Ills from the womb? A critical examination of clinical guidelines for obesity in pregnancy.
In this article, we critically examine the clinical guidelines for obesity in pregnancy put forth by the Society of Obstetricians and Gynaecologists of Canada (SOGC) that are underpinned by the rules of Evidence-Based Medicine (EBM), a system of ranking knowledge that promises to provide unbiased evidence about the effectiveness of treatments. While the SOGC guidelines are intended to direct health practitioners on 'best practice' as they address pregnancy weight gain with clients in the clinical context, we question their usefulness, arguing that despite their commitment to objectivity, they remain mired in cultural biases that stigmatize large female bodies and associates them to 'unfit' mothers.
Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD 20742, USA. jette@umd.edu
Shannon
S
Jette
Geneviève
G
Rail
D015992:Body Mass Index; D002170:Canada; D019317:Evidence-Based Medicine / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy*