There is an increased risk of miscarriage, stillbirth and certain types of birth defects.
If these behaviours persist into the postpartum period it is therefore plausible that the lifestyle intervention may have longer effects on the diet and lifestyle in the family which may impact on benefits for maternal and child health in the postpartum period.
Conception during the year following bariatric surgery is not recommended due to the major weight changes that are occurring in the mother and the potential for malabsorption of micronutrients.
As early as at age 6 years, children of women who were obese before they became pregnant had more often a cardiometabolic risk profile compared to children of normal-weight mothers: Further studies confirmed that obesity is a risk factor for fetal macrosomia, independent of a diabetic metabolic state 26e More work is needed to dissect whether these findings persist into adult life and to understand the complex interplay between any phenotype which may be attributable to exposures in utero as opposed to the childhood postnatal environment.
He or she might recommend a daily prenatal vitamin and refer you to other health care providers — such as a registered dietitian or an obesity specialist — who can help you reach a healthy weight before pregnancy. Maternal obesity has been linked to increased risk of cardiovascular risk factors including glucose intolerance and insulin resistance, hypertension and dyslipidaemia in young adulthood Hochner et al.
We encourage women to continue with these healthy changes. Obesity during pregnancy can increase the risk of complications for you and your baby. Page last updated: December 27, A pre-pregnancy body mass index BMI of 30 or greater is defined as obese.
If you have tried to lose weight through diet changes and exercise and you still have a BMI of 30 or greater or a BMI of at least 27 with certain medical conditions, such as diabetes or heart disease, weight-loss medications may be suggested.
Once you are home with your new baby, stick to your healthy eating and exercise habits to reach a normal weight.