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Positive Image, Motivation and Support 

The Positive Image, Motivation and Support service was set up in May 2015 to provide additional support for pregnant women who live in Wiltshire, who have a body mass index (BMI) of 30 or over and for those who smoke. It is run by two qualified midwives and two facilitators who have all received additional training in these areas.

If you have a higher BMI, you are at greater risk of developing gestational diabetes, raised blood pressure and other complications during your pregnancy. By providing nutritional information, and exploring thoughts and behaviour around food, the PIMS team will work with you to empower you to keep your weight gain manageable during pregnancy. Losing weight during pregnancy is not recommended, unless under the care of a doctor, and is not the aim of the PIMS service.

Your community midwife will refer you following her initial appointment with you (Booking appointment), and a member of the team will contact you within 1-2 weeks. You will be offered either group sessions or a one to one session with a member of the team. The group sessions may seem daunting to begin with, but they will give you the opportunity to meet other pregnant women in the area early in pregnancy; women attending the course over a number of weeks have gone on to develop long term friendships. Some women have preferred to be seen in the antenatal clinic on their own.

Smoking in pregnancy is harmful to both mothers and their unborn babies. Smoking will deprive your unborn baby of oxygen, leading to complications with growth and development. The children of women who smoke in their pregnancies are more prone to respiratory, ear, nose and throat conditions and learning difficulties. Follow the link below to learn more about smoking in pregnancy:

If you smoke your midwife will refer you to the PIMS service. One of the team will contact you with an appointment to be seen in the hospital to discuss how we can support you in quitting smoking. Everyone in the team is a trained smoke stop advisor. Having support from a trained smoke stop advisor will give you the best chance of quitting smoking.

If you would like more information about the PIMS service, or feel you may benefit from a referral, please either talk to your midwife or contact us through the Antenatal clinic or email address below. We look forward to working with you.


Page Last Updated: 02/12/2016 13:46 
Printed from Salisbury NHS Foundation Website