I am overweight. I have small bones, little muscle, and am overweight according to every chart I have seen.
In the past year I have seen four doctors. Three of them directly addressed the subject of pregnancy. Two of them urged me to do everything reasonable to achieve pregnancy ASAP. None of them mentioned the fact that I am overweight or provided suggestions for a plan for losing weight and becoming more fit prior to seeking pregnancy.
If my only knowledge came from my doctors, I would think that weight and fitness were inconsequential in achieving a healthy pregnancy, carrying a healthy baby to term, and delivering that same healthy baby without complications. If that is what I thought, I could not be more radically incorrect. Is this reasonable?
What do you think about medical professionals who counsel overweight women regarding pregnancy without ever mentioning the numerous risks to the woman which could be reduced if the woman would lose weight prior to becoming pregnant?
What do you think about doctors actively providing fertility treatments to overweight women without first addressing their weight?
Does it make a difference to you that getting to the root of the weight issue might actually resolve the fertility issue?
What about the fact that the more first-time mothers weigh, the more likely the baby is to die?1
Or is it insane to imagine that a woman could be overweight in the U.S. without being fully aware of the issue? Do you think that it would just cause more pain for doctors to insist on confronting the health issue of fitness and weight prior to either suggesting or facilitating pregnancy?
What is reasonable?
1. “Among nulliparous women, the odds ratio for late fetal death were increased among women with higher body-mass indexes as compared with lean women, as follows: normal women, 2.2 (95 percent confidence interval, 1.2 to 4.1); overweight women, 3.2 (95 percent confidence interval, 1.6 to 6.2); and obese women, 4.3 (95 percent confidence interval, 2.0 to 9.3).” [Source]
- Worst Run of My Life
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