Plus-Size Web Profile
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Plus-Size Pregnancy
The decision to have a child should be an exciting, happy moment for any woman. But for a plus-size woman, both in Western
as well as in Asian culture, decisions about pregnancy are often surrounded by a swirl of questions and controversy, most often based on society's biases and
misinformation. Lots of fat women have been giving birth for years. According to Dr. Marcos Pupkin, chair of the
OB/GYN department and Director of the Center for Women's Health and Medicine at Mercy Medical Center in Baltimore,
plus-size women can absolutely have healthy pregnancies and babies. He says, "Prenatal care is very, very important, and
the patient needs to be diligent about following doctor recommendations."
Finding a Doctor
In Western countries, plus size women often report difficulty in finding gynecologists from whom they can receive
unbiased care. It's crucial that you find health care professionals who will work with you during your pregnancy - and
you'll be better off if you can find a size-friendly OB/GYN before you start your family.
A supportive doctor will make the months of pregnancy more pleasant, but more importantly, he/she will not add stress to
your life. This is also true of the other medical professionals you'll come in contact with during your pregnancy-nursing
staff, lab technicians, nutritionists, etc. Don't be afraid to ask about their experience/opinions concerning patients your
size, and if you feel you need to educate them, give it your best shot. If you ultimately feel their attitudes do not meet
your needs, don't shy away from asking for different service providers. Much has been written about the connection between
physical and mental health, and avoiding stress during pregnancy is a top priority. Finding the right doctor is your first
step toward ensuring that your nine months will be calm and positive.
However, in Asian countries, there are no such problem arises to find a doctor. Here, doctors hardly bother
about the size of the patient and also excessive fatness like American countries is not found in Asian region may be due to
heredity, atmosphere and food habits.
Nutrition
You can get your pregnancy off to a good start by preparing your body. According to Dr. Lisa Domagalski of Women & Infants'
Hospital in Providence, R.I., many of the same lifestyle recommendations made to women during pregnancy are equally
important prior to conceiving. "The most important things...are to have a complete physical exam and find an obstetrician
with whom they feel comfortable," she suggests. "Any woman considering pregnancy should eat a healthy diet, have a regular
routine of low to moderate aerobic exercise (like walking), take vitamin supplements containing folic acid and try to
eliminate as much stress as possible in her daily life."
Folic acid, or folate, is a B vitamin that helps in the development of the baby's spinal cord and brain. The March of Dimes
and the Centers for Disease Control recommend that women planning to become pregnant add natural folate to their diets and
supplement that with at least 400 micrograms of folic acid daily. Once you are pregnant, they recommend you increase the
supplement amount to 600 micrograms. Folate can be found in bananas, spinach, orange juice, fortified cereals and red kidney
beans.
"Prenatal vitamins are a supplement to a healthy diet," stresses Dr. Domagalski. "By consuming both, a woman should get all
the amounts of vitamins and minerals she needs with one exception - calcium. There is very little calcium in the vitamin,
so women must supplement their diets with an over-the-counter calcium source if they don't get about 1200mg in food
sources." Calcium is important because it helps a baby's teeth and bones develop, and can also prevent leg and muscle
cramps in pregnant women.
In combination with the above, maximum Asian women require iron as women of most Asian countries including India suffer from
mild to severe anemia.
Exercise
Labor is a very exhausting process, and in Dr. Pupkin's experience, larger women tire sooner than those of average size do.
Dr. Domagalski concurs, saying, "Exercise during pregnancy does seem to shorten the duration of labor and delivery, and give
women more stamina"
Normal house activities, Walking are good exercises to improve stamina and additional breathing exercise like
Indian Pranayama except Agnishar is very much effective to
increase the lung capacity.
Weight Gain
Many women of size are concerned with the weight gain that is inevitable during pregnancy. The women who were interviewed
for this article gained amounts that were comparable to what a smaller woman would gain during pregnancy. The gain of weight
may range from 15 to 30 pounds which is comparable to what a smaller woman would gain during pregnancy. Don't take any diet
drugs during pregnancy because those are not fully tested in pregnancy. It is not a time to lose weight- remember.
Testing
Depending on your current health, family history and other circumstances, there are numerous tests and screenings that a
doctor may recommend for women of any size. However, there are a few others that are recommended for most plus-sized women.
An ultrasound can be used throughout your pregnancy to determine such things as the number of babies, your due date, and
the size and position of the fetus. Smaller women usually have one ultrasound around the eighteenth week of pregnancy.
Dr. Pupkin says he recommends a series of ultrasounds for plus-size women, so the size and development of the fetus can be
monitored for "Big Baby Syndrome." Larger women are more likely to have larger babies, which can pose challenges during
delivery.
Glucose screenings and glucose tolerance tests can diagnose gestational diabetes, which occurs when your body cannot
produce enough insulin to counteract the placental hormones and keep your blood sugar level within normal range. Dr.
Domagalski and Dr. Pupkin agree that women of size are more at risk to develop gestational diabetes, and both recommend
this testing. While gestational diabetes is a serious condition, it can usually be controlled with the proper diet and
exercise.
Childbirth
While there are some differences between childbirth for women of size and childbirth for smaller women, eating right,
staying active and building your stamina can help to make your delivery trouble-free.
Larger women are more at risk for large babies, which is why doctors recommend the serial ultrasounds to monitor growth.
If a baby is too large, or additional fat makes the baby's passage more difficult, a caesarean delivery may be required.
But don't assume that your weight means your doctor will automatically schedule a C-section. Attend childbirth classes and
prepare yourself for a normal delivery. Dr. Pupkin advises that you discuss all your options and all the possibilities
with your doctor during one of your last regular visits. There is an excellent chance you can deliver the baby naturally.
In India particularly, doctors at private nursing homes are prone to C-section just for their own profit. These doctors give
false and complicated diagnosis to the patients. So be aware, in America most doctors suggest normal delivery for any
size of women, therefore for Indian plus size women a good doctor must recommend you normal delivery if your case is not
exceptionally complicated.
Finally, don't forget about the physical parameters of your birthing room. Dr. Domagalski says that any good hospital
should have the equipment necessary for large-size patients, but for your own comfort, either you or your labor coach
should ask ahead of time. Be sure your birthing room will have blood-pressure cuffs, fetal monitors, gowns, bathrooms and
beds that accommodate your size. You deserve to be as comfortable as possible during your labor and delivery.
