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Table 2 Interview questions and example responses by content area: patients

From: Patient-provider communication about gestational weight gain among nulliparous women: a qualitative study of the views of obstetricians and first-time pregnant women

Content area Question(s) Example patient responses
Communication about gestational weight gain What has your doctor told you about gaining weight during pregnancy? The only thing I’ve heard [about my weight gain] is that it’s been steady. It sounds like that is maybe a good thing, I wasn’t really sure…I’m curious nowadays if they just don’t talk about it as much, or that they are afraid of offending people, or if it’s political correctness, ‘cause I haven’t heard much from them [about weight]. –Pre-pregnancy BMI 25.1, 14.1 kg (31 pounds) gained at 32.5 weeks
  What do you think of your doctor’s advice?  
The content of advice: nutrition and physical activity How has advice from your doctor changed your eating habits? I am measuring small, and I haven’t gained the most I should gain, so he said that for me it’s fine, go ahead, and encouraging me to make sure I feel free to eat. Because I’m small, I’m guessing they might worry that I don’t eat like I should. I’ve never been criticized for it. He’s never said, ‘oh, you’re not eating enough.’ He just encourages me, ‘Feel free to eat the ice cream, and whatever you want.’ –Pre-pregnancy BMI 18.2, 11.8 kg (26 pounds) gained at 37 weeks
  How has advice from your doctor changed your exercise habits?  
Postpartum weight management What has your doctor told you about losing weight after your baby is born? She hasn’t said anything. Not that I can remember. –Pre-pregnancy BMI 23.7, 22.7 kg (50 pounds) gained in 37 weeks
   I’ve done a lot of research on my own, but I haven’t heard anything from the doctor. –Pre-pregnancy BMI 25.1, 14.1 kg (31 pounds) gained at 32.5 weeks
Feelings about obstetrician advice What do you think of your doctor’s advice? Overall, I'd want to hear a little bit more from [my obstetrician], 'cause I don't know what to ask sometimes. –Pre-pregnancy BMI 23.3, 12.7 kg (28 pounds) gained at 40 weeks
  What would you like to know about pregnancy weight gain and postpartum weight loss from your doctor? [I hope my obstetrician will] let me know when it's okay to start working out and how much I can do. And a healthy diet program where I can still get the baby everything he needs through the breast milk, and still be healthy myself. –Pre-pregnancy BMI 35.8, 14.1 kg (31 pounds) gained at 35.5 weeks