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Abstract
Evidence shows that gestational weight gain outside of the Institute of Medicine guidelines can result in increased morbidity for the neonate and pregnant person. The aim of this QI project was to standardize CNM discussions surrounding GWG at the initial prenatal visit using the 5A's trauma informed interview framework and to bring awareness to weight-related bias using the Attitudes Towards Obese Persons (ATOP) and Beliefs About Obese Persons (BAOP) scales. CNMs who provided feedback reported the 5A's framework was a useful addition to discussions about GWG, specifically the component which asked the patient for consent to discuss GWG. It may be useful to continue to encourage a standardized way to discuss GWG within the practice