Navigating my second pregnancy, I found myself about 50 pounds over the weight I wanted to be, having gained during my first pregnancy. When I shared the news of my second child, I was bombarded with concerned comments from well-meaning friends:
- “Aren’t you worried about your weight? That can harm the baby.”
- “Did you know overweight women have a higher chance of gestational diabetes?”
- “Plus-size women often need extra medical intervention during labor.”
During that time, I felt a wave of size-shaming that made me question my choices. It seemed as if simply being pregnant while overweight put my baby at risk in the eyes of others.
According to the American College of Obstetricians and Gynecologists, women with obesity face increased risks of miscarriage, preeclampsia, gestational diabetes, sleep apnea, and hypertension. They even recommend that plus-size women consult with their doctors about weight management before, during, and after pregnancy. It’s no surprise that many plus-size women feel anxious about their health and that of their babies.
However, the reality is that many plus-size women have healthy pregnancies and deliver healthy babies. “Most plus-size women experience completely normal pregnancies and outcomes,” says Dr. Lisa Thompson, an OB-GYN and clinical instructor at a prestigious medical school. “The focus on maternal size can create unnecessary fear and exaggerate risks.”
In fact, plus-size pregnancies are quite common, with nearly half of U.S. women classified as overweight during pregnancy, as reported by news outlets. Unfortunately, many of these expectant mothers encounter negative attitudes from healthcare providers.
Dr. Rita Gomez, a reproductive specialist, advises plus-size pregnant women to advocate for themselves. “Don’t hesitate to challenge your doctor’s advice if it doesn’t align with your research or intuition,” she says. “You know your body best. And if you feel that bias is affecting your care, seek a new doctor.”
While being overweight may come with some additional risks, many women find that they can manage their health effectively through better nutrition and gentle exercise. Interestingly, it’s not uncommon for plus-size women to lose weight during the first trimester due to dietary changes and morning sickness.
If you’re navigating a plus-size pregnancy, focus on consuming healthy snacks, staying hydrated, and incorporating light exercise into your routine. Most importantly, don’t let worries over your weight overshadow your pregnancy experience. “Statistically, plus-size women have a high likelihood of enjoying a healthy pregnancy,” says Jenna Brooks, author of Your Plus-Size Pregnancy Journey. “The odds may seem daunting, but the reality is that you’re likely to have a smooth pregnancy and delivery.”
Yes, I faced challenges during my second pregnancy, including gestational diabetes, which was definitely inconvenient. Nonetheless, it was manageable. I welcomed a healthy baby who weighed 11.1 lbs., and now he’s a vibrant four-year-old. And no, I still haven’t shed the baby weight!
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In summary, plus-size pregnancies can be healthy and successful. By focusing on proper nutrition and self-advocacy, expectant mothers can enjoy their journey without undue stress.
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