22 August, 2021

Obesity and Pregnancy


Obesity is when your BMI is 30 or higher. To calculate your body mass index, divide your weight in kilograms by your height in meters squared.

BMI Weight status
Below 18.5 Underweight
18.5-24.9 Normal
25.0-29.9 Overweight
30.0 and higher Obesity


High BMI can reduce fertility by inhibiting normal ovulation. Even with regular ovulation, high BMI can reduce fertility significantly. Research has shown that higher the BMI higher are the chances of IVF failure.


Pre-pregnancy weight and BMI helps in determining how much weight you need to gain during pregnancy.

  • Single pregnancy – For BMI of 30 or higher and with one baby, the recommended weight gain is about 5 to 9 kilograms.
  • Multiple pregnancy – For BMI of 30 or higher and with twins or multiples, the recommended weight gain is about 11 to 19 kilograms.

For a BMI of 40 or higher, gaining less than the recommended amount or losing weight during pregnancy might lower the risk of a C-section or having a baby significantly larger than average. However, this might also increase the risk of having a small for gestational age baby.


Obesity during pregnancy lead to risk of several serious health problems:

  • Gestational hypertension – High blood pressure during the second half of pregnancy is called gestational hypertension. It can lead to serious complications.
  • Preeclampsia – Preeclampsia is a serious form of gestational hypertension that usually happens in the second half of pregnancy or soon after childbirth. This can lead to Kidney or Liver Failure. Rarely it can lead to, seizures, heart attack, and stroke can happen. It can also lead to problems with the placenta and growth problems for the fetus.
  • Gestational diabetes – High levels of blood sugar during pregnancy increase the risk of having a very large baby. This also increases the chance of caesarean birth. Gestational diabetes puts you at a higher risk of diabetes mellitus in the future. So do their children.
  • Obstructive sleep apnea – Sleep apnea is when a person stops breathing for short periods during sleep. During pregnancy, sleep apnea can lead to fatigue and increase the risk of high blood pressure, preeclampsia, and heart and lung disorders.


Obesity increases the risk of:

  • Birth defects – Babies might born with birth defects, such as heart defects and neural tube defects (NTDs)
  • Problems with diagnostic tests – having too much body fat can make it difficult to see the baby’s anatomy on an ultrasound exam. Monitoring of baby’s heart rate during labor more difficult.
  • Macrosomia – Baby is larger than normal leading to increased risk of injury during birth. The Baby’s shoulder can get stuck after the head is delivered as they are bigger. Macrosomia also increases the risk of caesarean birth. Babies  with too much body fat are at a greater risk of obesity.
  • Preterm birth – Problems with a woman’s obesity are such as preeclampsia, may lead to a preterm birth for maternal safety. Preterm babies have an increased risk of short-term and long-term health problems.
  • Stillbirth – The higher the BMI, the greater the risk of stillbirth.


Before pregnancy, get a preconception check-up. Losing weight by exercises and diet before pregnancy is good for both you and your baby.

Weight loss can improve your fertility.

Bariatric surgery can be considered for people who are very obese or who have major health problems due to obesity. If you have weight loss surgery, you should delay getting pregnant for 1-2 years after surgery, when you will have the most rapid weight loss.


During pregnancy, these precautions can help keep you and your baby healthy:

  • Get early and regular prenatal care. Prenatal care are check-ups during pregnancy. Go to every prenatal care check-up, even if there are no complications. Your Doctor gives you prenatal tests, like a glucose screening test for diabetes and ultrasound for baby’s growth and development.  
  • Talk to your doctor about how much weight to gain during pregnancy. 
  •  Eat healthy foods. Talk to a Dietician to help you plan your meals. It can help you make a healthy eating plan depending on your age, weight, height and physical activity.
  • Don’t diet. Severe forms of dieting can reduce the nutrients your baby needs to grow and develop. 
  • Do something active every day- activities that are safe for you like walking every day. Begin with 5min and gradually increase up to 30min walk every day. Swimming is a good form of exercise for pregnant women. The water supports your weight leading to less likelihood of injuries and muscle strain. 


Obese women have prolong labors than women of normal weight. It can be harder to monitor the baby during the process of labor. So, obesity during pregnancy increases the chances of having a caesarean birth. In case of caesarean birth is needed, the risks of infection, bleeding, and other complications increases for a woman who is obese than for a woman of normal weight.


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27 December, 2022

Tips for dealing with postpartum vaginal discharge

Lochia, or the vaginal discharge that a woman’s body produces following childbirth, is expected to last for a few days to weeks after delivery. After birth, the rapid flow of blood and mucus begins. For the first 2-3 days after birth, the bleeding will be severe and contain blood clots. However, after a few days, the flow will gradually decrease to spotting before stopping entirely. When the uterus recovers after a few weeks, the flow colour can change from dark red to brown, then yellowish-white. It’s an unavoidable and inevitable occurrence, and the only thing you can do is wait for it to end. It continues to decrease in volume before entirely ending. Here are a few essential tips to keep you prepared for this postpartum vaginal discharge.  Pile up with sanitary napkins and replace them regularly. You’ll need big pads with a lot of absorption potential in the first few days. Maintaining strict sanitation and keeping your private parts washed will help you prevent more postpartum infections. To keep away the infections, avoid having tampons or menstrual cups. Empty the bladder regularly, even if you don’t have the urge. This will relieve you.  Medications that thin the blood, such as aspirin and ibuprofen, should
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17 November, 2022

Taking care of mental wellbeing during pregnancy

Pregnancy often is a happy and joyous phase to treasure and cherish. It brings a mix of feelings for you, and not all of them are good. Few thoughts might even trigger the mental health that might disturb you so much during and after the pregnancy. It’s just as important to look at your mental wellbeing and health during pregnancy as your physical health.  For your safe and happy pregnancy, a happy lifestyle is crucial. However, it is good to notice your mood drifts to identify the problems in the early stages.  What can you usually experience?  While mood swings are common during pregnancy, continuous and long down moments are not good. Take a look at the durations you are down.  Feeling fear or anxiety all the time about your baby or pregnancy.  Having negative thoughts about your life, pregnancy and relation  Feeling burdened with unknown pressure in your mind can relate to the stress of pregnancy but requires attention.  Common mental problems experienced during pregnancy  Depression during Pregnancy “During pregnancy, the symptoms of depression such as changes in sleep, appetite, and energy levels are often difficult to distinguish from the regular experiences of pregnancy.“ says Diana Carter, MBBS Xanthoula Kostaras, BSc. In her recent publication, she mentioned that up to 70% of women report
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20 November, 2021

5 easy ways to reduce stress during pregnancy

No matter how happy you are about your pregnancy, stress during the pregnancy phase is unavoidable. Most of the time, it is because of the hormones that play around. But there are a lot of other factors that account to stress. Managing stress during pregnancy is an efficient way to enjoy your pregnancy period.  Knowing the changes and accepting them happening to your body will help you best during this phase. However, know more efficient ways to reduce stress during pregnancy.  Here are the 5 easy ways to reduce stress during pregnancy.  Eat well and sleep well must be a routine  Nothing can replace the best benefits of proper food and sound sleep. Ensure that you follow a balanced diet with all the necessary supplements that your body needs and take enough rest. A night of proper sleep will make your day brighter and keep you comparatively in a cheerful mood. Rest when you are tired. Do not overdo during pregnancy. A perfect routine for food and sleep will ease up your hormones.  Surround yourself with positive energy. Talk to your friends and family. Pregnancy can put you through a lot of thoughts. It will make you think about the least possible negativity. Well, these are the instincts of the mother to safeguard her child. So
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