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Obesity and Midwifery Practice Issues

I did not want to leave the topic of obesity without talking about how it affects midwifery practice. Because of the increased cost, time and risk involved in providing care to an obese woman, some obstetricians have BMI restrictions for their practice – instead requiring women with high BMIs attend a high risk, maternal fetal […]

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Midwives and Obesity

This week we have been talking about pre-pregnancy obesity. We looked at the increasing rates of obesity, then talked about the physiology of obesity and how it increases risks during pregnancy. Today we will turn our attention to what midwives can do. How do we provide the best evidence-based care for obese women? Midwives don’t […]

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Reducing Risks of pre-pregnancy Obesity

We discussed the increased risks of pre-pregnancy obesity, and the physiology behind those risks. Today we will look at how to reduce those risks. The problem is that reducing risk is out of the midwives hands. Really, the answer seems to be that you have to somehow convince the woman to make the dietary and […]

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Pre-pregnancy Obesity and Risks

We have been discussing pre-pregnancy obesity, and today we turn our attention to the effects of obesity on pregnancy.  Before we begin, I just want to make sure we recognize the difference between pre-pregnancy obesity and excess gestational weight gain. Both bring increased risk to pregnancy, but they are different risks. Which brings up another […]

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Obesity Physiology and Pregnancy Risks

Yesterday we looked at the increased rates of obesity in the past twenty years. Today we will try to answer the question – Does Obesity Matter?  Can you be healthy and obese? Measuring Obesity Before we go any further, I want to make sure we are all defining obesity the same. Obesity is defined as […]

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Pre-Pregnancy Obesity

I promised last month to come back to our discussion about obesity and midwifery, and I am keeping that promise. Our discussion is going to stay focused on pre-pregnancy obesity, and we will start today by discussing the increase in obesity.  Tomorrow we will begin to talk about the increased risks for mother and baby, […]

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Does Prenatal Obesity Matter?

I gave a talk last month about obesity and pregnancy. I had an inkling it wouldn’t be a well accepted topic.  I have this image in my head that very few people are as interested in obesity as I am; and that probably for the most part American’s are sick of hearing that they should […]

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Why Vaccines in Pregnancy?

I know many of the women I work with are opposed to vaccines.  So I have decided it is necessary for me to have the best understanding possible so I know when to definitely recommend a vaccine, when to definitely recommend against, and how to help the parents understand the risks and benefits. The first thing I […]

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The Prenatal PAP

I had the opportunity to attend a women’s health conference last week.  Not much on pregnancy, mostly preventing cervical cancer.  But one important take home point for everyone working with pregnant women. The latest guidelines for pregnancy will be to perform a PAP test ONLY if the PAP is due.  It will not be a […]

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Gestational Hypertension

I’ve had my first “traumatic” experience.  One of the clients I worked with was having difficulty managing her blood pressure and it of course spiked into dangerous territory. I knew this was a possibility, I knew it happened to some women.  But until recently, I never personally knew anyone it had happened to. Before nursing […]

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