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    A new model of compassionate care for pregnant women with high BMI was developed, boosting midwife confidence. This brief intervention model, based on motivational interviewing, was well-received by both midwives and patients.

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    Area of Science:

    • Maternal Health
    • Public Health
    • Midwifery Practice

    Background:

    • Caring for pregnant women with high Body Mass Index (BMI) presents unique challenges.
    • Midwives require confidence and efficient strategies to provide optimal care for this population.
    • Existing care models may not adequately address the needs of high BMI pregnant women without increasing workload.

    Purpose of the Study:

    • To develop and pilot a compassionate, woman-centred care model for pregnant women with high BMI.
    • To enhance midwives' confidence in managing care for pregnant women with high BMI.
    • To implement a brief intervention model that is not perceived as time-consuming.

    Main Methods:

    • Literature review to inform model development.
    • Creation of a five-stage brief interventions model based on motivational interviewing (MI) principles.
    • Pilot testing of the model with community midwives in rural Scotland, including patient-facing leaflets.

    Main Results:

    • The Swinscoe-Walsh model was successfully piloted with community midwives.
    • The model was positively received and evaluated by both midwives and pregnant women.
    • The intervention demonstrated potential for increasing midwives' confidence in caring for high BMI women.

    Conclusions:

    • The developed model offers a practical and effective approach to compassionate care for pregnant women with high BMI.
    • The motivational interviewing-based intervention is well-received and feasible for implementation.
    • The model shows promise for wider adoption by public health services for improved maternal care.