Jump to content

BMI & Birth
is this legit?


38 replies to this topic

#1 Nataliah

Posted 10 January 2013 - 09:47 PM

I am a little upset at the moment and would like some opinions on whether I am justified or not.

Some facts about me:
I am 33 years old
I fell pregnant naturally it was unplanned
I have had a very normal pregnancy
All my blood results have been fantastic
I have never had any health problems in my entire life
Pre-pregnancy I trained 7 times a week doing Crossfit and powerlifting
I am physically fit and very very strong
Since falling pregnant I still train, but only about 4 times a week
I have eaten way too much, indulged and gained too much weight (20kgs at 32 weeks)

My BMI is now deemed to be in at a risky level and I need to be independently assessed by a specialist as to my suitability for giving birth at my low-risk hospital.

Personally I think its bollocks, I am the first to admit that I have put on too much weight, I am fat.  However I just don't see how that, by itself, is enough to cause me problems with birth.  I would accept this if there was any medical symptoms at all, i.e. diabetes, swelling, high blood pressure, cholesterol, anything... but on BMI alone? (which isn't very accurate for me given my weightlifting background)...  Is there something I am missing?  Can fatness, by itself, cause birthing issues?

#2 Red nut

Posted 10 January 2013 - 09:58 PM

Not usually, but if something goes wrong, which it can in even the most low risk pregnancy and may have nothing to do with your weight, then dealing with it may be much harder. From the IV, to the epidural/ spinal/ GA, to the surgery, everything is much harder when you are overweight.
Try not to take it personally, people only want to see that you and your little one are safe. And we'll done on keeping yourself so fit, I bet that is why you have avoided all the complications of your weight gain!

#3 crackles

Posted 10 January 2013 - 10:00 PM

Bmi is a load of rubbish IMO. There's a lot of things it doesn't take into account.
I don't reckon u have anything to worry about if u don't have any 'abnormal' symptoms

#4 Nataliah

Posted 10 January 2013 - 10:21 PM

Just as a point of clarity about my size/weight/fatness, I am currently wearing size 14 maternity clothes.

#5 fooiesmum

Posted 11 January 2013 - 02:47 AM

A BMI of 35 (sometimes 40 in larger regional areas) is the cut off for "low risk" pregnancies and being able to access midwife led care/birth centre's.  If you are over that point you will usually be referred to a larger tertiary hospital.  Not unusual - just not talked about http://www.couriermail.com.au/ipad/too-fat...j-1225962014007

#6 MrsLexiK

Posted 11 January 2013 - 06:02 AM

My hospital is low risk, once you reach a BMI of a certain amount you have to birth at the public hospital. Things like epis can be harder to guide in if you have too much weight on you. I am guessing I am about your size (I'm in a size 14 mat clothes as well) I am right on the edge and have been working my butt off to ensure I stay below the BMI so I can birth at the hospital of my choice.

#7 cinnabubble

Posted 11 January 2013 - 06:22 AM

Surely they can't use the BMI of a 30 week pregnant woman as an indicator of true weight.

#8 Nataliah

Posted 11 January 2013 - 06:27 AM

Thanks for the responses ladies.  I should be able to keep it where the doctor wants me to maintain my place at the hospital.  I guess I just find it so embarrassing, especially as someone who feels so utterly physically capable of doing this.  It's hard when you know in real fitness terms you could run rings around most women, this number cutt-off seems so arbitrary.  Particularly given it takes no account of build or muscle mass.  I asked if they could assess my body-fat percentage instead, but BMI is it.  My Obstetrician had been good about it, its clear he thinks it a beaurecratic thing and has praised my health and fitness.  I am feeling less upset today...  I do wish they would have told me about it earlier though.  I could have been more careful over xmas which is when I did lots of the damage sad.gif

Off-topic, my mum is an ED nurse and was saying they've bought in new BMI rules for her too.  They have to calculate BMI for every patient who enters the ED.  She said its insane, trying to get the height and weight of an elderly patient who is presenting with a suspected fractured pelvis...

#9 Feral-Lausii

Posted 11 January 2013 - 06:29 AM

I have been in the overweight or obese category for 4 of my 5 births. Size 16-18. I have  not had one issue with anything. No GD, no blood pressure problems, easy and quick labours with little or no pain relief and no interventions. I did stay active during my pregnancies though, which I think helps with my quick births.

I just roll my eyes inwards when a midwife brought it up, the doctor then saw me and looked at my history and said I didn't need to see the specialist.  I also wasn't planning on a epidural so I suppose that may be the one thing they were worried about.

Did the doctor refer you or a midwife? Do they know your fitness background?  



#10 ~Sorceress~

Posted 11 January 2013 - 06:31 AM

Makes me so glad I have a light frame and mostly homebirthed, because I put on 27kg with my first pregnancy (from a starting weight of 50kg - so more than half my weight!) and gained about the same with each subsequent pregnancy! My midwives concentrated on my overall health and didn't even weigh me! original.gif

Excess weight does make things harder for your caregiver - palpating the baby's position, assisting you into position when you're in labour, any surgical procedure - but it's a shame they use a non-discretionary cut-off point instead of actually assessing whether an individual woman is carrying weight in areas that would make these things problematic sad.gif .

OP, perhaps start working to keep the BMI down because it's going to be healthier for you and your baby to be treated as low risk...

#11 Carmen02

Posted 11 January 2013 - 07:04 AM

would be nice if they took everything into account, 2 of my 3 births i was considered high risk because of my size. my 3rd is the only birth where I came into trouble (6 weeks early) so kind of glad i was in a big public hospital. Hope things go well OP

#12 MrsLexiK

Posted 11 January 2013 - 07:39 AM

OP I am fit as well and felt like crap for a few weeks. My OB would prefer me at the low risk one as his rooms are there. But they can't be sure a doctor will be there that could get an epi or spinal in if it is an emergency. They have to have a cut off or a measurement. Yup it sucks (especially when you are short with big boobs original.gif )

#13 Nataliah

Posted 11 January 2013 - 02:31 PM

QUOTE (MrsLexiK @ 11/01/2013, 08:39 AM) <{POST_SNAPBACK}>
OP I am fit as well and felt like crap for a few weeks. My OB would prefer me at the low risk one as his rooms are there. But they can't be sure a doctor will be there that could get an epi or spinal in if it is an emergency. They have to have a cut off or a measurement. Yup it sucks (especially when you are short with big boobs original.gif )


I am choosing to not let it get me down from now on.  If the BMI is the biggest injustice I have to deal with then I can't really complain... plus baby is going to come out the same whether I end up at another hospital or not.

#14 redmum77

Posted 29 January 2013 - 02:11 PM

Hey, the only cut off I know is 100kgs for a water birth in my birth centre. It's purely health and safety, they aren't allowed to lift you out of the water at that weight etc. Seems practical to me and just a policy to protect the midwives. But that's totally different to BMI.

Muscle weighs more than fat, doesn't it? Surely a fat % test is more accurate? Hmmm I hope it works out, gee they like making us paranoid hey?

#15 CallMeFeral

Posted 29 January 2013 - 02:20 PM

QUOTE (cinnabubble @ 11/01/2013, 07:22 AM) <{POST_SNAPBACK}>
Surely they can't use the BMI of a 30 week pregnant woman as an indicator of true weight.


This is what I'm wondering! Surely there would have to be at least some kind of different 'pregnant-woman-only' scale. This makes no sense???

#16 MrsLexiK

Posted 29 January 2013 - 02:28 PM

QUOTE (redmum77 @ 29/01/2013, 03:11 PM) <{POST_SNAPBACK}>
Hey, the only cut off I know is 100kgs for a water birth in my birth centre. It's purely health and safety, they aren't allowed to lift you out of the water at that weight etc. Seems practical to me and just a policy to protect the midwives. But that's totally different to BMI.

Muscle weighs more than fat, doesn't it? Surely a fat % test is more accurate? Hmmm I hope it works out, gee they like making us paranoid hey?


I booked into the public hospital as back up and even though I wouldn't be going through there went through the birth centre part/midwife program to book in.  They did laugh at the BMI restricition though and said they don't have a BMI cut off and how stupid.  

I do think that the fat test would be a good one, but as it currently our hospitals use BMI, and you have to suck it up unfortunatly.  I know there are some hospitals which do some test to fill a particular bone.  When it comes down to it though I would feel much more comfortable at the hospital where it is clear the experienced anthiests are as opposed to one who has never put an epi into someone whose bone you can't feel.

#17 Agnodice the Feral

Posted 29 January 2013 - 02:31 PM

I think, before everyone gets hysterical, that we should remember that the OP has only been asked to see a specialist. She has not been denied the opportunity to birth at her local hospital.

If she is a weightlifter and a specialist deems that she just has a high muscle mass and is not obese, then he or she will give her the green light. This is a totally reasonable 'lets seek an opinion', in my opinions. She has not been excluded sight unseen.

And BMI IS relevant in pregnancy, as the added weight due to baby/placenta/boobs/uterus/circulating volume etc is actually reasonably universal (there might be a variation of a few kg either way, not 20 kg either way).

And all the research into risks and outcomes are done with term BMI.

#18 FeralPerthFembo

Posted 29 January 2013 - 02:42 PM

From your OP it sounds like they just need the specialist to sign off on you not being high risk? That seems fair enough to me. If you ARE actually pretty healthy (which sounds to be the case at only size 14, its probably a lot of muslce cos your train giving you a high BMI) then they should say you're right to go.

If the specialist came back and said you are too high risk at size 14 I would be very surprised and then would think that's quite strange. But I can understand the need for someone other than the normal staff to make that call.



#19 Nataliah

Posted 30 January 2013 - 05:54 PM

Sorry I haven't been back to update the thread.  I saw the specialist, all prepared to defend my health and fitness.  It was a total non-issue original.gif  He basically checked my file, blood pressure and tummy, then asked me some questions about how my pregnancy has gone.  He said that he had no reason to think I would have anything but a normal birth.  He said the only real issue in relation to weight (when no other symptoms exist) is that obese people can sometimes react badly to anaesthetic, but that I was clearly not obese and would be fine.

So yeah, PPs were right, it was just a referral to a specialist where common sense prevailed.  This is a touchy subject for me for many reasons, hence my semi-vent.

#20 FeralPerthFembo

Posted 30 January 2013 - 06:13 PM

Glad to hear it OP original.gif


#21 Soontobegran

Posted 30 January 2013 - 08:32 PM

Glad it worked out OP but honestly I can not imagine anyone still wearing size 14 clothes being deemed too obese to deliver in any environment........unless of course they were extremely short.
BMI at the beginning of the pregnancy is usually the number focused on unless there is extreme weight gain and there are associated medical issues. Very many women end their pregnancies with a BMI that would deem them high risk and unless the hospital is very low risk there are always exceptions made.

#22 DreamFeralisations

Posted 30 January 2013 - 09:30 PM

I was not weighed in either pregnancy by hospital or obstetrician - and I wasn't size 14 maternity in either case.

#23 MrsLexiK

Posted 30 January 2013 - 09:43 PM

QUOTE (soontobegran @ 30/01/2013, 09:32 PM) <{POST_SNAPBACK}>
Glad it worked out OP but honestly I can not imagine anyone still wearing size 14 clothes being deemed too obese to deliver in any environment........unless of course they were extremely short.
BMI at the beginning of the pregnancy is usually the number focused on unless there is extreme weight gain and there are associated medical issues. Very many women end their pregnancies with a BMI that would deem them high risk and unless the hospital is very low risk there are always exceptions made.


Can you tell my hospital that STBG?

#24 MissingInAction

Posted 30 January 2013 - 09:51 PM

Someone I know was told that if she wanted to give birth at her local (small town) hospital that she'd have to weigh under 100kg otherwise she'd have to be transferred to the closest regional hospital.  She lost the weight in time (seemed strange watching someone get smaller when they were pregnant!) and was able to give birth at her local.

#25 Soontobegran

Posted 30 January 2013 - 09:54 PM

Sent you a PM LexiK



Reply to this topic



  


1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Win $1000 with Sea-Band

Three lucky fans can win a Sea-Band prize pack valued at over $1000 each, which includes two Sea-Bands plus a $1000 Eftpos gift card!

Misery loves Facebook

Facebook users are often criticised for only showing the positive, fun parts of their lives. But what about when it swings the other way, when someone uses it for the purposes of ranting about their children all the time, never posting anything positive?

Toddler's adorable impersonation of pregnant mum

Little Ellis has noticed his mum is walking differently lately, and his impersonation of her is hilarious.

'Forgotten baby syndrome' can happen to any one of us

When my third child was two months old, I strapped her into her car seat, then promptly forgot all about her. But she survived, unharmed, because it was winter, and I was lucky.

Join the Real Mums Test Drive Team

Five mums or mums-to-be will join the EB Test Drive Team and discover great items at an exclusive Big W event. (Sydney only.)

Ten things I've learned about motherhood

Never take a good night's sleep for granted. There is no logic like toddler logic. Standing on Lego hurts every time. These are the truths of parenthood.

Parenting past the toddler years: what's next?

Your baby has grown into a toddler, and now your toddler is fast approaching the preschooler stage. What can you expect as a parent?

Tips on what to pack in your hospital bag

Before giving birth I read countless lists, ended up overpacking just a little, and now know what I'll actually want to pack next time.

New app keeps tabs on your kids at childcare

Popular new technology lets parents know what their children are up to at childcare - but not everyone is a fan.

21 things I love about newborns

There?s an irresistible magic about newborns. Of course they're not all smiles and rainbows, but they are undeniably cute and remarkable in so, so many ways.

Kid-friendly hairdressers: who says haircuts can?t be fun?

I?ve found some salons who boast setups ideal for children ? you name it, they?ve thought of it. All are designed to make haircuts fun rather than stressful.

Labour pain relief may reduce risk of postnatal depression: study

Postnatal depression is a complex condition, but researchers say pain relief during labour may help some women.

Why we need better support for men after miscarriage

In a recent study, 85 per cent of men admitted feeling sadness after their partner miscarried, but almost half said they didn't share their feelings at all. What can be done to help them?

Mum in business: Kristy Chong

Kristy Chong is the managing director of Australian-made Modibodi underwear and a mum to Lucas, 6, Jason, 4, and Isaac, 6 months. She shares her advice for other mums thinking about starting their own businesses.

From toddler to preschooler: a developmental roadmap

So your toddler is growing up and will soon be entering the preschooler years. Here are a few ways to frame their development that will help you understand what?s going in those beautiful, funny, clever little heads of theirs.

Mum sacrifices an eye for her unborn baby

Motherhood is full of sacrifices, but this woman has made a life-altering one - and her baby hasn't even been born.

A grandparent by any other name

A growing number of grandparents are shunning tradition and going against conventional names - but a grandparent by any other name still gives the same awesome cuddles and kisses.

Photographer captures the beauty of adoption

The love of a family is usually tough to capture on camera. This is an exception.

When labour just doesn't happen

After three healthy kids, I can?t help feeling I?ve been a little ripped off. I missed out on something I had always wanted to experience, and now I?ll never get the chance.

Be careful what you say, your baby is listening

The importance of speaking to your baby even if they are not old enough to answer back has been highlighted by new research.

Share the little things that make you smile

We're giving away a Mountain Buggy nano, the ultimate travel stroller - and here are some of the great entries so far.

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

Be careful what you say, your baby is listening

The importance of speaking to your baby even if they are not old enough to answer back has been highlighted by new research.

Win $1000 with Sea-Band

Three lucky fans can win a Sea-Band prize pack valued at over $1000 each, which includes two Sea-Bands plus a $1000 Eftpos gift card!

The beautiful moment a baby was born at the side of a road

It's not where she expected to give birth, but mum Corrine Cinatl is delighted that her daughter's roadside arrival was captured in a series of beautiful photos.

Doctor sings first Happy Birthday to newborns

His job is to deliver babies, but this US obstetrician also has a unique way of celebrating the miracle of life.

Join the Real Mums Test Drive Team

Five mums or mums-to-be will join the EB Test Drive Team and discover great items at an exclusive Big W event. (Sydney only.)

The Nappy Collective starts new drive

It's that time of year when the dedicated volunteers at The Nappy Collective do their bit to help out mums and children in need - and they need your help.

Baby shower cake wrecks

From misshapen cake babies to questionable text, from odd colour choices to internal organ recreation, these are the baby shower cakes that taste forgot.

Photographer captures the beauty of adoption

The love of a family is usually tough to capture on camera. This is an exception.

Pregnancy progression photo ideas

Want to record your pregnancy as your belly grows? Here are some creative, fun ideas for photo shoots along the way.

The myths and facts about "normal" breastfeeding

When it comes to successful breastfeeding, there is a wide variety to what is "normal", according to new research.

Tin can craft and DIY ideas

Got a few old formula, Milo or coffee cans around the house? Use these fantastic upcycling ideas to create items for around the house and yard.

Dads meet their newborn for the first time

Emotional photos of two fathers meeting their newborn son have resonated with viewers worldwide, attracting thousands of Facebook likes and shares.

Skin safety isn't just a summer worry

Lax about the slip slop slap with your kids as weather turns cooler? Here's a reminder as to why we have to remain vigilant for our children?s future health.

Personalised baby gifts

We've scoured the internet to find gorgeous personalised keepsakes and nursery decor to record baby name and dates. They make great gifts for christenings, name days and birthdays! (All prices in AU.)

Creative sleeping baby photoshoots

See how some parents and photographers have captured sleeping babies in unusual positions and using different props.

DIY kitchen and food hacks

DIY your way to a better kitchen and make cooking easier with our clever hacks. (Some content reproduced with permission from mashable.com.)

Winter warmers for babies and toddlers

Your baby or toddler will be nice and snug in these beautiful and fun winter pieces. Most are hand-made or knitted, and they're all designed to keep your little one toastie - and adorable!

 

Mind, body, beauty, life

Making time for me

We look at your wellbeing, covering health, relationships, beauty and fashion, mind and body.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.