- 3 years ago
- Wedding: March 1998
I’ve been about 40 pounds overweight for the last 2 years (wearing 12/14s). I get about 5 – 10 hours of vigorous exercise a week. I actually do have a good diet – I’m a vegetarian who eats primarily fresh produce with some soy products thrown in for protein. I have been working on my weight for years – in a perfect world, I’d weigh 40 pounds less before getting pregnant. But at this point, I’m realizing that if I hold off to be the perfect weight forever, I may not have a child at all.
Blood pressure, cholesterol and blood sugar are all excellent – my average blood sugar’s about 75 mg/dl (around 4.2% on the a1c), blood pressure’s usually about 115/75, and cholesterol numbers are great, even when I was a meat eater – TC was 160, LDL 85, HDL 60, etc…
Sure, there’s a risk those numbers may someday change – as I get older, if my diet strays a little too much. But, they’ve been stable for years and I’m in great health. I check them frequently and I intend to make stricter changes if ever they start to rise.
I’ll admit that I’m anxious about prenatal appointments because it seems doctors always want to get onto me about my weight. I don’t have a problem with, “Hey, you might want to lose some.” I’ve been trying for years. But generally it seems to go the route of, “You need to stop eating fast food (I don’t). Lay off the cookies (like anyone, I do eat them sometimes – but this would seem to imply it’s a daily or all-day extravaganza). You’re going to get diabetes (no where near it, nor do any family members have it).
I’m worried about getting lackluster care if I wind up with someone whose bias prevents them from seeing me as I actually am – a healthy person who has a risk factor for certain conditions, but who does not, in fact, have those conditions.
I intend to get a certified nurse-midwife partly to avoid unnecessary interventions, but I realize that may not be enough. I’m open to the idea that I may need a c-section at some point, for medical reasons, but I’m also well aware that heavier people tend to get them at disproportionate rates. I’m worried that it will be thrust on me under the guise of a medical necessity.
So – how have you been treated? How overweight were you/are you when you were getting prenatal care (I’m going by the BMI)? How did you handle the treatment?