Fig. 2

a: Example of how to set weight gain limits for antenatal appointments. The woman is recruited at 12 weeks gestation and her weight is plotted on the chart for this week of pregnancy. The woman is advised that her weight should follow the dotted line drawn through the ideal weight gain zone on the chart (unshaded area). The woman is due to be seen again by her midwife at 16 weeks gestation therefore the midwife draws a vertical line at 16 weeks gestation to meet the dashed line in the unshaded ideal weight gain zone to ascertain what the maximum weight target should be for 16 weeks gestation. In this example the woman is advised by her midwife that ideally her weight should be no more than 63.5 kg at 16 weeks gestation. The midwife repeats the procedure at each antenatal appointment. b: Example of how to set weight gain limits for antenatal appointments. At 16 weeks of pregnancy the midwife weighed the woman and plotted her weight on the chart. In this example the woman weighed 63.5 is 16 weeks gestation which was the maximum weight limit set at her previous appointment at 12 weeks gestation. The midwife then set the maximum weight target for the next antenatal appointments which was scheduled for 25 weeks gestation. The midwife draws a vertical line at 25 weeks of gestation to meet the dashed line in the unshaded ideal weight gain zone to ascertain what the maximum weight target should be for 25 weeks gestation. In this example the woman should ideally weigh no more than 67 kg at 16 weeks gestation. c: How to set and adjust maximum weight targets if women gain too much weight. At 25 weeks gestation the midwife weighed the woman and plotted her weight, which was 70 kg. This was above the maximum weight target set at the previous appointment at 16 weeks gestation. The midwife therefore redraws the ideal weight trajectory line starting from the plotted weight at 25 weeks gestation to the central point in the unshaded weight zone until 42 weeks gestation. The midwife uses this new line to set the maximum weight target for the next antenatal appointment scheduled for 28 weeks gestation. The midwife draws a vertical line at 28 weeks of gestation to meet the dashed line in the unshaded ideal weight gain zone to ascertain what the maximum weight target should be for 28 weeks gestation. The midwife advised the woman that her maximum weight target for 28 weeks of pregnancy was 70.6 kg