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Am
I at a Greater Risk?
In the past few years there
have been more and studies done about overweight women and pregnancy
and some of the reports can sound pretty scary if you’re not familiar
with them. For example, one study showed that overweight women were
at twice the risk of having a baby with a heart defect. Well that
sounds pretty scary all right, but what that report doesn’t tell you
is that one in every 125 to 150 average weight woman will have a baby
with these problems (less than 1%). So if you double this risk it
means 2 in every 125 to 150 overweight women will face this. Those
are pretty low odds.
There are some things that being
overweight increases the risks for, but the important thing to remember
is that all women come to pregnancy with their own risk factors. Some
women are at genetically at risk for Tay-Sachs disease and women who
smoke are at risk for low birth weight babies. None of us are perfect
and something can go wrong in any pregnancy. What you should know
though is that it is most likely that your pregnancy will go well
and you will have a happy and healthy baby.
Your health care provider will
talk with you about some important screening tests available to you,
to help determine your risks for certain problems. Ask a lot of questions
and be informed, but always take your health care provider’s advice
seriously.
Some of the things you might want to
discuss with your health care provider are:
- Gestational diabetes
- Neural tube defects (be sure to ask about taking additional
folic acid prior to pregnancy)
- Heart defects
- Preeclampsia
Get a Strep Test
A recent study has shown that certain
groups of women are at a higher risk of carrying Group B Strep (GBS),
a microbe that lives in the birth canal and can be passed to the
baby during birth. One of these groups is overweight women. The
good news is there is a simple test to detect GBS - just a swab
of the vagina done between the 35th and 37th week of pregnancy.
If GBS is detected, treatment is a course of antibiotics. All women
should be routinely tested for GBS, but based on the new study,
it is particularly important that plus-size moms make sure they
are tested.
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