15.10.2015

Bmi at 50 and pregnant

Despite the growing emphasis on being a healthy weight before and during pregnancy, we are still seeing more and more obese mums-to-be. It causes increased risks to mums and their babies’ health and labour complications are more likely.
Around a fifth of women are obese and extreme morbid obesity (a BMI above 40) is getting more and more common. The National Institute for Health and Clinical Excellence states one in 1,000 women who gives birth has a BMI of more than 50, while one in three mothers who die giving birth is obese. Dieting in pregnancy is dangerous for mother and baby, so work towards a healthy weight prior to getting pregnant. Once pregnant, it’s all too easy to eat for two but daily calorie needs only increase by 200 calories – the equivalent of just two more slices of toast. A recent article in The Practising Midwife clearly spells out the hazards of obesity during pregnancy. And other risks for the baby include birth defects, prematurity, stillbirth and neonatal death. There is also a connection with congenital abnormalities, including spina bifida, hydrocephalus, heart defects and cleft lip and palate. A frightening frequency of neural tube defects in the babies of obese women led to the Royal College of Obstetricians and Gynaecologists recommending 5mg of folic acid a day instead of the usual 400mg. And there is evidence that obese mothers face more difficulties in starting and continuing breast-feeding. I did a television show recently on prematurity and of four mothers and their premature babies, three mums were obese. The list of risks for the obese mother is just as dramatic – diabetes, eclampsia, high blood pressure, pulmonary embolism, slow labour, emergency caesarean, excessive bleeding and wound infection. Obese women in early pregnancy also have double the risk of infant death and they are also more likely to have a tough birth requiring intervention and larger operating tables and beds.
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I had another post planned for today, but after I received an email from a reader yesterday (that I have not been able to get out of my head), I felt this issue needed to be addressed and discussed. It’s easy now to look back and be okay with the high weight gain in the first few weeks since I know how the rest of pregnancy ended up for me. It seems like all the information out there causes too many females to get wrapped around what the scale says during pregnancy (especially early on) rather than HOW they feel, what their vitals are indicating, and how their baby is doing. This entry was posted in Pregnancy, running and tagged 1st trimester, delivery, doctor, pregnancy, weight gain by nycrunningmama.


She’s an extremely active (biked 100 miles just before she got pregnant), petite woman ( she would get turned away if she tried to donate blood), who has continued to eat healthy and remain active during the early part of her pregnancy. I’m 22 weeks now and have gained 18 pounds, all to breasts and my hard but burgeoning belly. I went to a dr check up today at 19 weeks pregnant and I saw a midwife instead of the first dr I saw. I’m not a runner, got a knee injury many years ago (running), but I go to the gym around 4 times a week doing a mixture of cardio and power yoga.
I am now 23 weeks and have gained around 17 pounds and can’t help but let it bother me. She said that I should slow down my weight gain and that I should only gain a total of 25 pounds. I am in the 13th week of my first pregnancy and have gained about 10 lbs, mainly in my breasts and belly.
I’m very active, and was nervous about this because my midwife told me I needed to start a diet after gaining 5 pounds my first trimester! The more and more comments that come in, the more the weight gain chart seems to be proven wrong – so many active, healthy women are gaining weight differently (and mabe even more weight!) than recommended. I feel beautiful and everyone tells me how great I look, but somehow I have let the scales bring me down. Much like the writer of this article, I am more of an athletic build and work out everyday.
Trusting your instincts and listening to your body used to be the norm and look how well we all turned out! I am very active, and before pregnancy was exercising 5 days a week, practicing Taekwondo, running, weights and plyometric fitness classes. I’m not eating a ton more or worse have been running 6 days per week (although at a much slower pace to keep my HR under 140bpm) throughout the entire pregnancy. Apparently the new recommendation is for women to not gain more than 20 lbs during the whole pregnancy! And I’m really surprised that your midwife wants you to diet – especially after gaining only 5 pounds!
Not as low as many of you, but I have a fair amount of muscle on me which bmi does not seem to address.
But I always did before I was pregnant too and have always been at a good weight for my height.
I was freaking out because just about every website and book I have read has said 2-4 lbs should be gained in the first trimester.


I practice Brazilian Capoeira, yoga and walk several times a week (luckily I live close to the beach). I have gained a total of 11 pounds at 19 weeks pregnant and I feel like this midwife unnecessary stressed me out and made me worry.
I am already showing quite a bit and struggling because I’m not fitting the mold of weight gain discussed in all of the books. My diet is healthy and snacks consist of fruits and veggies, and icrecream some nights, but that’s 100% normal for me.
Every website also suggests pregnant women to eat so much food to get the recommended nutrients. Because of fatigue and a small cyst I had to reduce my activity level during the first 11 weeks. I’ve read in a lot of places that dieting during pregnancy is risky business and the focus should be more on steady gaining – not losing weight!! Fortunately, my midwife has been supportive and tells me not to worry, and all of my and the baby’s vitals are perfect. Before pregnancy, I was eating about 500-700 calories a day (fruit for lunch and chocolate milk after working out).
When people mention weight to someone expecting it should only be medically necessary and not personal opinion. Thanks for a place to enjoy the wonderful experience of pregnancy with like minded people, would be so frustrated without your blog! I was also incredible hungry, and the nausea was kept under control by eating every few hours. I had a couple of friends in the same boat and they lost all baby weight (and then some) after a few months of breastfeeding and exercise.
I typically have excellent self control and eat a very healthy and well balance diet with minimal sweets but lately I have felt very prone to cravings, mostly for cake I am still exercising regularly but with modifications and have just gotten the ok from my doctor to return to normal activities. Now, I realize how detrimental those guidelines are and I work everyday to not focus on the weight gain but the lovely being growing inside of me.
This post made me feel reassured that my early weight gain was necessary to add some extra padding and that if I stay active I should even out. Honestly the stress is the worst thing I can do for myself and my baby and this post and all the comments will help me relax and feel happy about this wonderful development.



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Comments to «Bmi at 50 and pregnant»

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