Event Details

Gestational weight gain (GWG) is a routine yet often overlooked aspect of antenatal care. Despite clear evidence that weight change outside recommended ranges is associated with increased risk of adverse maternal and infant outcomes, GWG is frequently under‑prioritised in practice and surrounded by misinformation. Midwives and clinicians report receiving little or no formal education or training in this area, leaving many feeling uncertain or under‑confident about how to approach conversations and care relating to weight in pregnancy. At the same time, GWG represents an important opportunity for preventive health, with implications extending beyond pregnancy for longer‑term maternal health in the context of rising rates of overweight and obesity.

Drawing on findings from a mixed‑methods PhD study, including qualitative insights from midwives and complementary quantitative analyses, this presentation will examine how GWG is currently approached in Australian perinatal care and why it remains a challenging and sensitive area of practice. The research highlights the complexity of balancing evidence‑based guidelines with relational, woman‑centred care, particularly in the context of weight stigma, psychological safety, and system‑level constraints.

The presentation will summarise the current evidence base underpinning GWG recommendations, outline relevant guidelines, and discuss key considerations for providing safe, respectful, and person‑centred care. Particular attention will be given to sensitive and non‑stigmatising approaches to care for pregnant people in larger bodies, recognising that language, assumptions, and the framing of risk can significantly shape women’s experiences of care and engagement with health services. The role of continuity of care, shared decision‑making, and system‑level support will also be explored as enablers of more effective and compassionate GWG care.

Designed for midwives and maternity care leaders this session aims to bring together evidence, practice insights, and practical considerations to build a solid understanding of GWG care and how person‑centred, non‑stigmatising approaches can support both physical and psychological wellbeing for women and people, babies, and families.

Key Takeaways: 

• Gestational weight change matters, but how it is addressed matters just as much
• Effective GWG care relies on respectful, non‑stigmatising communication, shared decision‑making, and a focus on overall health and wellbeing rather than weight alone.
• Relational aspects of care and continuity support more meaningful and effective GWG discussions.