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This study was aimed to explore women’s and midwives’ views on the use of mobile technology in supporting obese pregnant women with healthy lifestyle choices. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.A purposive sample of 14 women and midwives participated in four focus groups in Doncaster, UK.A content analysis of the transcripts from the first focus group led to the emergence of three main constructs with associated subcategories including Benefits (“modernising,” “motivating,” “reminding,” and “reducing” the sense of isolation), Risks and Limitations (possibility of “being offensive,” “creating pressure or guilt,” and “being influenced by mood”), and Service Delivery (making it “available to all pregnant women,” giving attention to the “message tone” and development of “message content”).They also suggested the use of other modalities such as web-based services for weight management during pregnancy.Based on the above results a text messaging service was developed and presented to the 2nd focus group participants who confirmed the positive views from the first focus group on the use of the text messaging as being supportive and informative.The participants also welcomed “women’s engagement and choice” in deciding the content, timing and frequency of messages.

Twenty-three percent of the UK population are obese, and predictions warn prevalence will rise to over 50% by 2050 [2].Around 20% of pregnant women in the UK are obese [3].According to the Confidential Enquiry into Maternal and Child Health [4], obesity and overweight are directly or indirectly associated with over half of the total maternal deaths.Prepregnancy obesity and excessive weight gain during pregnancy are associated with adverse outcomes during pregnancy and birth [5–8], increased postpartum fat retention [9], and obesity in the offspring [10].Obesity in pregnancy also has considerable cost implications for health service provision [5, 11].

Above all, a recent large scale observational cohort study of Swedish women [12] showed evidence of benefit with no adverse outcomes for obese pregnant women with weight gain within the 2009 Institute of Medicine (IOM) guidelines [13].

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