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.

BBC News – Delay pregnancy after obesity surgery, women warned

Interesting news for anyone considering weight loss surgery before trying get pregnant.

Even though you’ll have lost the weight, you still won’t escape the ‘high risk’ bracket, and will likely receive much of the same treatment that you would if you were still big. Furthermore it seems that a number of things could go wrong, a significantly increased risk of miscarriage being one of them, if you get pregnant within 18 months of the surgery (31% of pregnancies occurring within 18 months of surgery, as opposed to 18% of pregnancies occurring 18months+ after surgery).

BBC News – Delay pregnancy after obesity surgery, women warned.

Comes from this study:

Pregnancy outcome following bariatric surgery (12.1 KiB)

Which looks at different research, some of which compared pregnancies after different types of weight loss surgeries against each other, some against those of obese patients who haven’t undergone surgery, and some against ‘healthy weight’ women.

The text (and sub-text) is quite interesting:

“Case–control studies demonstrate increased fertility following bariatric surgery, although these studies lack complete data and statistical significance due to small sample sizes.”

It would be interesting to see whether this is due to the positive effect of weight loss on Poly Cystic Ovary Syndrome in particular, which is known to affect fertility the heavier you are, or whether in general it improved fertility for larger women.

“Post-LAGB [Laparoscopic adjustable gastric banding] pregnancies are not without complications. Band slippage and migration can result in severe vomiting. Band leakage is reported in 24% of cases.”

Sounds tempting.

“Mild nutritional deficiencies are frequent after bariatric surgery”.

 

“Significant malabsorption in the mother can affect the energy content of breast milk and may affect the postnatal growth of the baby”.

The solution given for this is to supplement breast milk with formula. But mixed feeding with both bottle and breast is a significant indicator for stopping breastfeeding sooner.

“Aside from nutritional deficiencies, case reports have documented risks of intestinal hernia (most commonly reported), intestinal obstruction, perforation and death in pregnant women post-RYGB [Roux-en-Y gastric bypass].”

Hmm. Again, tempting.

If you are considering gastric surgery because you were concerned about having a caesarean or induced labour:

“Overall, bariatric surgery does not appear to reduce the risk of CD [caesarean delivery].”

 

“Another study showed higher labour induction rates as compared with non-obese comparison groups.”

There may also be reasons not to consider certain types of bariatric surgery if planning to get pregnant. One study reported:

“higher congenital malformation rates following BPD [Biliopancreatic diversion].” and

 

“Miscarriage rates following BPD [Biliopancreatic diversion] may be higher.”

Finally,

“There is no strong evidence that adverse neonatal outcome rates are higher following  LAGB and gastric bypass procedures as compared with obese groups”.

So reading between the lines, there is evidence that outcomes for babies aren’t as good following surgery, just not strong evidence?

But my personal favourite is:

“maternal and fetal outcomes are acceptable with LAGB and gastric bypass”.

Acceptable? What does that mean?

On the positive side:

“Most studies report a reduced incidence of GDM [gestational diabetes mellitus] in
patients following bariatric surgery.”

 

“Studies comparing pre- and postbariatric surgery pregnancies consistently show that the incidence of PIH [pregnancy induced hypertension or high blood pressure] and pre-eclampsia is lower following surgically induced weight loss than the risks in obese women.”

The study concludes:

“In light of current evidence available, pregnancy after bariatric surgery is safer, with fewer complications, than pregnancy in morbidly obese women”.

Hmm. I’m struggling to be convinced. 21% of post-surgery pregnancies reported problems according to one study. Though I can’t find a comparable statistic for obese women who have not had weight loss surgery, that doesn’t seem like great odds. Presumably the reduction in serious complications like pre-eclampsia are significant enough for the authors to reach this conclusion.

As always, it’s for you to make up your own mind, but at least here’s some information for you to get started.

We don’t all eat takeaway every night!

“I used to eat ten packets of crisps a day and have a takeaway for dinner every night. I just couldn’t be bothered cooking so we either went out for dinner or ordered in.”

I swear this sort of thing is why bigger women get treated so badly in maternity services.

Are we all like this? Um, no. So please don’t assume we are.

http://www.dailymail.co.uk/femail/article-2246321/Fast-food-addict-ate-takeaway-EVERY-night-pregnancy-teaches-slim-losing-incredible-TWELVE-stone-birth.html

 

 

Eating the wrong type of fat during pregnancy ‘increases likelihood of having overweight children’

So, another article warning that what we eat in pregnancy can scar our children for years to come…

Eating the wrong type of fat during pregnancy ‘increases likelihood of having overweight children’ | Mail Online.

Or is it? What does it really tell us? That diet in pregnancy was to blame, or that the mother’s diet in pregnancy shows a connection with obesity in childhood?

Couldn’t an alternative explanation be that the higher fat diet (and potentially higher sugar, higher processed foods etc.) continued after the children were born, and those children ate the diet, and gained weight?

Obviously, I’m not suggesting eating healthily when pregnant is a bad idea, but this study, (and the media quoting it) proves no causality between maternal diet during pregnancy and childhood obesity; merely a correlation, which is an entirely different thing…