Obesity in the pregnancy

An pregnant one to that one woman who begins her pregnancy with an excess of weight average of the 20% or for her ideal theoretical weight is considered more obese. In order to consider an obese pregnant woman it is taken as parameter an increase of more than 15 kilograms at the end of the gestation.

Being one of them the case, both have majors probabilities of undergoing complications during their pregnancy. For example:

a) It has seven times more possibilities of undergoing hypertension.
b) It has many more possibilities of undergoing hemorrhages in the childbirth.
c) It has more possibilities of undergoing edemas, swelling, etc.
d) It has more probabilities of suffering várices.
e) Work of prolonged childbirth (in a percentage of 25%).
f) Caesarean with complications (in a percentage of 33%).
g) Diabetes after the pregnancy in a percentage of until 40%.
h) Weight of new born more stop from the normal thing.

The control of weight of the pregnant woman with obesity problems must be under a strict medical checkup, since any deficiency or upheaval in the calories of the diet, can influence negatively in the baby and she herself. The pregnant woman does not have to lower of weight, but to increase between 9 and 11 kilograms.

In this sense, she must be indicated that a hypocaloric diet does not have to contain an amount inferior to the 1,600 daily calories, since otherwise an inadequate advantage of proteins of the diet would be determined, even though their contribution is greater of the habitual thing. During the lactancia, the same conduct must be observed, with an increase of calories until the 1,800 daily ones.

It must consider whenever its problem of obesity is solved in the future, after the gestation and to the childbirth of his baby; in addition it is advised to consider the diet of the appendix, and to observe it if it is possible before being pregnant.

Between 30% and 40% of the weight acquired during the pregnancy are conserved after the childbirth (between 3 and 4 kilograms in a normal pregnancy). The kilos of due to a hypercaloric feeding are more difficult to lose later and, often, the same problem of excess of weight is repeated in the later pregnancies. What must consider so that the pregnancy does not completely transform the body of the woman it is the feeding and the desire of which that change means upheavals neither in the health of the pregnant woman nor in the one of the baby.

It is necessary to exclude any type from medicines to cut the tiroideas appetite, as well as diuréticos and hormones; drugs dangerous of in case, and prohibited completely during the period of the pregnancy due to the injurious effects for the fetus.

But too obese being is also a risk for the pregnant one. The increase of weight implies an increase of work of the liver, the kidneys and the circulatory apparatus; what would mean to add to the efforts of the body to ahead take to the pregnancy own problems of the obesity (hypertension, diabetes, edemas, swelling, etc.). The ideal would be to begin with the ideal weight and in good form, so that later the control of the weight is transformed into an obsession neither for the doctor nor for the pregnant woman.