title: Emotional Experiences of Obese Women with Adequate Gestational Weight Variation: A Qualitative Study.
abstract: BACKGROUND
  As a result of the growth of the obese population, the number of obese women of fertile age has increased in the last few years. Obesity in pregnancy is related to greater levels of anxiety, depression and physical harm. However, pregnancy is an opportune moment for the intervention of health care professionals to address obesity. The objective of this study was to describe how obese pregnant women emotionally experience success in adequate weight control.
  
  
  RESULTS
  Using a qualitative design that seeks to understand content in the field of health, the sample of subjects was deliberated, with thirteen obese pregnant women selected to participate in an individual interview. Data was analysed by inductive content analysis and includes complete transcription of the interviews, re-readings using suspended attention, categorization in discussion topics and the qualitative and inductive analysis of the content. The analysis revealed four categories, three of which show the trajectory of body care that obese women experience during pregnancy: 1) The obese pregnant woman starts to think about her body;2) The challenge of the diet for the obese pregnant woman; 3) The relation of the obese pregnant woman with the team of antenatal professionals. The fourth category reveals the origin of the motivation for the change: 4) The potentializing factors for change: the motivation of the obese woman while pregnant.
  
  
  CONCLUSIONS
  During pregnancy, obese women are more in touch with themselves and with their emotional conflicts. Through the transformations of their bodies, women can start a more refined self-care process and experience of the body-mind unit. The fear for their own and their baby's life, due to the risks posed by obesity, appears to be a great potentializing factor for change. The relationship with the professionals of the health care team plays an important role in the motivational support of the obese pregnant woman.
authors.affiliation: Department of Gynecology and Obstetrics, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil; Clinical Qualitative Research Laboratory, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil.
authors.forename: Débora Bicudo
authors.initials: DB
authors.lastname: Faria-Schützer
authors.affiliation: Department of Gynecology and Obstetrics, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil; Clinical Qualitative Research Laboratory, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil.
authors.forename: Fernanda Garanhani de Castro
authors.initials: FG
authors.lastname: Surita
authors.affiliation: Clinical Qualitative Research Laboratory, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil; Department of Medical Psychology and Psychiatry, School of Medical Science, State University of Campinas, Campinas, São Paulo, Brazil.
authors.forename: Vera Lucia Pereira
authors.initials: VL
authors.lastname: Alves
authors.affiliation: Clinical Qualitative Research Laboratory, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil; Department of Medical Psychology and Psychiatry, School of Medical Science, State University of Campinas, Campinas, São Paulo, Brazil; Department of Nutrition, Methodist University of Piracicaba, Piracicaba, São Paulo, Brazil.
authors.forename: Carla Maria
authors.initials: CM
authors.lastname: Vieira
authors.affiliation: Clinical Qualitative Research Laboratory, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil; Department of Medical Psychology and Psychiatry, School of Medical Science, State University of Campinas, Campinas, São Paulo, Brazil.
authors.forename: Egberto Ribeiro
authors.initials: ER
authors.lastname: Turato
mesh_terms: D000328:Adult; D004644:Emotions; D005260:Female; D006801:Humans; D009765:Obesity / Q000523:psychology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*