BMI and Pregnancy

Cynthia Flynn's picture
Experts: 

QUESTION

Dear Midwife,
I am 23 years old and currently 27 weeks pregnant. I was recently called in to see a consultant at my hospital who has strongly advised me that I should have an epidural during labor as my BMI is 44.5 They are saying I am at greater risk of complications so should have an epidural because of this.

The only thing I was sure about my labor was that I really do not want an epidural. What do you suggest I do?

ANSWER

What she is really saying is that you are at greater risk for a cesarean, so you should have the epidural in place. It is true that larger women do have a somewhat higher risk for surgical delivery. Here are some things you can do to prevent that:

The suggestions would be the same for preventing an epidural.

-- Cynthia, CNM. PhD.