Obesity May More Than Double the Chance of Stillbirth
New research reports that being obese while pregnant may significantly increase the mother’s chances of losing a child to stillbirth (fetal death after the 20th week of pregnancy).
The study, published in the August online issue of the American Journal of Clinical Nutrition, looked at 650 pregnancies that had ended in stillbirth. They found that the rate was 7.7 among women who were lean and 13.9 among women who were obese and 17.3 among women who were severely obese.
More than 57 percent of black women older than 20 are obese. In addition, the most recent investigations into stillbirth show that African American women have a higher rate of stillbirth than Hispanic or white women that is largely due to maternal health issues.
Reasons for the high rate of stillbirth among the heavier women in the study varied, but preeclampsia — hypertension that develops during pregnancy — played a significant role. Obesity during pregnancy also increased the chance of diseases of the placenta, fetal abnormalities, and umbilical cord abnormalities, according to the researchers.
The study underscores the critical importance of getting in shape before becoming pregnant, eating wisely during pregnancy, and getting the highest quality of prenatal care.
“We like to see these women before they even become pregnant. When a doctor has an obese patient who is considering pregnancy, she should be referred to a maternal-fetal medicine specialist who can counsel her on the benefits of losing weight before pregnancy, as well as safe approaches to weight loss,” said Hyagriv Simhan, MD, chief of the division of maternal-fetal medicine at Magee-Womens Hospital at the University of Pittsburgh Medical Center, and a senior author of the study.
Pregnancy Advice Just for Black Women
To gain a better understanding of the unique risks black women may face during pregnancy, and learn how to stay healthy for yourself and your baby, read:
▪ Having Your Baby: For the Special Needs of Black Mothers-to-be From Conception to Newborn Care, by Hilda Hutcherson, MD.
What better time than National Childhood Obesity Awareness Month (September) to turn off the TV and protect your children or grandchildren from aggressive junk food marketing techniques aimed at black children. A new report says African American children and teens are more than twice as likely as white children to be targeted for junk food advertising by companies such as Kraft, General Mills, and Hershey’s.