{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T14:42:22Z","timestamp":1761489742317,"version":"3.38.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T00:00:00Z","timestamp":1435708800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p> Aim: To determine the knowledge base of midwife lead maternity carers (LMCs) and explore their adjustments in practice for obese women. Materials &amp; methods: A nationwide cohort study of LMC midwives in New Zealand concerning obesity in pregnancy using an electronic survey. Results: A total of 428 LMCs responded. Most respondents were aware of the risks of obesity during pregnancy. Midwives felt it was important to provide customized care. Various barriers to accessing support for obese women within the health system were identified. Discussing weight and obesity was acknowledged as a sensitive issue for both the woman and the midwife. Conclusion: This study highlights the need to improve access to and availability of supportive maternity services and resources for pregnant women with increased BMI. <\/jats:p>","DOI":"10.2217\/whe.15.8","type":"journal-article","created":{"date-parts":[[2015,8,4]],"date-time":"2015-08-04T09:59:20Z","timestamp":1438682360000},"page":"461-469","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Increased BMI During Pregnancy: How do Midwife Lead Maternity Carers Respond?"],"prefix":"10.1177","volume":"11","author":[{"given":"Sze Yin","family":"Pan","sequence":"first","affiliation":[{"name":"Palmerston North Hospital, Palmerston North, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Dixon","sequence":"additional","affiliation":[{"name":"Practice Advice & Research Development, New Zealand College of Midwives, 376 Manchester Street, Richmond 8014, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Paterson","sequence":"additional","affiliation":[{"name":"Dunedin School of Medicine, Otago University, 201 Great King Street, Dunedin 9016, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norma","family":"Campbell","sequence":"additional","affiliation":[{"name":"New Zealand College of Midwives, 376 Manchester Street, Richmond 8014, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,7,1]]},"reference":[{"volume-title":"New Zealand health survey: annual update of key findings 2012\/13.","year":"2013","author":"Ministry of Health.","key":"bibr1-WHE.15.8"},{"key":"bibr2-WHE.15.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00989.x"},{"key":"bibr3-WHE.15.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02486.x"},{"key":"bibr4-WHE.15.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01272.x"},{"volume-title":"Comparative Study of Maternity Systems.","year":"2012","author":"Rowland T","key":"bibr5-WHE.15.8"},{"key":"bibr6-WHE.15.8","unstructured":"Section 88 Primary Maternity Services Notice 2007 (2007). www.health.govt.nz"},{"key":"bibr7-WHE.15.8","unstructured":"Ministry of Health Report on Maternity (2010). www.health.govt.nz"},{"volume-title":"Guidelines for Consultation with Obsetric and Related Medical Services (Referral Guidelines).","year":"2011","author":"Ministry of Health.","key":"bibr8-WHE.15.8"},{"volume-title":"Midwives Handbook for Practice.","year":"2008","author":"New Zealand College of Midwives.","key":"bibr9-WHE.15.8"},{"volume-title":"Food and Nutrition Guidelines for Healthy Pregnant and Breastfeeding Women: A Background Paper.","year":"2006","author":"Ministry of Health.","key":"bibr10-WHE.15.8"},{"volume-title":"A Resource for Health Professionals","year":"2005","author":"Ministry of Health.","key":"bibr11-WHE.15.8"},{"key":"bibr12-WHE.15.8","doi-asserted-by":"publisher","DOI":"10.12784\/nzcomjnl50.2014.4.24-29"},{"volume-title":"Weight Gain During Pregnancy: Re-examining The Guidelines.","year":"2009","author":"Institute of Medicine.","key":"bibr13-WHE.15.8"},{"key":"bibr14-WHE.15.8","unstructured":"CMACE\/RCOG Joint Guideline. 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