Supporting Pregnant Woman with Raised Bmi's

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Improving the health of mother and baby is one of the main health promotion goals midwives strive to achieve (Dunkley, 2000). My client will be referred to as Nardene; in line with the Nursing and Midwifery Council (NMC), Code of Conduct (NMC, 2008); confidentiality must be maintained. Nardene was seen in the community for her booking in appointment; on weighing Nardene I noticed that she had a raised body mass index (BMI); which classified Nardene as being obese. Obesity in pregnancy has an increased risk of complication for both mother and baby (Centre for Maternal and Child Enquirers (CMACE), 2010).Currently obesity within the United Kingdom (UK) is rising at an alarming rate, current figures suggest around 25’% of women of childbearing age are classified as obese and this figure is estimated to increase to 50% by 2050 (UK, Department of Health (DOH), 2005).

Within my current Trust once a raised BMI has been identified at the booking appointment all women are given written information; Pregnancy Book and an Eating while Pregnant Booklet (Food Service Agency (FSA) 2002). This was coupled with a sensitive and supportive discussion on weight management, outlining the benefits of healthy eating and exercise in pregnancy by my mentor. Harding (1999) highlights midwives are there at the perfect time, women’s bodies are changing and focus on positive lifestyle with new baby can facilitate change in attitudes. Adding it has long been recognised that work in the community is one of the main health promotion areas (Aranceta, Moreno, Moya and Anadon, 2009).

Although this literate may have been beneficial to Nardene it unfortunately was not backed up with any exercise group or further emotional support. Although it is important to raise the issue of obesity, it is also important that a supportive environment is created in which mothers can feel we are there to help them not just preach (Wilson-Barrnett 1993). I feel Nardene felt that we had discussed her raised...
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