Providers expressed discomfort discussing GWG and difficulty
finding the right words for obesity, which was
partially attributed to their own weight. They noted the
challenges they faced during prenatal care including time
constraints, cultural myths, and system issues. Providers
considered a group setting with social support an ideal
environment to address health behaviors in obese women.
Culturally-tailored programs that use acceptable terms for
obesity, provide education regarding healthy eating and
safe exercise, and encourage support from social networks
may be effective in addressing GWG in obese minority
women. Provider training in communication skills is necessary
to address obesity in pregnancy.