Obesity And Pregnancy

What is body mass index?
(BMI, body mass index) is an index based on height and weight that helps assess whether a person is underweight, overweight, overweight, or obese. Calculate body mass index by dividing body weight (in kg) by square of height (in meters).
When is a person considered to be overweight?
A person is considered to be overweight if they have a BMI of 25 to 29.9.
BMI calculator:
When is a person considered to be obese?
A person is considered obese if having a BMI over 30.
What are the risks for your baby during pregnancy if you are obese?
The following risks are increased in the fetus if the mother is obese during pregnancy:
Birth defects: the likelihood of birth defects, such as heart defects, neural tube defects, increases if the mother is obese.
The test becomes inaccurate: if the mother has too much belly fat, the use of ultrasound to determine whether the fetus has anatomical malformation will be difficult.
Large pregnancy: the fetus is larger than normal

This abnormality can make babies vulnerable to the birth process due to being oversized.


Obesity And Pregnancy

The possibility of having to have a caesarean section is also higher.
Preterm delivery: Diseases associated with obesity can also cause preterm birth. Premature babies are often at higher risk for respiratory, digestive, and developmental problems and later development and learning.
The higher the BMI of a mother, the higher the likelihood of stillbirth.
What risks increase for yourself if you are obese during pregnancy?
Obesity in pregnancy increases the following risks for the mother:
High blood pressure: High blood pressure starting in the second half of pregnancy is called pregnancy hypertension. This hypertension can cause serious complications.
Pre-eclampsia: Pre-eclampsia is a serious illness for both mother and baby
The mother may have liver and kidney failure.


Obesity And Pregnancy

Although rare, it is possible to have a stroke. In some cases both mother and baby may die.
Gestational diabetes: high blood sugar during pregnancy increases the likelihood of oversized pregnancy and caesarean section. Pregnant women with gestational diabetes are at higher risk of developing diabetes later in life, and their babies are also at higher risk for diabetes.
Can pregnancy be safe when obese?
Despite the high risk as above, obese mother is still able to have a safe pregnancy and have a healthy baby. Regular weight checks, regular exercise, regular antenatal exams, and stay fit throughout pregnancy.
How much weight should increase during pregnancy?
Talk to your doctor about how much weight you should gain this pregnancy during your first antenatal visit. You can refer to the following table to know how much weight gain is best for you and your baby:
Before pregnancy weight BMI Weight gain (kg)
Normal weight 18.


Obesity And Pregnancy

5 - 24.9 11 - 15
Overweight 25 - 29.9 7 - 11
Obesity> 30 5 - 9
Illustration: weight during pregnancy
Should you find ways to lose weight during pregnancy?
Pregnant women, even those who are obese, should not seek to lose weight during pregnancy. However, if the mother is obese and weighs less than the above guidelines, and if the fetus develops normally, then gaining less weight has some advantages, such as reducing the risk of having a caesarean section. and pregnant too big.
Should testing for gestational diabetes be tested during pregnancy?
Because overweight and obese women are more likely to have complications than normal weight women, these women should be screened for screening for gestational diabetes during the first trimester. Depending on the case, sometimes the last months should also be tested again.
How should you start exercising during pregnancy if you've never done it before?
Should start 5 minutes a day, and increase every 5 minutes a week.


Obesity And Pregnancy

The goal is to be able to exercise 30 minutes a day. Walking is a good way to exercise if you've never exercised before. Walking fast helps the whole body to exercise and does not cause great impact on the joints. Swimming is also a good exercise for pregnant women.
Illustration: Walking during pregnancy
Can you have a normal baby if you are obese?
Birth is usually the best way for your baby. However, not everyone can have a normal birth, especially for obese women, it is often more difficult to give birth. Obesity makes it difficult to monitor your baby's health during labor. Enlarged pregnancy also makes it difficult to give birth.


Obesity And Pregnancy

Therefore, obesity increases the likelihood of having a caesarean section.
Are obese women at higher risk during cesarean delivery?
Obese women are at higher risk during cesarean delivery. Typically, the surgery time will be longer, meaning that there is a higher risk of bleeding and complications. Caesarean section also carries the following risks:
Infection
Reaction with anesthetic
Deep vein thrombosis
The incision will heal long
What to do if you have gestational diabetes?
If you are found to have gestational diabetes, you will have a blood sugar test between 6-12 weeks after birth. If the test results are normal, then every 3 years will still be done.

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