮助预防这些并发症的产前干预措施正在进行中，但人们仍缺乏对超重和肥胖孕妇的意见和态度的了解。因此，本研究旨在探讨这些女性在怀孕期间对饮食行为和体重管理的经历和看法。对最初收集的用于检查孕妇生活方式行为的定性数据进行了二次分析。这些数据来自爱尔兰科克一家公共产前诊所的超重和肥胖孕妇的有目的地样本。使用主题分析来探索数据。对 30 名超重和肥胖孕妇的访谈进行了分析。制定了与超重和肥胖妇女的饮食行为和体重管理观念相关的三个主题，包括“怀孕对饮食行为的影响”、“对饮食行为的外部影响”和“对体重相关建议和资源的看法和偏好”。这些主题共同揭示了女性的饮食经历以及怀孕因素（生理变化）和外部因素（家人和朋友）如何影响饮食行为。此外，女性对体重管理建议的看法及其缺乏也得到了强调，提请妇女注意未来怀孕期间使用的潜在资源。这项研究为超重和肥胖孕妇的饮食行为和体重管理认知提供了重要见解。根据这些发现，需要有关体重管理、可接受的体重增加、食品安全以及如何实现均衡饮食的清晰明确的信息。