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Obesity and Pregnancy


Description

Obesity is defined as a BMI of 30 or higher. Within the broad category of obesity, there are three levels that reflect the rising health risks associated with increasing BMI: 

  • Obesity category I: BMI between 30 and 34.9 
  • Obesity category II: BMI 35 to 39.9  
  • Obesity category III: BMI 40 or higher 

Obesity during pregnancy raises the risk of complications such as gestational hypertension, preeclampsia, gestational diabetes, and obstructive sleep apnea.  

Symptoms

Having a high BMI during pregnancy increases the risk of:  

  • Miscarriage, stillbirth, and recurrent miscarriage, Diabetes during pregnancy, A pregnancy complication characterized by high blood pressure and signs of organ damage, most commonly the liver and kidneys (preeclampsia), Heart issues, Obstructive sleep apnea, The need for a C-section and the risks associated with it, as well as complications such as wound infections. 
  • A baby's health issues, such as congenital disorders and being significantly larger than average at birth (fetal macrosomia), Problems with growth, Childhood obesity, childhood asthma Cognitive and developmental issues. 

Book an appointment with your gynaecologist if you feel you are putting on overweight. He might refer you to a dietitian or nutritionist. 


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Causes

Obesity during pregnancy raises the risk of complications such as gestational hypertension, preeclampsia, gestational diabetes, and obstructive sleep apnea.  

Diagnostics

If you have a BMI of 30 or higher, your gynecologist will monitor you for it during your check-ups: 

  • Diabetes during pregnancy 
  • Modifications to your fetal ultrasound. 
  • Obstructive sleep apnea screening. 

Treatment

If you are obese and intend to become pregnant soon, or if you become obese while pregnant, you should consider the following: 

  • Make a preconception appointment or seek routine prenatal care. 
  • See a dietitian to help you control your weight and create a healthy diet plan while pregnant. 
  • Stay physically active by performing the safest exercises. 
  • Consult your doctor before beginning or discontinuing any medications or supplements. 

Obesity-related problems are best avoided by losing weight before becoming pregnant.