Plus-Size and Pregnant

Extra pounds don't have to mean trouble. You just need to pay extra attention to your health.
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Obesity and the Pregnant Woman

Theresa Sprague weighed 225 pounds when she conceived twins. Though her size put her at a higher risk for serious complications, luckily she didn't end up having health problems. But she did have a lot of anxiety: Sprague wasn't able to hear her babies' heartbeats until she was halfway through her pregnancy -- not at the usual 10 to 12 weeks -- because sound waves don't travel well through fatty tissue. An ultrasound helped ease her worries a little, but her extra body mass also made it difficult to get a good image of the babies. When Sprague delivered her sons at 38 weeks gestation, the mom from Maryland, New York, breathed a big sigh of relief.

More than half of women ages 20 to 44 are overweight, and of those, nearly a third are obese, according to the Centers for Disease Control and Prevention. Overweight women are already more likely to have health complications -- but pregnancy increases the risks for both mother and baby. "Obesity is a disease, and as with many diseases, there's a greater chance of problems during pregnancy," says Vivian Dickerson, MD, director of women's healthcare and programs at Hoag Memorial Hospital, in Newport Beach, California.

Doctors aren't as concerned about what your scale says as they are about your body mass index (BMI), an estimate of body fat based on weight and height (calculate yours at parents.com/BMI). But a high BMI doesn't necessarily mean you're going to have medical issues: Many plus-size moms have problem-free pregnancies. Weight is a number just like maternal age. "Being older than 35 places some women at higher risk for problems, but most do just fine," says Dr. Dickerson. The same holds true for overweight women. Knowing what to watch out for if you're plus-size and pregnant is the first step to having a healthy nine months.

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Comments
Comments (47)
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angeliqueperez1 wrote:

Okay.... so I hate sharing this but I'm over 220 pounds and I'm at least 4 months pregnant and I was wondering... Can a woman like me tell that I'm 4 months pregnant, by looking at my belly, even though I'm over 220 pounds?

1/29/2012 11:42:46 AM Report Abuse
yosivielrock wrote:

I too like others have been a plus size mother for years. And on roller coaster diets. Well of course once again, I had just lost 41 pounds dieted for last 8 months. I felt really good from size 18-20 down to 14 now "IM PREGNANT"!! Well I cant blame all on HIM but I do! hahaha.. All in all I am HAPPY that I'm having a baby, I just DONT want to gain weight.

12/9/2010 01:47:37 PM Report Abuse
rcituk wrote:

I'm 5 weeks along with #3...I gained 75lbs each with my 1st two, starting at 145 then. Now with #3 I'm starting at 215, I'm scared to death I'm gonna gain a ton of weight...I already feel like I'm blowing up and haven't even gone to the Dr yet (waiting on insurance approval :( ) I try to eat good, but exercise is my downfall. I'm just soooooo tired! Any tips to get my butt up??

10/22/2010 01:52:50 PM Report Abuse
firegirl060568 wrote:

Omg, I feel so much better after reading your comments! I had just lost a bunch of weight before I found out I was expecting and was worried about putting it back on and more like I did w/ my other two kiddos. But I have lost weight and have just started to edge back to my starting weight when I found out. Was worried maybe I wasn't eating enough, or not the right things. I'm going to try to stop worring so much!

10/11/2010 10:21:58 AM Report Abuse
littlered wrote:

I am plus size too. Started at 210 but have lost about 10 pds due to all day morning sickness. I am coming into my 4th month but my doctor hasn't discussed weight yet. I had an early gd test and that came out fine. I am still having morning sickness and hopefully it looses up soon. All i can suggest is to listen to your body. :)

9/27/2010 09:30:07 PM Report Abuse
bamssam wrote:

I too have always been a big girl. Starting this 3rd pregnancy at 260 lbs. I'm now 32 weeks and 251 lbs. I am not a particularly active person, not even employed during this pregnancy because I was so sick in the beginning. I eat when I'm hungry, which lately is a LOT! My tests are all good and the baby is growing at a normal rate. While I'm not gaining weight, my body shape is changing. Definitely have the pregnancy belly going on.

8/9/2010 12:30:35 PM Report Abuse
hdy2102 wrote:

Well my starting weight was around 235lbs, I'm 18w3d and I've only gained three pounds. With my son I ate anything and everything and gained a lot of weight, this time I'm doing it the right way, I just have a hard time gaining right now. I do know once the 3rd trimester hits I'll probably gain more. Doctor is very happy that I gained and asked me a few times if I was having a hard time keeping food down, I was like heck no I'm eating everything in site, I just can't gain.

7/4/2010 11:51:05 PM Report Abuse
gblack8611 wrote:

For the past 3 months i've been taking phentermine to get a better handle on my weight. I reached a 35lbs loss in to my 3rd month when i found out i was Pregnant! I stopped taking it immediately, and unfortunatly the curve on my *eating habits* lerked it's ugly head. The type of diet I had myself on was 1800 calories and 15-30 min walks/jogs. Since the news, ive bumped it up to 2000 calories Per my doc. and kept the excersize in motion. Its all about focus.

5/2/2010 10:55:37 PM Report Abuse
citratwista wrote:

to annonymous... I am 24 weeks pregnant and I also have Type 2 and I am on insulin. I have seen many drs and had many questions over the past 2 weeks. Please email me and we can chat.. the best help I have found is support from people like you. I also have some advice on those blood sugars :) citratwista@gmail.com

4/30/2010 08:19:53 PM Report Abuse
anonymous wrote:

i am 11 weeks pregnant and i have type 2 diabetes.. the doctors want my sugar level to be between 90 and 100 each time i test. i feel tired if my sugar is that low. i am trying to find out if there is any info about being pregnant with type diabetes?

4/29/2010 11:14:03 PM Report Abuse
kt_faught wrote:

I'm 29 weeks with #3, I haven't been under 200 lbs since Highschool. My girls were healthy and both under 8lbs. Just eat the best food you can. I have gestational diabetes, did with the girls too, but I controlled it with diet and exercise. You are a MOM now, you do whatever it takes to have a healthy baby, whether its walking a few miles a day or your doc puts you on bedrest. I've gained 10 lbs so far and my blood sugar is good this time around. Mind over matter ladies, you can do it!

4/8/2010 12:54:32 PM Report Abuse
catammica11 wrote:

Very inspiring pregnant and plus size this will be the first plus size pregnancy for me so I need to read this, hope for women who are plus size to understand that even if you're plus sized you can still have a healthy pregnacy.

4/5/2010 07:51:40 PM Report Abuse
paghelg wrote:

... finally... continued...He's ignorant and you should look for an OB who is more sesitive to your issues before it's too late. I'ts hard to find an OB who will take you very late in a pregnancy

3/3/2010 07:52:43 AM Report Abuse
paghelg wrote:

Just like thatMy OB had no problem at all spotting my lil bugger. I'm not advocating Obesity just that one needn't worry too much about our babies if we're not at the Ideal weight especially if your doing your best to be as healthy as possible now. So I'm doing my walking and 3 squares a day plus healthy snacks now. We'll be just fine. Oh and for the young woman who's OB Chastized you about your weight...

3/3/2010 07:52:15 AM Report Abuse
paghelg wrote:

... continued Pregnancy for big girls is like pregnancy for regular girls. It depends on your health history, genetics and luck. Some things are a little more difficult than if we were at an Ideal weight but for the most part I wouldn't worry too much. It's not good for our babies ladies. Continue to try and live as healthy as possible and everything else will be okay BTW I'm currently 5 weeks preggo and i already got to see my lil one in an ultrasound...

3/3/2010 07:51:34 AM Report Abuse
paghelg wrote:

... continued>>> I don't exersize like i should and don't sleep like I should. I was 160 when I had my son at 17. I was 340 when I had my daughter at 35 and there were no abnormal issues with my pregnancies. It is harder to see the baby during the ulrasound but not that much harder and it is harder to hear the heartbeet but not really that much harder either. My husband and I were able to hear my daughters heartbeat at 8 weeks.

3/3/2010 07:50:15 AM Report Abuse
paghelg wrote:

well I'll be honest. I'm fat because I have lousy eating habits. I sometimes won't eat anything all day and then at night when I'm about to go to bed I'll realize I'm starving and then stuff my face. It's habits like this that have gotten me to my current weight of 350 plus. I say plus because it's more than 350 but how much i don't know because the scale at the docs only goes to 350... continued

3/3/2010 07:47:32 AM Report Abuse
hg-h-420 wrote:

im 16weeks pregggo and im a big girl im only 20 do you all think everything will be ok i take good care of myself i dont over eat im just fat...i want this baby more then anything in the whole world???

2/18/2010 12:29:17 PM Report Abuse
babyspygirl17 wrote:

When I got pregnant I weighed 215. I am currently 6 months pregnant and healthy. I have gained 15 pounds so far, but my doctor isn't concerned. At first she told me I should only gain 15 pounds through my entire pregnancy, but as long as you are healthy you'll be just fine.

2/15/2010 07:48:42 PM Report Abuse
anonymous wrote:

I was 182 when I got pregnant. I had just lost 25 pounds in the two months prior to conception. At first I was furious. I thought that I would have to gain all of the weight back and then some. Turns out that at this weight I need only gain ten pounds if that. I am due in two months and have gained four pounds. I walk 2-3 miles 4-5 times a week (watch your heart rate ladies) and keep a food journal of everything I eat. Ohh yeah baby is doing great too!

1/27/2010 03:57:42 PM Report Abuse
jennybug1027 wrote:

I went to the dr for my check up the other day and my dr hasn't mentioned my weight at all until today! This was my husbands 1st dr visit with me. I'm 24 weeks pregnant and have a thyroid disorder. My dr made me feel so crappy about myself in front of my husband I wanted to cry:( I left the dr office feeling like I can't eat anything without it being a problem. Way to upset a hormonal pregnant woman!

1/25/2010 04:48:39 PM Report Abuse
anonymous wrote:

I am very nervous about this, I keep reading alot of books about being overweight and pregnant and to tell you the truth it scares me.I am about 205 and 4 weeks pregnant;I'm not a bad eater i just sometimes eat late at night.I know i have a ways to go but if i walk everyday and eat right,well i be okay?Im scared becuase i just want to stay healthy for my baby, and I dont want nothing bad to happen. Is there anymore advice you can give that might put my mind to ease.

1/14/2010 04:30:07 AM Report Abuse
stacia0922 wrote:

It gives me comfort to read some real life women and their pregnancies with being plus sized! I'm thankful for that!

1/12/2010 11:09:42 AM Report Abuse
bennyjenny101 wrote:

I was 230 when I got pregnant, went down to 220, then up to 255.Blood pressure, tests, etc, were perfect.delivered a healthy 9 lb, 2 oz baby girl, with a small episiotomy and no pain meds.I think you have to watch what you eat, and also give yourself a little of what youre craving.Take your folic acid and prenatals.I drank red raspberry tea for the last 6 weeks of my pregnancy- I think that attributed to my speedy natural first time delivery - water broke at 2 cm at 1:30pm, by 5:30 she was out.

1/8/2010 08:53:00 PM Report Abuse
uytfgjl wrote:

i am really really fat

1/7/2010 11:36:43 AM Report Abuse
divinesolace21 wrote:

So I'm 6 weeks pregnant, 300 lbs. I'm wondering if it is possible, healthy to lose weight during pregnancy if you eat everything that your suppose to eat...fruit, veggies, protien, grains...all the good stuff but just don't over eat? My sister in law never gained a lb during her pregnancy and actually lost 20lbs. Her doctor said she was fine as long as she was getting all her food a day. Baby came out perfect! What ya think?

11/27/2009 03:46:31 PM Report Abuse
cathyanneparker wrote:

angeldust, I was at 286 and now at 300. The female OB's in my practice all went on & on about me definitely experiencing gestational diabetes. My blood tests were PERFECT! I have found a bit more compassion from the male OB's and my maternal fetal medicine doc is fabulously supportive. Babies are leeches anyways, they'll get exactly what they need from your body. If you get over 300, it doesn't necessarily mean that you HAVE to have a c-section. Relax, eat right, walk, drink plenty and rest!

11/24/2009 06:28:50 PM Report Abuse
angeldust139986 wrote:

I myself am plus sized and feel so ashamed of it. now 24wks preg I have been at 276 in the begining, then lost weight to 245 and right now 285. It is painful to hear your ob talk about your size being a problem and how it is your responsibility to change it throughout your pregnancy. Mostof our bodies adjust differently to pregnancy and sometimes we cant help it. All my doctor says that as long as I stay under 300lbs that I wont be at risk for a c-section, but we wont know till delivery day

11/21/2009 03:21:20 PM Report Abuse
stacynwa wrote:

I had an unplanned c-section with my first. My recovery was very painful and long, but I was able to take care of the baby on my own after 2 weeks. My friend had a planned c-section the same day. She had an easy recovery and was able to care for her baby on her own right away. We were both over 220 when we gave birth. You definately want to have someone who can assist you with the baby's care the first week home from the hospital.

11/3/2009 12:11:20 AM Report Abuse
esteward27 wrote:

if your pregnant don't diet. diet after the baby! u only have 9 months to develop a healthy baby!

10/27/2009 06:56:00 PM Report Abuse
lesliecowey wrote:

i wieghed 225 but i didnt findout i was pregnant until i started dropping wieght!! i dropped all the way down to 195!! but ive gained a little back im now at 213, but im hoping to keep it down. i eat carrots and celery with dip when i get a snack craving. they say 10-11 lbs is what you lose as soon as you have the baby.

10/27/2009 04:13:37 PM Report Abuse
MrsDHunter wrote:

I am over wieght as well. I have started this pregnancy at 267 but went down to 251 but I am back up to 281. So I as scared to have a C-section. Please help me.... I have been trying to drop some wieght but nothing has happened yet. I am due on dec 18 which is as well my birthday. SO can someone give me advise.. thanks Deb from Houston, Texas

10/23/2009 12:33:01 PM Report Abuse
MrsDHunter wrote:

So I do have a question for you lady's that have had C-section's.WAS IT SCARY WHEN,THEY TOLD YOU THAT YOU WAS FORCED TO HAVE ONE?DID IT TAKE YOU LONG AFTER WORDS TO GET GOING?WAS IT HARD FOR YOU TO TAKE CARE OF YOUR LIL ANGEL'S?CAN SOME ONE HELP ME. I HAVE BEEN TOLD THAT I WILL HAVE TO HAVE C-SECTION DUE TO MY BABY GIRL IN TEH BREACHED POSSITION.BUT LETS PRAY AND HOPE THAT SHE MOVES. THANK YOU DEB. FROM HOUSTON, TEXAS

10/23/2009 12:30:27 PM Report Abuse
msks143 wrote:

I Weighed about 395 when I got pregnant!! I have lost about 10 lbs but my doctor has no issues with my weight. As a matter of fact he encouraged my husband to feed me. I think as long as you are aware of what you are eating and staying active you will be ok!! I know I am not the most active but I am working until the day I go into labor!!

10/22/2009 09:17:08 PM Report Abuse
abarkley315 wrote:

I weighed 206 with my first pregnancy and my doctor told me not gain more than 15 pounds bc he didnt want me to have to have a c section. Well i gained 32 pounds with her and my labor was only 4 hours long. I had her vag and everything was fine. Dont let this scare u it does not mean its goin to happen. I am now 12 weeks with my second and on my first vist I weighed right at 200 pounds. I hope not to gain too much but I will not starve!

10/18/2009 12:53:58 PM Report Abuse
kadinandamy wrote:

i was so happy to read about samm37373 i am also a large woman i weigh 295 and i am 8 weeks prego i am so scared to go and c a dr because of what they might say about my weight but i have never had any health problems in my life and i am just so scared of what might happen

10/17/2009 02:58:13 PM Report Abuse
twalls6 wrote:

I don't think anyone is fat bashing, I think they are simply saying that the chances are greater for growth/birth complications if there is a higher lipid content. I have gained so much weight (eating fast food), and just recently found out that I am expecting. I am 7 wks w/ a weight of 207 and my doctor has recommended several times that I need to start working out.

10/14/2009 10:46:19 AM Report Abuse
samm37373 wrote:

I started my pregnancy at 283 pounds. My doctor has never been concerned with my weight. I actually lost about 12 pounds and now in middle of my 2nd trimester I have gained a few pounds but am still under my original weight. This is my 2nd pregnancy within the year and my 2nd obgyn. Both doctors I have had never were concerned about my weight. I'm now 25 weeks along and am seeing 2 doctors my OB and a perinatal none of which has said anything.

10/13/2009 09:49:27 PM Report Abuse
kohlexi0 wrote:

nice to hear about some of these comments.. I was about 240 when I got pregnant and was hoping my weight wouldnt effect much. I even heard my baby's heart beat, even saw it, at about 7 weeks, then again every pregnancy is different. Don't let skinny people facts or pics bug ya... Big is beautiful, gals! :o)

10/13/2009 06:11:46 PM Report Abuse
DHINGALI wrote:

i am 32 and weigh 170 and just found out i am pregnant. Some of you moms that have the experience, tell me how to avoid getting too much weight on. some recipes, or foods i should stick with. a diet i should stickwith for good health of my baby.

10/11/2009 05:54:58 PM Report Abuse
MOMMYTiMeStwo85 wrote:

Iam over weight with my second child,(start of pregnacy 206 now 208 lbs 15 weeks). I was told that my fetus has a low growth hormone and the doc said it "could" be because of my weight. I am not really satisfied with his answer. I would like to know what is the cause of this reason.

10/9/2009 08:42:35 PM Report Abuse
babyruth828 wrote:

How ridiculous. I heard my baby's heartbeat at 9 weeks and I was 240 when I got pregnant. They've never had trouble hearing it, and my ultrasound pictures turned out just fine. Everything with my pregnancy is normal. These people are just fat-phobics that want to scare people. Sure, I would have liked to be thinner when I got pregnant, but I'm doing just fine.

10/7/2009 08:28:35 PM Report Abuse
paepae1986 wrote:

preach it laceycruz. i weighed a few pounds more then that and the doc had no problem getting a good picture of my baby. or hearing the heartbeat.

10/6/2009 11:44:11 AM Report Abuse
laura.bell85 wrote:

I don't think that being overweight and pregnant is as awful as people make it out to be. I am overweight and I am pregnant with my second child. My first pregnancy went off without a hitch. I had a very healthy pregnancy and now that I am pregnant again I am even bigger then I was with my first one but yet my pregnancy is just as healthy.

10/5/2009 08:28:04 PM Report Abuse
paulaandadam wrote:

I think its important to remember that every pregnancy is different. This may have been the case with her pregnancy and may be helpful to others.

10/4/2009 09:15:42 PM Report Abuse
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