{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:00:06Z","timestamp":1781175606378,"version":"3.54.1"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Weight stigma is pervasive in maternity care, contributing to negative health outcomes and disengagement among larger\u2010bodied women. To reduce weight stigma and promote respectful, individualized care, a weight\u2010inclusive approach prioritizes overall well\u2010being rather than focusing on weight as a key health indicator. How maternity care providers adopt weight\u2010inclusive approaches remains underexplored. This study aimed to investigate the perspectives and practices of weight\u2010inclusive maternity care providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted online with medical, midwifery, and allied health maternity care providers, nominated by consumers or peers for their weight\u2010inclusive practice. Interviews were audio recorded, transcribed, and analyzed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four professionals were interviewed, with three themes generated to describe their weight\u2010inclusive approaches: (1)\n                      <jats:italic>Time and space for reflection<\/jats:italic>\n                      \u2014participants described a gradual shift from weight\u2010centric to weight\u2010inclusive care, often prompted by personal or professional experiences of weight stigma; (2)\n                      <jats:italic>Questioning weight science<\/jats:italic>\n                      \u2014participants questioned the value of body mass index or weight as indicators of individual health, favoring holistic assessments; and (3)\n                      <jats:italic>Taking action to make change<\/jats:italic>\n                      \u2014participants had made specific changes to their practice, including to clinical environments, communication, and in responding to weight\u2010centric systems.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our findings map how some maternity care providers describe enacting weight\u2010inclusive maternity care. Despite systemic barriers such as weight\u2010centric education and clinical guidelines, maternity care providers made meaningful change through deliberate reflection and compassionate practice. Reform in education and clinical guidelines is needed. Extending existing frameworks, our study describes maternity\u2010specific enactments to address weight stigma and support broader adoption of weight\u2010inclusive approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.70084","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:35:20Z","timestamp":1781174120000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cA Total Paradigm Shift\u201d: Interviews With Australian Maternity Care Providers Who Practice Weight\u2010Inclusive Care"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6723-8898","authenticated-orcid":false,"given":"Bec","family":"Jenkinson","sequence":"first","affiliation":[{"name":"UQ Clinical Trials Capability (ULTRA) Team, School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Gill","sequence":"additional","affiliation":[{"name":"UQ Clinical Trials Capability (ULTRA) Team, School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0299-6537","authenticated-orcid":false,"given":"Lauren","family":"Kearney","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Social Work The University of Queensland  Brisbane Australia"},{"name":"Royal Brisbane and Women's Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahlia","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Lived Experience Expert  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianne","family":"Mackinnon","sequence":"additional","affiliation":[{"name":"UQ Clinical Trials Capability (ULTRA) Team, School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Briony","family":"Hill","sequence":"additional","affiliation":[{"name":"Health and Social Care Unit, School of Public Health and Preventive Medicine Monash University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Tome","sequence":"additional","affiliation":[{"name":"Lived Experience Expert  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Siale","sequence":"additional","affiliation":[{"name":"Lived Experience Expert  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Barrow","sequence":"additional","affiliation":[{"name":"Lived Experience Expert  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Hewett","sequence":"additional","affiliation":[{"name":"Lived Experience Expert, Representing Birth Trauma Australia  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Cawthorne","sequence":"additional","affiliation":[{"name":"Lived Experience Expert, Representing Lamaze Australia  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Hocking","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Social Work The University of Queensland  Brisbane Australia"},{"name":"Australian Breastfeeding Association  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline A.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Health Systems and Equity Directorate, Eastern Health Clinical School Monash University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie","family":"Callaway","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Brisbane Australia"},{"name":"Faculty of Health, Medicine and Behavioral Sciences University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010018\u20101116\u20105"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13891"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000191"},{"issue":"6","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0251566","article-title":"The Roles of Experienced and Internalized Weight Stigma in Healthcare Experiences: Perspectives of Adults Engaged in Weight Management Across Six Countries","volume":"16","author":"Puhl R. 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