With 40% of American women meeting the criteria for being obese, understanding the impact of obesity on pregnancy is critical. The biggest takeaway from this read should be how obesity is not only threatening to mom but also to baby and continues to have lasting effects on your child.
Doctors recommend that obese women lose weight before becoming pregnant. Obese women are 35% less likely to become pregnant, and for those who do become pregnant, there is an increased risk of stillborn births by 2x the rate of normal weight women.
Obese mothers additionally are at increased risk for complications during pregnancy; examples include, increased risk of miscarriage, c-sections, preeclampsia, gestational diabetes, and sleep apnea. Babies born to obese mothers are more likely to become obese as children and as adults, suffer from neural tube defects, and be premature. In the U.S., being obese has officially become a marker for a high-risk pregnancy (MSU, 2009).
Extra weight makes the body's use of insulin much harder. With elevated blood sugar and insulin levels, this can cause the baby to put on excess weight, which may cause the baby to be too big to enter the birth canal. Preeclampsia is the leading cause of deaths for both mom and baby. Preeclampsia can cause damage to a pregnant woman's liver, kidneys, and brain; babies can have low birth weight, premature delivery, and placental abruption (separation of the placenta). If the placenta separates from the wall of the uterus, the baby can be deprived of oxygen and nutrients, which makes this a medical emergency.
While all of this is very serious and very scary, the good news is, moms do have the power to take control of their weight and health before becoming pregnant. Additionally, women can begin exercising at any point during their pregnancy with the okay from their doctor, even if they have never worked out before. It doesn't have to be very strenuous, and can actually be a lot of fun, especially when making it part of healthy family planning.
If you have struggled with weight related issues, you know how emotionally taxing it can be so taking a stand and embracing your health with your baby in mind will help you stay the course! Investing in your health will be the gift that keeps on giving to both you and your little one.
Most of us have a general sense of whether or not we live a healthy lifestyle if we are being honest with ourselves. Although in most cases, my go to tactic would not be to use fear to motivate, in this argument I will favor using fear for three important reasons:
1.) In college I didn't go to the dentist. After graduating I got my first full time job ever at Equinox. I went to the dentist for the first time on my own as an adult. Bam! I had 10 tiny cavities. The dentist explained that if I didn't start flossing that I would continue to have more. Not only was it expensive, but it scared the hell out of me. Guess who now flosses every single night. I cannot go to bed without flossing and if I have to for some reason, I feel very uncomfortable.
2.) My grandmother smoked for many years as a young woman into her 40's. One day she had her chest x-rayed during a visit to the doctor. The doctor made it a point to show her what her lungs looked like next to the lungs of a non-smoker. She never touched another cigarette again and to this day tells everyone she knows about how much she regrets smoking.
3.) My dad had severe chest pains a couple of weeks before he died of heart disease (at age 38). It scared him so he went to the doctor. The doctor explained that he had high blood pressure and needed to eat healthier, lose weight, and stop smoking. Unfortunately, the extent of the damage was too great and he died.
All three of these stories have made a drastic impact on my life and I carry them with me. To be clear, I do not think fear works when we are just generally told or are warned, "this could happen if..."
I believe that if everyone, including those of us who believe we are "healthy", were to have a series of tests performed that showed us how much plaque has built up in our arteries, along with videos of how hard our heart is working while not exercising compared to a truly healthy heart, pictures of our fat resting above our abdominal muscles, bone density scans showing us how osteoporosis is deteriorating our skeleton slowly, along with a computer generated picture of what we would look like at age 70 if we continue to neglect our health compared with one of how we would look if we took our health and fitness seriously, that the impact of such tests would be an incredible motivator.
With that said, most of us do not have any idea of what is going on underneath our skin until something goes wrong. Sometimes the fear of something can keep us on the straight and narrow. I know it sounds crazy, but if I eat unhealthy food for too many days in a row I start to feel tightness in my chest. I do not doubt that I have fantom chest pains b/c I have had an EKG that showed me how incredibly low my chances are of dying from a heart attack, but heart disease runs wild on my dad's side of the family and because I lost him at such a young age, I know that fear is unconsciously keeping me on my toes.
I think it is a great idea for people looking for a little boost in motivation to have a comprehensive physical done where your cholesterol, body fat percentage, blood pressure, resting heart rate, weight, and any other standard tests are taken and then compare your numbers with a healthy person's numbers. If you did this every year and saw your numbers declining or inclining, what impact do you think this would have on you if any at all?