OBE­SITY CAN ALSO CRE­ATE PROB­LEMS DUR­ING LABOUR:

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• In cases of ges­ta­tional di­a­betes, the baby tends to be ex­ces­sively large, which in­creases the like­li­hood of a pro­longed and ob­struc­tive labour. • Cae­sarean sec­tion and anaes­the­sia are tech­ni­cally more dif­fi­cult in obese pa­tients, so you will have to pay more if you need these pro­ce­dures. • Obese pa­tients are at greater risk of post­par­tum bleed­ing, and can lose large amounts of blood.

The prob­lems also con­tinue af­ter­wards, as in­fec­tion of cae­sarean sec­tion wounds is more com­mon in obese pa­tients, and ba­bies born to obese moth­ers are sta­tis­ti­cally more likely to suf­fer from con­di­tions such as obe­sity, di­a­betes and is­chaemic heart dis­ease later in life. An obese preg­nant woman un­in­ten­tion­ally ‘pro­grammes’ the cells of her un­born child so that the child will also have a ten­dency to­wards in­sulin re­sis­tance. And so the cy­cle con­tin­ues.

Rather than treat­ing com­pli­ca­tions dur­ing and af­ter preg­nancy, it’s best to find a way to pre­vent them in the first place. A log­i­cal so­lu­tion is for women to try not to be over­weight be­fore con­ceiv­ing. So it’s a good idea to fol­low an LCHF life­style be­fore preg­nancy too. A healthy mum has a bet­ter chance of hav­ing a healthy baby.

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