Overweight And Pregnant | Fit Pregnancy

Overweight And Pregnant

When Will I Show, When Will I Go?

It's a good week to answer questions. I'll try to tackle a few. Amber wrote wondering when she should expect to start looking pregnant and when to go to the doctor. The doctor part is easy to answer. Call for an appointment as soon as you take a home-pregnancy test. They may have you come in right away if you have any medical conditions they're concerned about or, they may schedule for what they guess will be your 6-8th week of pregnancy. According to the March of Dimes, this is what you can expect for your prenatal schedule of appointments:

Overweight and Pregnant: Why BMI Matters

Overweight women who want to get pregnant soon might want to reconsider their timing:  A higher BMI is associated with an increased risk of fetal death, stillbirth, and infant death, according to a JAMA review examining 38 studies on the topic. Researchers suggest women take these findings into consideration, if they're planning to conceive

Pound Foolish

From the outset, I had no trouble accepting two immutable laws of nature: 1) Pregnant women get big. 2) Over time, they get bigger. In fact, I greatly enjoyed this process, as evidenced by my avid waddling. I waddled before I was even showing — maybe as early as conception. I waddled excessively in my second trimester. I went whole hog in my third.
    At first, I was one of those “you-can’t-even-tell-you’re-pregnant-from-the-back” people. (As if pregnancy ought to be a period of clever camouflage: “You’re six months? You look three at the most!”)

Weight Gains

If you’ve worked long and hard to be fit and trim, you may not take kindly to the idea of pregnancy’s portliness. While you might envy a friend who slipped back into her old jeans a week after delivery, gaining weight is now part of the program.

the gain game

If you’re confused about pregnancy weight gain, it’s no wonder: In one recent study, 49 percent of doctors gave their pregnant patients the wrong advice, and 27 percent gave no advice at all. And up to half of normal-weight women, and nearly two-thirds of overweight ones, gain too much during pregnancy. What’s more, it’s no longer enough to worry about how much to gain: When you put on “baby fat” affects how much you’ll hang onto afterward.

Does Size Matter?

When she got pregnant with her first daughter, now 5 years old, Christy McDonald weighed 160 pounds, which was 15 pounds over her longtime weight of 145. She never imagined that being slightly overweight then would lead to a struggle with 65 unwanted pounds after her second daughter was born. “I’d hoped to get back to 145 before conceiving again,” says the 5-foot-7-inch graphic designer from Berkeley, Calif., “but I started my next pregnancy 10 pounds heavier than I started the first.” During the year after her second delivery, her weight hovered around 210 pounds.

Too Much Mama

Before Jennifer Griola, then 30, of West Orange, N.J., became pregnant, she weighed just under 300 pounds. Griola lost 30 pounds, but at 5 feet 10 inches tall, she was still considered obese when she found out she was expecting. During her pregnancy, Griola gained back the 30 pounds and developed borderline hypertension and gestational diabetes. At week 34 she went into labor and delivered her daughter, Sarah, via emergency Cesarean section because her placenta ruptured. Sarah was in the neonatal intensive care unit (NICU) for 10 days, a harrowing time for Griola and her husband.

Too Much Mama

Before Jennifer Griola, then 30, of West Orange, N.J., became pregnant, she weighed just under 300 pounds. Griola lost 30 pounds, but at 5 feet 10 inches tall, she was still considered obese when she found out she was expecting. During her pregnancy, Griola gained back the 30 pounds and developed borderline hypertension and gestational diabetes. At week 34 she went into labor and delivered her daughter, Sarah, via emergency Cesarean section because her placenta ruptured. Sarah was in the neonatal intensive care unit (NICU) for 10 days, a harrowing time for Griola and her husband.

Pregnancy diabetes on the rise

Gestational diabetes simply means an elevated blood sugar during pregnancy. But the risks involved are anything but simple—they're very serious for both mom-to-be and baby. The good news is that woman can take steps to reduce the risks of this dangerous prenatal condition. The rate of gestational diabetes has almost doubled—now affecting about 4 percent of all pregnant women in the U.S, The New York Times reports.

Sugar Blues

At my 26-week OB appointment, I drank a bottle of extra-sweet soda—imagine Mountain Dew spiked with pancake syrup—and an hour later, submitted my arm for a blood test. I was being screened for gestational diabetes and, as a gym regular and healthy eater (except for those first-trimester French-toast binges), I wasn't worried.

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