"Everything is revolved around me being heavy … it's always, always spoken about." Qualitative experiences of weight management during pregnancy in women with a BMI of 40kg/m2 or above.

Women were empowered when practical advice was provided, not just the continual repetition of the risks of being obese during pregnancy. Antenatal weight management services need to be clear, sensitive and respectful. Services centred on individual women's needs and on their current and previous experiences are required. The psychological and social contexts of weight management also need to be addressed.