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.
Plus Size and Pregnant
Wednesday, May 7, 2008
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Foods to Avoid While Pregnant
Thursday, May 1, 2008
Almost every woman knows the basic of what they should and should not do during pregnancy. They know that caffeine should be cut back; they should not smoke, drink alcohol or spend time in any hot tubs. However more and more studies are being done to see if pregnant women should avoid certain foods for the duration of their pregnancy.
It is essential that pregnant women eat a well balanced meal at all times to provide their growing baby with the vitamins, nutrients and minerals that the baby needs to grow. There are some foods though that needs to be avoided due to the risk they pose to not just to the mother, but also to the growing baby.
For starters, raw meat needs to be avoided due to the risk of toxoplasmosis and salmonella. This means no more rare steaks, or rare burgers. Pregnant women should take caution and make sure that all of the meat they eat is cooked well done. Cold deli meat should also be avoided because of the risk of listeria. Listeria can cross the placenta and can cause an infection or blood poisoning to the baby. Keep in mind though that deli meat can be reheated until it is steaming and this will help reduce the risk.
Speaking of listeria there are other foods that can contain this bacteria. Some soft cheeses such as brie, feta, and gorgonzola. These cheeses are commonly made with unpasterized milk. Unpasterized milk often contains listeria, so pregnant women need to make sure that any soft cheeses they are going to eat are made with pasteurized milk.
Fish has always been a subject of debate for pregnant women. While some forms of fish contain essential nutrients that are needed by the baby, others contain a high level of mercury. Any fish with a high level of mercury such as shark, swordfish, king mackerel, tilefish and fish used in sushi should be avoided through out pregnancy. Studies have linked mercury to developmental delays and in some cases brain damage. Tuna also contains a lot of mercury but canned, chunk light tuna has a lower amount of mercury and can be eaten in moderation. Raw shellfish also should be avoided through out pregnancy.
Raw eggs or anything containing raw eggs is a no no during pregnancy. There is a potential exposure to salmonella. This means no raw cookie dough, no brownie mix, and some homemade sauces such as hollandaise, Caesar dressing and blue cheese dressing. When dining in a restaurant, it would be wise to ask any sauces or dressings contain any raw eggs. Most restaurants should be using pasteurized eggs in any raw egg recipe but one should still double check.
There has never been a more important time to be careful what a woman eats then when she is pregnant. Some of the above foods have been linked to miscarriages and other birth defects. If you are pregnant and you have already indulged in a few of the foods you should not have, do not panic. Chances are, you and your baby are fine but take extra care to avoid these foods in the future.
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The Basics of Eating Well When Pregnant
Sunday, April 13, 2008
It is hard to believe that women do have a hard time eating healthy when they are expecting a visit from the stork. The sad truth is some women find it very hard. There is a trick though to remember how to eat throughout your pregnancy and it is as easy as ABC.
Assortment is the first key. It's been said that variety is the spice of life. Keeping your diet filled with assortment of fruits, vegetables and protein will help make sure that you and your baby don't get too much of one nutrient and not enough of another. Eating a daily variety of healthy foods will give your growing baby and daily assortment of necessary nutrients.
Balance is the next thing to keep in mind. We all know that balance and moderation is the key to any diet. There is no reason to deny yourself a bowl of ice cream but the whole container is over doing it. You want to keep all your meals as balanced as possible and make sure you are getting enough vitamins, whole grains and lean protein. Eating one and not the other is not going to help you or your baby in any way shape or form. Indulging in cravings is fine every now and then as long as you keep it in moderation, if you want a cookie, have one. If potato chips are your craving, have a few. It is when you eat the whole box of cookies and the whole bag of chips in one sitting that you might have a problem.
The third key is color. You want to make your plate look as colorful as possible. Look at fresh fruit and veggies to paint your plate. The more colorful your plate is, the more appeasing it is going to look to your eyes. Have you ever noticed in magazines and cooking shows the dishes always look so tasty? This is because of the variety of color that are used in these dishes. You can get red strawberries and tomatoes to yellow peppers and squash. Pick your favorite colors and create your dishes based on that.
Forget about dieting while you are pregnant. You and your baby need a steady supply of calories and nutrients through out the nine months of pregnancy and beyond. Pregnancy is one of the only times where a woman is expected to gain weight. Trying to prevent that weight gain can not only put you at risk, but also your baby at risk. You will have all the time in the world after your baby comes to lose the weight, but for nine months don't even think about the word diet.
If you find you that you are getting sick of the food you have been eating, then it's time to start experimenting with different foods. Pregnancy is a time to expand your eating horizons as well as your waistbands. Plus with food aversions, you might find yourself turning green at some of your favorite foods and craving foods you never dreamed you would eat. You may find that the thought of pizza can send you running for the toilet, but place a dish of brussel sprouts in front of you and you are in heaven.
Lastly, have fun with your food. Eating should be fun. Nothing will ruin your good habits faster than boredom. Add little touches like a dip for your veggies. Enjoy your food and try not to gulp it down. This will help avoid heartburn too! When you decide to treat yourself, leave the guilt at the door. After all, you are growing a person inside of you and decide a treat now and then for all your hard work.
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Labels: Pregnant, The Basics, When Pregnant
Planning Ahead While Pregnant
Friday, April 11, 2008
Planning ahead when it comes to food could mean the difference between making wise choices and making irrational choices. It helps us learn how to undo our bad habits and being pregnant is a great time to try and change any bad habits you may have. The best way to break bad habits and to form new ones is to constantly plan ahead.
You want to plan for snack attacks especially if you are not going to be home. You want to make sure you take some healthy food with you, so that you can resist the temptation of going to the vending machine and taking out that candy bar. Throw some nuts into your pocketbook or some cheese sticks in case of any hunger that might hit you through out the day.
Plan your food shopping list. Some people find that when they go to the supermarket with just a rough idea of what they need they usually wind up forgetting something important or they wind up buying half of the food store. Take a few minutes to plan your meals for the week and buy what you need to go with it.
Speaking of planning meals, that is a excellent idea. Plan for meals you can realistically prepare. Do not plan for meals that you do not have the time to prepare. You are only going to stress yourself out. Look for recipes that are easy and quick to make. Do not try to make something where you can't pronounce half of the ingredients and need to shop at a gourmet cooking store. Chances are you are still working and the last thing you want to do is come home after a long day and then slave over a complicated recipe.
Also, planning your meals out for the week tends to help you be a little more organized for the week. It is no secret that pregnant women tend to forget things and this is due to their changing hormone level. By taking out the time to sit and plan your meals for the week will help you stay a little organized and save you a lot of time. If you already know what you are making for dinner, you do not have to worry about coming home after a long day and standing in front of the fridge trying to decide what to make.
You also want to make sure that get yourself in the habit of using vegetables are your main dish. Instead of doing chicken breast with a side salad, make your salad your main dish and the chicken breast a side one. You also want to buy your vegetables as fresh as possible, even if that means making two trips to the grocery store through out the week. The fresher the vegetable, the better they are for you and your baby. The same holds true for fruit also. Keep plenty of fruit on hand, especially if you tend to crave sweet stuff through out your pregnancy. Instead of reaching for a candy bar, you can reach for a piece of fruit dipped in cool whip
By planning ahead for the week or even month to come will help you stay on track with your eating and decrease the risk of you making the wrong choice if a craving should hit you.
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Labels: Planning Ahead, Pregnant