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If you have decided that you want to have a baby and you are overweight, there are some things you need to do and things you need to think about before you try to get pregnant. Your baby is more likely to be born with a congenital anomaly if you are very overweight than if you are not. But there are risks for you and your baby if you are pregnant and significantly overweight, especially if this is your first baby. This includes heart problems, neural tube defects, and facial clefts, as well as multiple abnormalities together.

For example, obese women have four times the risk of giving birth to a stillborn infant than women of normal weight. You are more likely to develop a condition called preeclampsia, which is risky for both of you. You also have a greater chance of developing gestational diabetes, high blood pressure, blood clots, and you are more likely to have trouble with labor and delivery including severe bleeding afterwards. To calculate your BMI, you measure your height in inches and then square that number (your height in inches times your height in inches).
Obese women are more likely to have very large infants (called macrosomia) which can present a danger during delivery, both to the baby and the mother.

Fat cells metabolize hormones, and an excess amount of fat can alter metabolism enough to interrupt the normal ovulatory cycle.

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