heavy bleeding after birth (postpartum haemorrhage) or at the time of caesarean sectionīecause of these risks your obstetrician and/or midwife will talk to you about the safest way and place for you to give birth.anaesthetic complications, especially with general anaesthesia.a more difficult operation if you need a caesarean section and a higher risk of complications afterward, for example a wound infection or blood clot.premature birth (when a baby is born before 37 weeks).If you have a BMI over 40 there is a higher risk of complications during labour or birth. You may also need to have injections of low molecular weight heparin to reduce your risk of blood clots. a risk assessment for thrombosis (blood clots in your legs or lungs) at your first antenatal appointment, which will then be monitored throughout your pregnancy.a gestational diabetes test between 24-28 weeks (if your BMI is over 40 you may have this test earlier).blood pressure tests at every antenatal appointment.extra ultrasound scans to check the baby’s development.If you have a BMI over 30 you should be referred to a dietitian for an assessment and advice about healthy eating and exercise. This can be difficult to read but you will have extra care throughout your pregnancy to minimise these risks and have a healthier pregnancy. gestational diabetes (diabetes in pregnancy).If you have a high BMI (over 25) before pregnancy or in early pregnancy, this can affect your health and how your baby develops. What happens if my BMI is not in the 'healthy weight' range? The medical experts looking after you during pregnancy may need to use them so they can make sure you have the best advice and support to help you have a healthy pregnancy. Try not to be offended if anyone involved with your health care uses one of these terms to describe your weight. Once you work out your BMI, this is the scale: This will help them find out if you need some extra care during your pregnancy. Your midwife may measure your height and weigh you to work out your BMI at your first antenatal visit ( the booking appointment). For pregnant women your BMI calculation will be based on your weight before pregnancy. So I feel reassured that her BMI in and of itself is not a cause for concern, however I am unsure about the fall she's taken through the percentiles from a baby until now.Your BMI is a measure that uses your height and weight to work out if your weight is in a healthy range. The same with her weight, for most of her first year she was on the 91st, by 2.5 she was still above the 75th, (I then have no info until 8.5 yrs when she has dropped to the 25th) and now her weight is a whisker above the 9th.īy the way, I am now using the Royal College of Pediatrics and Child Health charts and these place her BMI a whisker above the 2nd percentile (although using these charts BMI is not a cause for referral until it falls below 0.4). I have added the info from her wall chart to her red book and I can now see that her height, for most of her first year, was above the 91st percentile, by the time she was 4.5 she was on the 75th and now she is on the 50th. ![]() Thank you, I understand now that there are a variety of charts relating to different data sets, which are not necessarily comparable and the NHS advice re BMI is fine. So AIBU to think this, or are there sound reasons for the 2nd and 91st percentiles being the NHS boundaries for concern instead of the 4th and 86th? ![]() Of course I am left wondering why the NHS criteria are different and a cynical part of me thinks it’s resources driving policy rather than good practice. the CDC have a simlilar calculator to the NHS) says below the 5th percentile is underweight and above the 85th is overweight.Īccording to the NHS then, I don’t need to worry about DDs weight loss, and parents with children between the 86th and 90th percentiles don’t need to be concerned either. Children are only considered overweight if they are above the 91st (I think) percentile. the NHS BMI calculator says a child is only underweight if they are at, or below, the 2nd percentile. It may be the viruses alone are responsible but I emailed the school nurse and will discuss this with her consultant next week. I decided to weigh her first thing and was worried to see that she’s fallen to the 4th percentile. DD been having some health issues and has recently had a bout of viruses.
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