Now For The Science Bit…

There’s a real lack of good quality research into high BMI pregnancies. There are few studies done specifically on the topic. Those that do exist are often with very small sample sizes, conflate being overweight with medical conditions, or have flawed methodology.

Yet we’re supposed to accept recommendations based on their results?

Pregnant Woman in front of windowEven given the state of some of it, I definitely prefer recommendations based on evidence! All too often we’re told we should do something while pregnant because it’s ‘policy’, yet when you start unpicking the advice, it turns out to be based on nothing more than a hunch – e.g.taking an an increased dose of Folic Acid.

And then there’s the problem with finding the evidence that applies to our circumstances when it does exist. Many Big Birthas out there, myself included, have found that it’s best not to assume that your healthcare professionals are experts in whatever course of action they’re proposing, and often have no idea of the evidence base (or lack of it) to support their advice, and so we have to do the research ourselves to ensure we’re making fully informed decisions!

Well, I can announce some exciting news.

Parenting Science Gang is a user-led citizen science project funded by Wellcome, and one of the new groups for 2018 is a Big Birthas Parenting Science Gang! This is an amazing opportunity to get involved in looking at issues faced by mothers and mothers-to-be with a high BMI.

You don’t need to be a scientist – I’m not! You just need to want more information and help us find it! We will look for evidence-based answers to the questions that us bigger mums want to know, and where we find gaps, we’ll design and run our own research studies to discover and publish our own scientific results and add to the body of knowledge available.

We’ll get advice from professional scientists along the way – but the group will be in charge of the experiments.

We’ll also have regular online Q&A sessions with experts. They will help us in designing our experiments, and maybe even point us in the direction of equipment and resources.

So far we’ve already talked about weight management in pregnancy, gestational diabetes, use of blood thinners in pregnancy, fat vaginas and more! And we’ve had Q&A sessions with yours truly and Clare Murphy of the British Pregnancy Advisory Service (BPAS).

Come along and find out more, ask your questions, and maybe even help us to find the answers! You can give as little or as much time as you choose. It’s a closed Facebook group (https://www.facebook.com/groups/1955647771354577/)  and there are also some meet-ups being organised across the country for people in the different Parenting Science Gangs to get together and discuss the issues in March and April.

We’d love to have you on board!

 

How Risk Is Presented In Pregnancy

Today, Big Birtha was honoured to participate in a discussion about how risks are presented to women in pregnancy, organised by the British Pregnancy Advocacy Service (BPAS).

The room was filled with intelligent, interesting and influential women, from many different backgrounds, but who all share the passion that the way things are at the moment needs to change, and what can we do to bring about this change?

After years of running this blog, and feeling pretty isolated at times, it was so lovely to be in a room of like-minded people who agree that actually;

It’s not OK to make women feel failures that they are providing a ‘suboptimal’ host for their baby for whatever reason; be that because they dare to be overweight, or over 35 years of age, or have a medical issue controlled by medication, or want to enjoy the occasional glass of wine, or because they haven’t been taking folic acid and other dietary supplements religiously since reaching childbearing age just-in-case…

It’s not OK that statistics are often presented in the most alarming fashion possible – where relative risks are focused upon as routine because it’s a sure-fire way to make very small discrepancies look much more significant and scare the bejeezus out of us.

It’s not OK to unduly worry women and make them feel guilty about their situation, when that additional stress serves no purpose, can actually be detrimental, and is often at a point where the woman is not in a position to do anything about it.

It’s not OK that during a time when a woman is most apprehensive and in need of support and reassurance that she can be made to feel like she’s a bad/selfish/negligent mother who is undoubtedly doing harm to her unborn child, when she’s probably doing the best she can right now, probably has a perfectly healthy baby gestating inside her, and needs to be able to build rapport with and trust her care givers, not feel wretched every time she has contact with them.

It’s not OK that studies tend to focus exclusively on the behaviours/circumstances of the mother when drawing conclusions (usually negative!) about maternal actions and the consequences on their children (and sometimes their children’s children!), completely ignoring paternal and other societal influences role to play.

It’s not OK that when the media reports on scientific studies and research that the results are often presented with implied blame on the mother, usually from the most sensationalist angle, and that studies with poor methodology but the most sensationalist claims get more attention than those that are more balanced and better planned.

It’s not OK that women aren’t trusted to be able to look at the evidence (or sometimes lack of it!) for themselves in order to reach their own decisions about what’s best for them, their fetus, and their family, and instead are regularly presented with an oversimplified version of the available research, or worse still, a blanket ‘this is policy’ with no justification whatsoever.

It’s not OK that women routinely don’t feel supported in their ‘high-risk’ pregnancies, but that they’re a problem or ticking time bomb to be ‘managed’.

The fight for a more balanced, consultative, and respectful treatment of women in pregnancy is far from over, but this meeting really felt like the start of something positive.

If you want to see more of what BPAS have been doing on this topic, they’ve written some great press releases here:

www.bpas.org/about-our-charity/press-office/press-releases/

The Marks Of Life

I’ve had this song going round in my head for days.

In case you missed it, it’s blogger Sophie McCartney’s take on Ed Sheeran’s ‘Shape Of You’ from a Mum’s perspective; gagging at the smell of baby poo and vomit, dealing with toddler tantrums, wondering where that strange smell is coming from, dealing with fussy toddlers at mealtimes, thanking God for CBeebies. It’s all there.

It was funny the first time, and the second, and the third… And now whenever ‘Shape Of You’ comes on the radio I no longer hear Ed’s original lyrics. Even if I do sing under my breath because I don’t really want the kids singing ‘Smell of Poo’ at the top of their lungs at every opportunity; scatological humour being their very favourite, of course, they’re kids…

Except one refrain keeps jarring with me; “What have you done to my body?”, sung as she wriggles and struggles trying to fit into a pair of jeans.

I can’t blame or credit my kids for my body – it looks pretty much the same as it did before they came along; saggy bits, wobbly bits, stretch marks, flat feet; it all predates them! No blame on their little heads!

Which got me wondering… do some skinny mums resent their kids for what pregnancy has done to their figures? Even if it’s just a tiny tiny bit, buried deep in the subconscious, that’s terribly sad.

Personally, I feel it would be far better to resent society and the beauty industry for suggesting that women should conform to some unrealistic ‘spring back into shape’ notion immediately after childbirth – but it’s hard to argue with the subconscious!? I know the mum in the video is playing for laughs, but as the saying goes ‘ many a true word spoken in jest’.

I’d never considered how the flipside of pressuring new mums to get back into shape, actually subtly implies that the children are to blame; the magazines don’t tend to call it ‘pregnancy weight, but ‘baby weight’, after all and language is a very subtle but powerful manipulator.

I don’t buy magazines, nor seek this sort of thing out online, so I don’t see this on a regular basis, but now I’ve been thinking about it, I’m glad this sort of content doesn’t appeal to me. Certainly, having a quick look before writing this showed just how much judgemental content there is out there for new mums in terms of body image.

When I’d just had my babies, I was blissfully ignorant of any such pressures! In hindsight, being fat and opting out of mainstream media actually seems like a really positive life choice! I just got on with being a new mum, trying to fathom my path through the sleep-deprived, bodily-fluid-covered, chocolate-digestive-fuelled world that is early parenthood; enjoying it and being exhausted by it in roughly equal parts.

At a time of the greatest upheaval and steepest learning curve in their lives, women should be able to just be with and enjoy their babies! But seriously, could this actually affect how women bond with their babies – wasting valuable time and effort trying to get back into the pre-pregnancy skinny jeans, and potentially feeling a sense of failure if they don’t achieve that lauded goal at a time when our hormones are naturally all over the place surely can’t be ideal?

I know I moan at times of the treatment of bigger mums. But actually, in this case I’m glad that my early days as a mum weren’t infected with this kind of poison. I felt no such pressure. Plenty of other pressures around keeping a tiny human alive, but none of this nonsense, and for that I am eternally glad.

For me, pregnancy and childbirth was (and should be!) a time of absolute wonder and amazement at what my not-so-little body was capable of. Well, wonder, amazement and general queasiness, but hey, that means the hormones are all working as they should, right?

Right from the first realisation that carrying a child had suddenly awakened my ‘spidey-senses’ and I was now able to detect the nauseating whiff of a tuna sandwich from half a kilometer away, to feeling the babies wriggling around inside me, to discovering that the dairy had sprung into production surprisingly early (about 20 weeks early!), through to having two awesome, pop-a-pea-out-of-a-pod births, and then feeding them well into toddlerhood, my amazing body did all of that, and I’m bloody proud of it. Wobbly bits and all.

In the Willy Russell play/film Shirley Valentine, the inveterate charmer, Costas talks about Shirley’s stretch marks:

Don’t, don’t be too stupid to try to hide these lines. They, they are lovely, because they are part of you, and you are lovely, so don’t, don’t hide, be proud. Sure. These marks show that, that you are alive, that you survive. Don’t try to hide these lines. They are the marks of life.

Shirley replies – to the audience; “Aren’t men full of shit?”, but do you know, I’m with Costas one hundred percent. Shirley reads too many magazines…

We Are All Worthy

I don’t know anything much about the company producing this video, so please don’t take this as any sort of recommendation, but I do appreciate the sentiments contained within it.

Lots of us have things that we’ve wanted to do, or that we’re passionate about, or that would make us happy, that we don’t do because we’ve told ourselves we couldn’t.

It’s this sort of thinking that holds us back. Not anyone else setting limits on us (and let’s be honest, there’s plenty of that) but us limiting ourselves. Sometimes we are our own biggest critics. 

Cut yourself some slack. You’re worthy too.

P. S.  I’ve been meaning to take up yoga again for a while, so thanks Dana for the reminder.