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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Bmi too high - miserable :-(

37 replies

buttonsforbreakfast · 31/07/2013 08:15

I had my booking in appointment yesterday and have been told my bmi is at 30, so I'll have to have the glucose test for diabetes. I knew I was a little overweight, but I'm a size 12-14 (albeit short) so I'm really shocked that I'm considered obese. I feel totally miserable about it, and worried about how it will affect my pregnancy. I'm struggling to get excited about the scan pic and wriggly baby in there, and just want to cry at how I've let myself get into this mess. I know I didn't really shift my post baby weight from dd but where does that leave me? I eat fairly healthily, exercisr (swim/walk) when I can, and the MW told me to do nothing extra as it's not really considered a big issue at 'only' 30 bmi. Yet I'm now officially obese :-(
(not really sure what I hope to gain from posting here, just need to vent!)

OP posts:
neversleepagain · 01/08/2013 13:05

I am not skinny, in fact, a long long way off it. My BMI was over 36 on my booking in and I had to be consultant led. No one made a fuss and I was never made to feel bad about it. I was also told I would have a GTT at 28 weeks. At 13 week I found out I was having twins and they changed my GTT to 24 weeks and I think they were expecting to find a problem (a fatty and twins) but no, my level were low when tested and I didn't have high blood pressure even once throughout my pregnancy and I delivered two healthy babies. Consultant said I had "an exemplary pregnancy" at 34 week Grin.

"Obese" women can have healthy pregnancies too!

TarkaTheOtter · 01/08/2013 13:40

The risks of undiagnosed gd are increased risk of stillbirth, perinatal death, shoulder dystocia, macrosomia, pre-e. If you have gd and properly control it you have no increased risk. Why would you not have the test? Confused
The GTT is not a punishment for having a high bmi, it is a screening test for a hormonal condition with serious outcomes for the baby.
Fwiw OP I have terrible pregnancies (including gd) and my bmi is 21.

TarkaTheOtter · 01/08/2013 13:41

Sorry, should be less alarmist... "potentially serious outcomes"

NomDeClavier · 01/08/2013 14:00

Some countries routinely do the GTT. I had it with DS and my BMI was perfect, possibly slightly under, my weight gain was minimal in the first 24 weeks which was when it was done, I had no risk markets at all but it was just routine. I didn't have GD but I know someone very similar to me who did turn out to have it.

So really I guess what I'm saying is if they're offering you the test I'd take it! There's no more risk than a standard blood test, apart from the vile tasting drink.

HumptyDumptyBumpty · 01/08/2013 14:02

Meh, I am seriously 'obese' then Grin, currently 18wks, BMI 33 at booking in. I haven't been weighed since, would guess I've put on about 6lbs total (had lost 12lbs from GPs appt at 5wks to booking-in at 10wk Grin), my mw referred to my 'slightly elevated BMI' when telling me about the GTT, has okayed water birthing and a MLU for birth.
When she weighed me, she said 'oh, I wouldn't have expected you to be at a slightly elevated BMI, you don't look it'. I don't, really. It's just a label - slimmer people hate being called 'skinny' as much as us well-upholstered ladies hate 'obese'. If you have GD, you can control it, it's not the end of the world (although it is the end of cake Grin) and you only get tested at 28 weeks, so it's only 12 weeks of no cake anyway. Look on the bright side!

Gonnabmummy · 01/08/2013 14:35

I the same as you OP the word obese is awful. I know people a lot bigger than me and never really thought size 14 was Abigail issue. Had GTT and all was fine dont worry. I suppose they have to draw a line at some point! At hospital we were told certain factors mean you can't have water birth including overweight, panicked, I wanted this midwife said its fine I can have one I'm not too big
:)

Doctorbrownbear · 01/08/2013 14:44

I am pretty sure my BMI is at least 30, yet my midwife was not at all bothered and said I looked fine, I have been put under midwife care, although I have to have a GTT anyway because of a family history of diabetes. It sounds like it very much depends on your area and midwife. I know I am fit and healthy, BMI is misleading anyway.

working9while5 · 01/08/2013 15:06

Hey, at least you guys have a BMI of 30. When they told me mine was, I said it was not. They seemed to check it. It's 29 ffs, based on the figures they wrote down. Yet I still need a consultant appointment because 'my BMI is 30'. Yeah.

CleanAllTheThings · 01/08/2013 15:21

Mine was 30 and i am also a 12-14 and certainly don't look or feel obese! Midwife weighed me at booking and it hasn't been an issue, i'm still considered low risk. I think the cut off for MLU/water birth here is 35. I was offered the GTT but declined and tested my bloods with a home glucose monitor a few times which my midwife was happy with as an alternative (all normal).
These things seem to really vary depending on where you live!

BP, urine, blood tests, fundal height, scans have all been completely normal and i'm booked in for a water birth at the MLU.

Don't be disheartened!

Gonnabmummy · 01/08/2013 19:49

Cut off for water birth is 35 here too but midwife said that isn't totally set in stone either, she said if she thinks your capable of getting in and out ok then she would allow it

buttonsforbreakfast · 02/08/2013 17:05

Thanks for all your replies! Just to clarify, I'm not considering not taking the test - I understand the reason behind it, and if my bmi is 30, then I've just got to deal with it (and the risks that are associated withit). I feel pretty shit that I've let my weight get to a point where I have increased my risk factors (I was fine with dd) but thems the breaks I guess. One thing it has done though, is forced me to take a long hard look at mysrlf. Being labelled obese totally horrified me - I always just considered myself on the curvy side of normal - big boobs, size 12, pretty average. But this has given me a shock and made me realise that I have lost track of portion control and generally staying healthy. I guess a toddler and a sweet tooth means that avoiding cakes are not a priority. Anyway, I guess what I'm saying is I feel I have had my eyes opened to what is normal and healthy, and now I just have to keep an eye on it and up my game a bit (obviously without dieting whilst pregnant!) Wish me luck!!

OP posts:
Danilou22 · 03/08/2013 16:19

I have a bmi of 39!! (terrible I know!) I am (normally) a size 16 and fit and healthy. I put on a staggering amount of weight with my first pregnancy but was absolutely fine. My blood pressure did not change, the baby showed no signs of distress and they were happy enough to let me carry on to 42 weeks before inducing me and then were in no hurry because it took 3 days for him to come!! no diabetes either.

I am now 13 weeks pregnant with twins and in the same boat only I have lost weight since becoming pregnant this time! Hopefully I will not put too much on! Who knows if this pregnancy will be as easy as the last.

in this area they say a bmi of 35 is the cut off point before you have to be in consultant led care. I wanted a water birth with my son and they said they would let me labour in the pool and then get out to deliver, I couldn't because I had to have the drip in the end but I was told this time (before I found out it was twins) that if I ask for it enough they may consider letting me get in the pool.

I honestly think they are over cautious about bmi's and they should look at how healthy and mobile the person is and I am sure that they do this to a certain extent.

Good luck I am sure you will be fine x

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