Experiences of a digital application intervention supporting recommended weight gain among pregnant women with BMI...

To explore the experiences of a digital application supporting recommended gestational weight gain among pregnant women with BMI ≥27 participating in the HealthyPregnancy Pilot-study.

A qualitative study using semi-structured interviews (n = 17) analyzed through reflexive thematic analysis.

Four themes were identified: 1) Mixed experiences and feelings towards a BMI-based intervention; 2) A holistic approach to health beyond BMI; 3) When daily life and individual circumstances interfere; 4) A reliable lifeline providing feelings of security. Most women viewed the intervention positively, while some experienced initial feelings of stigma, though this feeling was temporary and limited to recruitment. The pregnant women highlighted the importance of a dual focus on physical and mental health in the intervention and valued the application's reliable information and access to healthcare professionals.

A holistic approach that integrates mental health support with physical activity and nutrition was emphasized as essential. Practical barriers like family demands limited participation. Accessibility to reliable support was valued, even when the intervention features were not frequently used. The results emphasize the need for accessible support addressing the diverse circumstances of pregnant women, and interventions must carefully consider framing and recruitment to minimize stigma.