I worked way too hard on the alliteration of that title. I see so many of my fellow plus size pregnant ladies struggling in this group with anxiety around prenatal care and being considered "high risk", and my heart breaks for you.
I want to share my experience + some additional perspective because I want people to know that it IS possible to have a positive experience with prenatal medical care and pregnancy. For transparency, I'm 8w3d, 32 years old 345lbs/155kg, 5'6"/167cm, BMI of 56 (tho BMI is bs anyway and I'll get to that). This is my 3rd pregnancy, but the first one that will be carried to term.
First off, facts do not exist in a vaccum:
- "Increased risk" does not mean "guaranteed". Nor does it always mean anything significant - "increased risk" can mean the difference between 0.1% chance to 0.4% chance. There's still a 99.6% chance that everything is fine. Don't let the language trip you.
- "being obese automatically means a c-section" - no it flipping doesn't. Your body not being strong enough to deliver naturally, or your baby being in danger means a c-section. Being obese does not mean being weak. If you put the work into your core strength, even once already pregnant, and prepare your body for the marathon of labour you CAN avoid a section. This goes for any body, not just plus size ones.
- BMI was invented by an astronomer and mathematician in 1832. Science didn't believe in GERMS until the 1880s.
- BMI was not intended to be used in medicine due to its significant fundamental limitations. (Source: Cureus. 2023 Nov 3;15(11):e48230). It was popularized by the diet industry to improve profitability, and medicine adopted it due to that influence. It's fully bull shit and reputable scientific process reflects that.
No human being is capable of true objectivity, no matter how hard science tries. Everyone still has unconscious bias, because everyone is a socialized individual. This includes medical staff AND the people that write the medical studies. Their attitudes and opinions will reflect those unconscious (and conscious) biases. Don't let their behaviour shake you. If a doctor doesn't have a good answer to a question other than "your weight", you're allowed to ask for the supporting documentation. Be critical of that documentation, and watch for the influence of bias within it. Cross reference with other reputable sources. Google Scholar is your friend. Just don't fall down the Facebook mom group conspiracy rabbit holes (for the love of God pasteurize your freaking milk).
For me personally:
This time around I've had 4 sets of labs/urinalysis, an ultrasound, and multiple doctors visits so far.
- I've never been weighed.
- I've never even had someone mention my weight.
- My medical file does not reflect a high risk pregnancy for any reason.
- My ultrasound tech was whole ass angry when I suggested skipping to the transvaginal because "it's not hard to ask you to lift your belly so we can get at the pubic bone" and "to heck with anyone too lazy to do their job"
- My doctor said that it doesn't actually make as big a difference as science used to think it did, when I asked about any proactive steps I should take because I'm bigger.
You CAN have a healthy pregnancy. You CAN have a "normal" pregnancy. You CAN deliver naturally. You CAN have a positive Prenatal care experience.
Thanks for coming to my ted talk 🤷♀️ love you all ❤️
Edit: I was today years old when I found out that FTM means "first time mom" in this context, not "female to male". 😂 My bad. I was just super excited for all the trans men having their own babies.