Despite recent media coverage of the pressures on pregnant women to emulate the skinny bumps and rapid returns to pre-pregnancy figures of celebrities such as Myleene Klass and Victoria Beckham, it is the opposite end of the spectrum that worries most doctors and midwives. So much so that pregnant women are to be offered expert guidance on how to control their weight. It is estimated that half are overweight before they conceive, and a further third gain far more than they should do during their pregnancy.
Overweight women are more likely to miscarry and develop complications such as gestational diabetes, pre-eclampsia and blood clots. They are also more likely to go into premature labour and need medical interventions such as a forceps delivery or Caesarean section. And their babies are at higher risk of still birth, of being born with some form of congenital anomaly such as spina bifida or heart defects, and of becoming obese.
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