title: Psychological issues facing obese pregnant women: a systematic review.
abstract: OBJECTIVE
  To identify, by qualitative and quantitative studies, the psychological aspects considered and/or evaluated during the prenatal care of obese pregnant women, as well as the psychological interventions adopted by health services.
  
  
  METHODS
  Systematic review of literature using a mixed method approach, integrating both quantitative and qualitative studies. We used databases (Medline/PubMed, Web of Science, Embase, and SciELO) and publications from January 2003 to June 2013 using "Obesity," "Pregnancy," "Psy,*" or "Psychology" as Medical Subject Headings (MeSH terms). Prospective cohort, cross-sectional, case-control, clinical trial, and qualitative research studies were included. Eight articles are included in this review, three with qualitative and five with quantitative methodology.
  
  
  RESULTS
  The majority of the studies demonstrate that emotional problems such as depression, anxiety, and stress are associated with the raising of Body Mass Index (BMI) during pregnancy. The results of the qualitative studies show psychological distress related to humiliation and exposure to stigmas surrounding obesity and its connection with gestation.
  
  
  CONCLUSIONS
  There is an emotional demand related to obesity during pregnancy, which should be considered by prenatal multidisciplinary care team. There is a need to increasing attention and support provided for obese pregnant women.
authors.affiliation: a Laboratory of Clinical-Qualitative Research , School of Medical Science, University of Campinas , Campinas , Brazil.
authors.forename: Débora Bicudo
authors.initials: DB
authors.lastname: Faria-Schützer
authors.affiliation: a Laboratory of Clinical-Qualitative Research , School of Medical Science, University of Campinas , Campinas , Brazil.
authors.forename: Fernanda Garanhani
authors.initials: FG
authors.lastname: Surita
authors.affiliation: b Department of Physiotherapy , Federal University of Ceara , Fortaleza , Brazil , and.
authors.forename: Simony Lira
authors.initials: SL
authors.lastname: Nascimento
authors.affiliation: a Laboratory of Clinical-Qualitative Research , School of Medical Science, University of Campinas , Campinas , Brazil.|b Department of Physiotherapy , Federal University of Ceara , Fortaleza , Brazil , and.
authors.forename: Carla Maria
authors.initials: CM
authors.lastname: Vieira
authors.affiliation: a Laboratory of Clinical-Qualitative Research , School of Medical Science, University of Campinas , Campinas , Brazil.|c School of Nutrition, Methodist University of Piracicaba , Piracicaba , Brazil.
authors.forename: Egberto
authors.initials: E
authors.lastname: Turato
mesh_terms: D001007:Anxiety / Q000209:etiology / Q000628:therapy; D003863:Depression / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D009765:Obesity / Q000523:psychology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000523:psychology* / Q000628:therapy; D013315:Stress, Psychological
keywords: Gestational weight gain; obesity; pregnancy; psychology; systematic review