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To gain insight into how low‐income, pregnant African American women viewed their weight gain while pregnant and how they managed their weight during pregnancy.

Descriptive study using three focus groups.

Women were recruited from urban prenatal care sites and the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) services in a medium‐sized urban northeastern city.

Twenty‐six adult, low‐income, pregnant African American women, age 18 to 39; the majority were within the first 20 weeks of pregnancy.

Three focus groups were conducted utilizing open‐ended questions related to pregnancy weight gain. Content analysis was used to analyze the verbatim transcripts. Analysis focused on meaning, intention, and context. Groups were compared and contrasted at the within and between group levels to identify themes.

Four themes …