Tag: Gestational Diabetes

Plus Size and Pregnant

A majority of plus sized women who are pregnant will experience a healthy pregnancy, but they are at a risk of having a more bumpy ride than someone who is not overweight.

Women who are overweight, or have a body mass index (BMI) of 25 or more are at a greater risk of certain pregnancy complications like gestational diabetes and preeclampsia. No knows for sure why weight matters so much, as far as most doctors are concerned it is just one piece of the puzzle. The truth is most plus size women go on to have completely uneventful pregnancies and deliver perfect healthy babies as long as they eat well, exercise and watch their weight throughout pregnancy. The biggest problem with being plus sized and pregnant is that you are at a greater for some of the following.

Studies have shown that overweight women have a higher rate of neural tube defects which are problems with how your baby’s brain and spinal cord develop. These studies are unable to pin point exactly why overweight women are at a higher risk and have a higher rate. Some studies have shown that overweight women have lower blood folate levels than a woman who is of normal weight. Folate is needed especially in the early stages of pregnancy to help avoid neaural tube defects. Because of this, if you are overweight your doctor may prescribe you a prenatal vitamin with 1000 micrograms of folic acid. In fact, if you are overweight and planning on becoming pregnant, you may want to start taking folic acid before you even conceive.

Gestational diabetes is another complication that overweight women are at a greater risk of developing. Gestational diabetes is elevated blood-sugar level during pregnancy. The National Institute of Child Health and Human Development estimate that women with normal BMI which is between 19 and 24 have a 2% chance of developing gestational diabetes. Overweight women have a 6% chance of developing this condition and obese women or women who have a BMI of 30 or more have a 9% chance of being diagnosed with gestational diabetes. Remember though that if you are diagnosed with this, you can still go on and have a healthy pregnancy with a modified eating plan.

Almost 10% of obese and overweight women develop a condition called gestational hypertension. This is when your blood pressure becomes high with a reading of 140 over 90 or higher after your 20th week of pregnancy but you do not have any protein in your urine.

Gestational hypertension is usually a small concern but can put you at a higher risk for preeclampsia (which is indicated by high blood pressure AND protein in your urine), intrauterine growth restriction, preterm birth, placental abruption and still birth. If you do go on to develop preeclampsia, your weight is probably not that big of a factor. In fact if you are under 35 and overweight you have LESS of a chance of developing preeclampsia that a woman over 35 and a healthy weight.

Perhaps the most common complication for overweight women is longer labors and the possible risk of a cesarean section. Nearly 26-35% of deliveries are cesarean delivery. You are at a bigger risk if you have been diagnosed with preeclampsia or gestational hypertension or have a large baby.
Eating healthy throughout your pregnancy and working with your doctor to manage your weight will help reduce these risks and increase your already high chances of having a healthy pregnancy and a healthy baby.

Gestational Diabetes

According to the American Diabetes Association, about four percent of pregnant women develop gestational diabetes. Gestational diabetes is a condition in which a woman who has never had diabetes develops high blood glucose levels while pregnant, usually within the later term of the pregnancy. It is estimated that there are about 135,000 cases of gestational diabetes every year in the United States.

In most cases, women who develop gestational diabetes will not develop Type II diabetes. This is a condition affected by the pregnancy and the inability of the mother to use the insulin naturally developed in her body. It is caused by hormones triggered by the pregnancy and causes the mother to become insulin resistant. Gradually, the mother develops high blood glucose levels, referred to as hyperglycemia.

Normally, a woman with gestational diabetes will be treated for the condition while pregnant. While there are no birth defects associated with this sort of illness as there are with women who have had diabetes prior to being pregnant, there is generally not a large cause for alarm for the child. However, if the condition is left untreated, it can hurt the baby. Because the mother is not getting rid of her excessive blood glucose, the child is getting more than his or her share of energy and fat. This often results in macrosomia. Macrosomia is simply the clinical name for a fat baby.

While some people think a fat baby is the sign of a healthy baby, a child born too fat may have a problem fitting through the birth canal. This can cause shoulder damage and may require a cesarean section birth,. In addition, babies who are born obese can develop breathing problems and, if they remain obese, may themselves develop Type II diabetes.

Fortunately, there is treatment for gestational diabetes. Insulin injections are usually given to the mother to keep the blood glucose levels intact. A woman who is planning on becoming pregnant, however, can avoid the complication of developing gestational diabetes prior to becoming pregnant.

Some of the ways a woman can do this is to lose weight if she is already overweight prior to becoming pregnant, develop a healthy exercise routine and follow certain food guidelines. The Glycemic Index is an ideal tool for a woman who is thinking about becoming pregnant to use to determine which foods to avoid. The Glycemic Index was developed for diabetics to categorize carbohydrates for those with diabetes.

When you become pregnant, follow the advice from your doctor regarding diet and exercise as well as any carbohydrate diets. Prior to becoming pregnant, discuss any concerns you have regarding weight or diabetes with your physician as he or she can probably give you some advice on how to avoid this pregnancy complication.

Even if you are diagnosed with gestational diabetes, chances are that you will not develop Type II diabetes, neither will your baby and both of you will be just fine. Gestational diabetes is not a reason to panic. There is plenty of care available for women with this condition. Just be sure to follow any instructions given to you by your doctor.