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Maternity Services

Asked by Mr Richard HoldenConservativeDepartment of Health and Social CareTabled Answered 3 February 2026UIN 108296

The question

To ask the Secretary of State for Health and Social Care, what guidance NHS England has issued to maternity services on when and how pregnant patients are informed of their BMI, including requirements on explaining associated clinical risks and available support.

Answered by Karin Smyth

The National Institute for Health and Care Excellence provides detailed guidelines for maternity service staff in relation to body mass index (BMI) and managing weight during pregnancy.

This includes the Antenatal Care Guidance which specifies that women should be offered measurement of height and weight, including a calculation of BMI, at their antenatal booking appointment. This should also include an explanation of BMI’s relevance to pregnancy, as well as associated risks and available support. This guidance is available at the following link:

https://www.nice.org.uk/guidance/ng201

In addition, the Overweight and Obesity Management Guidance specifies that for women with a BMI of 40 kilogram per meter squared of height or above, this discussion should include the option of referral to a specialist obesity service or specialist practitioner for tailored advice and support during pregnancy. This guidance is available at the following link:

https://www.nice.org.uk/guidance/ng247

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