Obesity During Pregnancy: Risks, Care, and Healthy Weight Guidance

Issue No. 4: Black Maternal Health
Words - Diana McDonnell, DNP
Illustration - Alexandra Folino

An illustrated doctor on a green circle background.
An illustrated orange scale on a burnt orange circle background.
An illustrated baby wrapped in a pink blanket on an orange circle background.

What are the risks of being overweight while pregnant?

Being overweight or obese during pregnancy can put you at risk of certain complications, so prenatal care, including regular appointments with your health care provider, is very important. Obesity during pregnancy can increase your risk of gestational diabetes, preeclampsia, and sleep apnea. Obesity can also increase risk of a large sized baby, preterm birth, birth defects, and stillbirth.

 
A chart showing recommended pregnancy weight gain ranges based on BMI categories, with separate guidelines for carrying one baby versus twins.

Updated in 2019

 

Following advice from your doctor on prenatal care, including exercise and healthy eating, can help you to have a healthy pregnancy and deliver a healthy baby, regardless of your size. Unfortunately, size discrimination can contribute to provider bias.

What is provider bias?

Provider bias is when a health care provider uses assumptions and stereotypes to inform their treatment plan or diagnosis. Look for a health care provider who uses a body and size positive approach and understands health at any size to ensure that you are receiving reproductive and prenatal care that is free of bias.