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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To decline weighing

163 replies

diiidum · 08/04/2024 14:13

I’ve just had my booking appt for my first pregnancy and I declined to be weighed and measured height wise. I am a healthy weight and size 10 and have an active lifestyle but don’t believe BMI is particularly useful. My sister was weighed and developed a bit of an obsession with the number on the scale and still has it to this day.

I came to this conclusion after research. Sara Wickham did a post about it recently on instagram, saying even if you had a ‘high BMI’ risk doesn’t usually change. At my appointment they were remarking on how low risk I was until that point but they said they will have to ask the consultant if they are happy for me not to be weighed, otherwise I’ll be high risk and might not get to birth where I would like.

WIBU here? If it’s a big deal I can always get weighed at the next appointment, that’s what I thought to myself. In the end they asked me to let them know what I was when I last weighed myself and then said I looked about that now, but they will note all that down and that I declined being weighed today.

I don’t want to be misinformed so doing lots of research on everything relating to pregnancy really, and reading all the books and internet sources I can.

Was I wrong to decline? Is there benefit to them working out BMI?

OP posts:
Bowlercoaster · 08/04/2024 14:42

JANetChick · 08/04/2024 14:26

I don’t think you’re overreacting given that you’ve seen someone close develop MH issues around weight. That must’ve been difficult to watch.

Is BMI being questioned by reputable people now?

Not wanting to be a dick but OP said nothing about anyone developing MH issues around weight, but that her Dsis got a bit obsessed about numbers on the scale. Which millions of people do and it isn't the same as a MH issue or mental illness.

One of the reasons MH services have been SO screwed over in the last 15 years is that MH was promoted so hugely but with little context so 'mental health' was conflated with mental wellbeing, emotional wellbeing and very normal, common feelings or experiences were incorrectly pathologised.

Women being unhappy about their weight being concerned about numbers on a scale, obsessing over it and dieting is very (sadly?) normal in our society and not indicative of a MH issue or problem unless accompanied with several other symptoms that would suggest a mental illness.

5128gap · 08/04/2024 14:41

I think you were wrong to decline. It seems foolish to me to refuse to comply with non intrusive medical requests that even MAY help you to have a healthy pregnancy with a positive outcome for you and your child. Even if you believe it to be unnecessary nonsense, you aren't qualified to be certain, so why risk it? You can simply ask not to be told your weight if you would find that difficult to hear.

diiidum · 08/04/2024 14:40

This reply has been deleted

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I’m going to! I realise I have been silly. I’m glad I posted

OP posts:
maudelovesharold · 08/04/2024 14:39

As a pp has suggested - get weighed and just tell them not to give you any of the information!

WarshipRocinante · 08/04/2024 14:37

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MyOtherHusbandIsAWash · 08/04/2024 14:36

I wasn’t weighed for either pregnancy until a few days before the C-sections for anaesthesia purposes, midwife just asked me the stats at booking and other appointments 🤷🏻‍♀️ I’m a healthy weight so I suppose she just visually appraised ‘not over/under’ and left it at that. It seems a bit OTT to flat out refuse it if it is requested but if you’re a healthy weight it’s unlikely to add anything significant to your care.

Elebag · 08/04/2024 14:36

BMI isn't outdated. It does the job. Clothes sizes are the iffy part here.

Just get weighed. They don't do it every appointment as far as I know anyway. I was under consultant care as I was slightly underweight and all was fine.

peloton2024 · 08/04/2024 14:34

Be weighed but ask them not to tell you the number? They're usually happy to do that

diiidum · 08/04/2024 14:34

RaspberrSeed · 08/04/2024 14:33

I’d be wary of getting into a combative relationship with the team supporting you for no reason. I get there’s a lot out there on knowing your rights and advocating for yourself and that’s great, but asking questions of the people caring for you about why they are asking or recommending something BEFORE getting on a soap box or deciding you know better than a medical professional (or an instagrammer you read does) is a good idea.

There are many moments in pregnancy and particularly birth where taking informed advice is critical to a positive outcome. There’s a reason they ask -it’s one way to assess some statistical risks to mother and baby. They have to ask everyone regardless of whether or not you look ‘slim’. Unless you have an ED it seems really performative to give your views on whether BMI is useful.

Thank you, you make a really good point. I think I am definitely going to re evaluate.

OP posts:
ILoveYouMore2022 · 08/04/2024 14:34

OP, the first indication of pre eclampsia for me, was a rapid increase in weight.

The only way the medical professionals could know this was due to being weighed at a previous routine check up.

Why set yourself up to potentially have a lesser standard of care, or even have a serious medical issue than can, and does lead to fatalities (both mum and baby)?

YABU.

HaPPy8 · 08/04/2024 14:34

diiidum · 08/04/2024 14:33

I wasn’t aware of this! I might send them a message and get weighed in that case. I wasn’t trying to be that patient I just really didn’t think it was necessary and didn’t want to take any risk towards being anxious over it like my sister was. Thanks all.

It affects the interpretation of blood results so they will want your weight for that aspect

ILoveYouMore2022 · 08/04/2024 14:34

OP, the first indication of pre eclampsia for me, was a rapid increase in weight.

The only way the medical professionals could know this was due to being weighed at a previous routine check up.

Why set yourself up to potentially have a lesser standard of care, or even have a serious medical issue than can, and does lead to fatalities (both mum and baby)?

YABU.

ILoveYouMore2022 · 08/04/2024 14:34

OP, the first indication of pre eclampsia for me, was a rapid increase in weight.

The only way the medical professionals could know this was due to being weighed at a previous routine check up.

Why set yourself up to potentially have a lesser standard of care, or even have a serious medical issue than can, and does lead to fatalities (both mum and baby)?

YABU.

RaspberrSeed · 08/04/2024 14:33

I’d be wary of getting into a combative relationship with the team supporting you for no reason. I get there’s a lot out there on knowing your rights and advocating for yourself and that’s great, but asking questions of the people caring for you about why they are asking or recommending something BEFORE getting on a soap box or deciding you know better than a medical professional (or an instagrammer you read does) is a good idea.

There are many moments in pregnancy and particularly birth where taking informed advice is critical to a positive outcome. There’s a reason they ask -it’s one way to assess some statistical risks to mother and baby. They have to ask everyone regardless of whether or not you look ‘slim’. Unless you have an ED it seems really performative to give your views on whether BMI is useful.

diiidum · 08/04/2024 14:33

HaPPy8 · 08/04/2024 14:31

It’s relevant if you want the screening for Down’s syndrome and other chromosome anomalies just in case you weren’t aware.

I wasn’t aware of this! I might send them a message and get weighed in that case. I wasn’t trying to be that patient I just really didn’t think it was necessary and didn’t want to take any risk towards being anxious over it like my sister was. Thanks all.

OP posts:
lovelyxbones · 08/04/2024 14:31

Can you not just be weighed but ask the midwife to not tell you the number on the scale or your BMI? It's about the safety of your baby and the pregnancy, not you.

HaPPy8 · 08/04/2024 14:31

It’s relevant if you want the screening for Down’s syndrome and other chromosome anomalies just in case you weren’t aware.

KeeeeeepDancing · 08/04/2024 14:31

You do not have to take on your sisters mental health issues around weighing.
Let the medics help you, if that means letting them Calc the BMI then so be it.
Yes BMI is a bit rubbish but seriously what else have they to go on?
It's just an objective data point for them to act on.
I'd say channel Elsa and 'let it go'

Ghostgirl77 · 08/04/2024 14:30

Healthcare professional here. Your weight at booking isn’t just about BMI, it is used to calculate doses of some drugs that may be given later in pregnancy, in order to adjust for the physiological changes in pregnancy and the weight of the baby, amniotic fluid etc. Unless you really have a massive issue with it I would say having one accurate weight recorded at booking is a good idea.

NoTouch · 08/04/2024 14:29

Unless you have issues around your weight that knowing a number will significantly impact then let your trained and qualified health professionals take the tests/measurements they require and stop being "that patient". It doesnt matter what you think about bmi, this isnt about a diet class, it is about monitoring progress through your pg, you can ignore the number if you want too.

You will have set off all sorts of red flags for your wellbeing that are not necessary and just wastes their time.

FrothyCothy · 08/04/2024 14:29

You’re entitled to make informed decisions about your own pregnancy.

SabreIsMyFave · 08/04/2024 14:28

Why are you desperate to not be weighed? Confused You need to, for the good of your own health when you're pregnant.

diiidum · 08/04/2024 14:28

Iwouldlikesomecake · 08/04/2024 14:24

If you’re genuinely visibly ‘a healthy weight’ then I’d be surprised if anyone is going to be concerned about place of birth without a BMI on record but it is needed for the score to see if you’re at risk of thromboembolism, it’s needed for the combined screening test (the actual value on the day, not just a BMI calc).

so yanbu for not wanting to ascribe too much value to BMI (Sara Wickham is very good at explaining all this I agree) but it’s not just that which it’s useful for. And if you have no issue with being weighed for a specific clinical person then YANBU to that too.

I think they just said that at first to try and sway me because after that they said, how much were you before? Yeah you look about that now - you’re a healthy weight but BMI is useful because xyz

OP posts:
GoodnightAdeline · 08/04/2024 14:27

Big fuss over nothing.

I know a few women who have taken this approach in pregnancy, agonising over every little thing and ‘doing their own research’. They’ve ended up muddling their maternity care and blaming medical staff for the direct consequences of decisions they have taken for themselves!

GoodnightAdeline · 08/04/2024 14:27

Big fuss over nothing.

I know a few women who have taken this approach in pregnancy, agonising over every little thing and ‘doing their own research’. They’ve ended up muddling their maternity care and blaming medical staff for the direct consequences of decisions they have taken for themselves!

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