Clinician’s Attitudes to the Introduction of Routine Weighing in Pregnancy

Table 2

Solutions.

Theoretical domains	Barriers	Solution
Environmental context and resources	(i) scales in public places, lack of scales in every room, MGP midwives not having access to scales; (ii) lack of access to dietitians and lack of clarity about when to refer; (iii) Matrix (online database) not prompting an entry for weight; (iv) Time for weighing and discussing weight	(i) Funding was secured to purchase scales for every ANC room and for MGP midwives; (ii) Dietitians are rostered to every antenatal clinic; referral guidelines have been updated and circulated; (iii) The need for a compulsory weight prompt is being evaluated; (iv) This will be evaluated after implementation and clinic appointment times altered if necessary
Knowledge; Skills; Beliefs about capabilities; Beliefs about consequences	(i) lack of knowledge about effects of eGWG, how to counsel women on weight, and what interventions to recommend; (ii) Skepticism about impact of eGWG and evidence for interventions	(i) Written materials and guidelines have been circulated and training sessions and workshops will be arranged to update staff on evidence around: the impact of eGWG, how best to approach the issue of weight with women, and interventions that have been shown to result in healthier GWG and better outcomes