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Because PE is a very serious problem of pregnancy and a potential killer, this is one reasonable reason to monitor weight gain in pregnancy closely. The problem with this is that ladies don’t gain weight uniformly each week in pregnancy. Some weeks there are bigger gains, some weeks there is hardly any gain.
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Unless there’s a huge jump, week will not always reveal pre-eclampsia a more impressive gain one. Even week to week Realistic providers recognize that gain is not always, yet it’s sadly very common for women to be hassled about even a small gain above the common “permissable” gain. While a large really, sudden putting on weight jump can be utilized as a marker to point possible PE, even a little gain is over-reacted to in women of size often. Many providers believe that all fat women shall develop PE, so they may be quick to respond to any gain above what they think “should” be taking place.
Combine that with having less consistency about utilizing a larger blood-pressure cuff in women of size, and many providers are quick to analyze PE in extra fat women when there may or may not actually be a problem. Routine weighing can be advantageous in that it might be one of the first signs that PE is developing, but it often results in major interventions and inconveniences also, for females of size particularly.
What many providers fail to realize is that while regular weighing in pregnancy can sometimes spot complications early on and stop them from becoming worse, they can also lead to unneeded intervention and harm. In lots of providers’ eyes, a woman with a large prenatal weight gain is a Cesarean waiting to happen.
In reality research implies that a larger weight gain is associated with a higher risk for Cesarean, even though the infant is not big. Is this because something physical about the larger putting on weight prevents vaginal birth, or is it more about the provider’s fear levels and anticipation of trouble? I believe there is a strong case to be made for the latter.
This is one of the issues with monitoring a pregnant women’s putting on weight closely. Often Too, it’s not just neutral information, designed to avoid complications, but instead becomes loaded information used against the woman to instigate interventions at the slightest provocation. Are the majority of interventions used around putting on weight monitoring really justified? Do they improve outcomes truly?