High bmi during pregnancy

[Daniellewild1]

Hi quick question... I'm nearly 6weeks pregnant and have a BMI of 30+ I've never had a high BMI while pregnant before.. is there anything that is done differently by midwife or doctors? I'm really worried that my weight is going to be a problem! Thank you x

I’m in the same situation. I have a higher dose of folic acid (have been on this since conceiving last November, through mc in December and doctor kept me on higher dose while ttc this time too (now 5 + 2), and I’ll have 2 extra scans which are due to my bmi.

Midwife wasn’t overly concerned.

Nothing fundamentally different will occur at BMI 30 unless you have other complications such as a clotting disorder or a history of preclamsia / high blood pressure / gestational and proper diabetes. The NHS only really starts viewing you as high risk (for BMI alone) at BMI 35.

I have a clotting disorder and PCOS and so for me a BMI 30 in pregnancy is the equivalent of a BMI 35-40. I’m just shy of it (29.9) and have basically tried to make healthier food choices. It’s difficult with cravings but little things, such as eating potatoes with skins on, and having a variety of vegetables and berries rather than scoffing high sugar / cal fruits has helped me maintain weight. Midwife is happy for me to diet too which is something I’ll probably start now after seeing the consultant.

Higher folic acid in the first trimester as previously mentioned. You will get advice from your mw on healthy eating but not dieting (just a chat). You are more likely to get sent for a gestational diabetes glucose test (depending on other risk factors too).
Not much is different overall though.

I think over a certain number you will be referred to a consultant, will automatically be invited for a glucose tolerance test. I was put on aspirin as well. You are also offered extra scans towards to end to check baby's growth, I think because obviously measuring bump might not be accurate if you are overweight. But I don't know at what BMI that is triggered, it could be 35 or even higher. But your midwife will tell you at your booking in. My BMI was high when I had Dd and I was still just over the limit when I fell pregnant this time so I've got all of the above again.

I think their main concern is blood pressure issues and you are more likely to get gestational diabetes. I was healthy all through pregnancy with dd and was signed off from the consultant at 36 weeks and was no longer classed as high risk. Everything seems fine so far this time (27weeks) so hopefully the same will happen again.

Agree I was offered gtt last time because of my weight causing it as a risk factor. Other than that I don’t think anything else additional or different was offered.

My BMI is a fair bit higher than yours, I've been booked in to meet the consultant. I have a higher dose of folic acid and I'll get additional scans for growth. I've also been put on a low dose of aspirin but with the guidelines in my area your BMI isn't high enough for that.

Hi my bmi is 34.4 and due to me having PCOS and borderline thyroid issue ( no medication actually prescribed) my midwife referred me to the consultant as she thought they may want to be involved. however when I rang to re-arrange the appointment the hospital midwives said they felt that although my bmi was near 35 it was still under and as long as I went to the GP to have an up to date thyroid check, they were happy for my pregnancy to be midwife led unless I wanted to see the consultant.

I'm 17+1 with my 1st and have so far managed to maintain my weight, so will re-assess the situation after my 20 week scan.

I think that unless you bmi is over 35 or you have had previous difficulties or a medical condition they prefer you to be midwife led but at the end of the day it's down to individual circumstances and the best course of action for you and the baby.

I also got prescribed a higher dose of folic acid and I am booked for a gtt at 26 weeks. My midwife also referred me to a nutritionalist but you can just call them at any time during your pregnancy if you need any help or advise otherwise they just leave you be.

Congratulations by the way

I have a BMI of 34. I have never had any complications in my previous 3 pregnancies despite also having high (but not so high bmi). I am despite being big feeling very well this time.

This time the 3 combined risk factors of bmi of over 30, age of over 35 and this being my 4th mean I've needed to inject fragmin (blood thinners) daily from 28w to 6wk postpartum.

I've been referred to consultant, who immediately signed me back off to MW as low risk. She suggested I aim for a weight gain of 8kg in total. I'm 31wks today and have only gained 1.8kg or 4lb in total.

I had a GTT which was normal.

I take higher dose vitamin D and Folic Acid all the way through.

I'm higher than you will have the GTT, under consultant and will have growth scans.

I've been high BMI this very pregnancy (although ouch higher this time ) and never had any issues caused by that ,..mine come from Step B and reduced movements

Just had GTT and higher folic acid dose. No extra scans or anything like that.