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While promoting healthy GWG offers benefits, there may be costs with over\u2010surveillance. We aimed to explore these costs\/benefits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Quantitative data from 350 pregnant survey respondents and qualitative focus group data from 43 pregnant\/post\u2010partum and care\u2010provider participants were collected in the Mothers to Babies (M2B) study in Hamilton, Canada. We report descriptive statistics and discussion themes on GWG trajectories, advice, knowledge, perceptions, and pregnancy diet. Relationships between GWG monitoring\/normalization and worry, knowledge, diet quality, and sociodemographics\u2014namely low\u2010income and racialization\u2014were assessed using \u03c7<jats:sup>2<\/jats:sup>tests and a linear regression model and contextualized with focus group data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most survey respondents reported GWG outside recommended ranges but rejected the mid\u201020th century cultural norm of \u201ceating for two\u201d; many worried about gaining excessively. Conversely, respondents living in very low\u2010income households were more likely to be gaining less than recommended GWG and to worry about gaining too little. A majority had received advice about GWG, yet half were unable to identify the range recommended for their prepregnancy BMI. This proportion was even lower for racialized respondents. Pregnancy diet quality was associated with household income, but not with receipt or understanding of GWG guidance. Care\u2010providers encouraged normalized GWG, while worrying about the consequences of pathologizing \u201cabnormal\u201d GWG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Translation of GWG recommendations should be done with a critical understanding of GWG biological normalcy. Supportive GWG monitoring and counseling should consider clinical, socioeconomic, and community contexts.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajhb.23604","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T17:15:56Z","timestamp":1620407756000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Investigating the normalization and normative views of gestational weight gain: Balancing recommendations with the promotion and support of healthy pregnancy diets"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9273-0339","authenticated-orcid":false,"given":"Tina","family":"Moffat","sequence":"first","affiliation":[{"name":"Department of Anthropology McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luseadra","family":"McKerracher","sequence":"additional","affiliation":[{"name":"Department of Anthropology McMaster University Hamilton Ontario Canada"},{"name":"Department of Biochemistry and Biomedical Sciences McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Oresnik","sequence":"additional","affiliation":[{"name":"Department of Anthropology McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie A.","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Barker","sequence":"additional","affiliation":[{"name":"MRC Lifecourse Epidemiology Unit University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah D.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology McMaster University Hamilton Ontario Canada"},{"name":"Departments of Radiology and Health Research Methods, Evidence &amp; Impact McMaster University Hamilton Ontario Canada"},{"name":"Division of Maternal\u2010Fetal Medicine McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth","family":"Murray\u2010Davis","sequence":"additional","affiliation":[{"name":"McMaster Midwifery Research Centre McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah M.","family":"Sloboda","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Biomedical Sciences McMaster University Hamilton Ontario Canada"},{"name":"Department of Obstetrics &amp; Gynecology McMaster University Hamilton Ontario Canada"},{"name":"Farncombe Family Digestive Diseases Research Institute McMaster University Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-014-1637-2"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20160090"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/146879410100100307"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5013.243"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.08.003"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.18947"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-47"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-anthro-102218-011133"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2018.1433647"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(16)30107-3"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.3635"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1128-1"},{"issue":"1","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"e13068","DOI":"10.1111\/mcn.13068","article-title":"Be healthy in pregnancy: Exploring factors that impact pregnant women's nutrition and exercise behaviours","volume":"17","author":"Grenier L. 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