Tag «obesity»

Weight Gain in Pregnancy

Your midwife will be watching your weight to ensure that it is gained at an appropriate rate. Lack of weight gain or a sudden burst of weight gain may concern her. Ideal weight gain does not mean you gain the same amount of weight every week. Most mothers only gain 2-4 pounds in the first trimester, …

Taking obesity seriously

When I first entered the world of natural birth I was educated to believe body weight had no effect on maternal or infant outcomes.  The organization I trained with was equally adamant that gestational weight gain was a useless measure that predicted nothing. I believed them. I made this belief a part of my life and …

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 …

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 …

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, …

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 …

Why Obesity Matters

As a midwife, I am interested in a woman’s pregnancy outcome. But as I said earlier this week, a woman is not just a uterus. I care about the whole woman, her health not just through this pregnancy but throughout the rest of her life. I hope that through her interactions with me a woman …