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Discussion Starter · #1 ·
Is it a birth center thing?<br><br>
I am now 24 weeks and they haven't weighed me once- nor do they seem to notice that I am not gaining much weight. In fact, no one is noticing, and I'm underweight to begin with.<br><br>
Do the midwives there just not care? Does it not matter how much their patients weigh? So if they get a patient that is gaining 10 pounds a week, that means nothing to them? And if they get someone who is anorexic, dieting or exercising too much, they wouldn't know unless she told them?<br><br>
This seems unprofessional and unsafe to me. What about toxemia? Cannot rapid weight gain in the last few weeks be a warning sign for this? And can't little to no weight gain, especially in underweight women, be anything but good for the unborn baby's weight gain?<br><br>
Why don't they moniter weight?<br><br>
-Caitrin
 

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i think alot of MW's trust women to take care of themselves. i think my MW knows, for example, what my diet is. she can look at me and see that im gaining and that i dont need to be on a scale. i love not having to be weighed.<br><br>
and NO, i dont think they are being irresponsible. at all.
 

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<div>Originally Posted by <strong>PassionateWriter</strong> <a href="/community/forum/post/11625032"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">i think alot of MW's trust women to take care of themselves. i think my MW knows, for example, what my diet is. she can look at me and see that im gaining and that i dont need to be on a scale. i love not having to be weighed.<br><br>
and NO, i dont think they are being irresponsible. at all.</div>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that">:<br><br>
there is a lot of mutual trust involved. they aren't going to second guess what a client tells them about her diet and exercise. I know that in my initial history it was asked if I'd ever had an eating disorder. If I chose to not tell them I had an eating disorder (FTR, I don't have an ed), they wouldn't know. mws also trust their clients to bring their concerns to them - so if you're worried about your weight gain, or lack of, talk to them about it.<br><br>
the mw I used (at a FSBC) has her clients weigh themselves. I don't think it's irresponsible to not monitor weight gain though.
 

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Have to be honest...that seems odd to me b/c keeping track of weight can help with detecting pregnancy related conditions that are dangerous.<br>
My MWs' nurses check my protein levels in my urine and my weight & blood pressure at the top of every visit.
 

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Discussion Starter · #5 ·
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<div>Originally Posted by <strong>OrchideZ</strong> <a href="/community/forum/post/11625061"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Have to be honest...that seems odd to me b/c keeping track of weight can help with detecting pregnancy related conditions that are dangerous.<br>
My MWs' nurses check my protein levels in my urine and my weight & blood pressure at the top of every visit.</div>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that">:<br><br>
-Caitrin
 

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Discussion Starter · #6 ·
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<div>Originally Posted by <strong>texaspeach</strong> <a href="/community/forum/post/11625051"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">the mw I used (at a FSBC) has her clients weigh themselves.</div>
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They don't even have us do that...<br><br>
-Caitrin
 

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My MWs have always had me weigh myself and pee on the strip to check for protein and then report the results to them. But it's something I'm welcome to opt out of, if I want to.<br><br>
I think I would certainly mention your concerns about weight to your midwives.
 

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I don't go to a birth center (home birth), but I've never been weighed by my mw. I don't even own a scale so I have no idea how much weight I gain during pregnancy (this is #2). The number of pounds isn't as important as fundal height, general health, etc. If you are concerned about your weight gain, then certainly bring it up with your provider. But too much is focused on the number of pounds by most providers, IMO, and I find it anything but irresponsible for your mw not to weigh you.
 

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Discussion Starter · #9 ·
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<div>Originally Posted by <strong>baby_baby_mommy</strong> <a href="/community/forum/post/11625259"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">But too much is focused on the number of pounds by most providers, IMO, and I find it anything but irresponsible for your mw not to weigh you.</div>
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"Too much is focused on the number of pounds by most providers" - Yep! It is! And going in the polar opposite direction is supposed to be better?<br><br>
Where's the middle ground here? Is it not wise to weigh a patient but not freak out if she gains more than a pound a week?<br><br>
I think both extremes are unwise- micromonitering weight and choosing not to weigh.<br><br>
-Caitrin
 

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Discussion Starter · #10 ·
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<div>Originally Posted by <strong>pantufla</strong> <a href="/community/forum/post/11625215"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My MWs have always had me weigh myself and pee on the strip to check for protein and then report the results to them. But it's something I'm welcome to opt out of, if I want to.</div>
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This is the kind of middle ground I am referring to- I like this system.<br><br>
Oh, and I mentioned my weight to my midwife and she blinked and stared at me as if weight is so irrelevant that why should I care...<br><br>
Hell, maybe I just shouldn't.<br><br>
-Caitrin
 

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sounds to me like you might have concerns about your midwife. You should talk to her about them. If you dont like the replies, then look for someone else. You really should have a good fit.<br>
as others have said, if there seems to be nothing wrong, them maybe you just wont gain weight. I was underweight with my first, didnt gain much and Baby and I were both perfectly healthy.<br><br>
If you are second guessing her judgement about this situation, what else are you going to second guess. If you feel she isnt paying attention to your concerns now, you may end up feeling the same way if something comes up during labor or delivery.<br><br>
I am not saying I think she is right or wrong about the weight thing, just that you really should look at the relationship. You chose a midwife im sure for the level of care expected. If you arent ggetting the care you think you should be, then it isnt any better than going to some OB you dont care for and just riding it out in m opinion.<br><br>
I hope all works out for the best for you
 

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It doesn't matter how much you weigh. What matters is the quantity and quality of your food.<br><br>
If you are concerned about your weight gain then bring it up. A midwife is not like a doctor, they don't tell you what to do. Its a relationship and you need to communicate your concerns, fears, questions, etc.
 

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Not every practitioner weighs his/her patients. I've been told that in certain countries, pregnant women are NEVER weighed, because it's not the weight that counts, it's the measurements.<br><br>
My midwife is more concerned that I am eating healthfully and consciously than how much weight I gain. (For the record, I am very thin and haven't gained much weight, but I measure perfectly.)
 

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There really is no point to weighting yourself during pregnancy. Any weight issue that warrants further investigation will surely be apparent without a scale<br><br>
If you want to weight yourself, just do it. In a non-pregnant state, you probably would never consult a HCP to routinely weight yourself, why would you do it while pregnant?<br><br>
To me, the whole point of seeking a midwife instead of a doctor is the fact that the midwife does not pretend to be responsible for my health. A midwife should never 'do' anything to me or 'make me do' anything.<br><br>
Now, if you have concerns about weight and want to address them with her, she should be open and willing to discuss whatever you want to discuss. If it is not the case, you should have a talk with her about that and/or find a new midwife (or doctor if that is what makes you more comfortable).
 

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My HB midwife asks me every other visit how much I'm weighing now and records it. She does measure my belly though. I am also the type to point out anything strange as far as my pregnancy goes. I gained 10lbs in two weeks and promptly sent her an email about it. She responded saying that based on this and my swelling we will check for protien in my urine at her next visit. She has not checked my urine at any of my previous visits.
 

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I wonder if it's not in part because those who choose mw's generally are women who are taking responsibility for their care. Perhaps your midwife feels that if you have concerns about it you'll bring it up but otherwise she relies on everything else she observes.
 

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I switched to my HB MW around 25 weeks and she never asked me my weight until I hit 36 weeks. Now she asks me every week. Last week I had not gotten around to weight myself and she said not to worry about it.<br><br>
I haven't asked her why now and not before- I just figured she was being extra careful in the last few weeks.
 

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<div>Originally Posted by <strong>lifeguard</strong> <a href="/community/forum/post/11625953"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I wonder if it's not in part because those who choose mw's generally are women who are taking responsibility for their care. Perhaps your midwife feels that if you have concerns about it you'll bring it up but otherwise she relies on everything else she observes.</div>
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I am going to assume that the OP is from the UK. Perhaps not. Well - here anyway (in the UK) you dont choose a mw. Every pregnant woman gets one! lol - Yay UK!... If you dont like your mw though, you have ever right to ask for a different one! ...This might be okay in a big city where there may be plenty of mw to choose from... When we lived in Bristol, I dont think I saw the same mw twice!... But now we live in this little small village...thats right - only one mw! Ive heard she is great though and very supportive of home births and many of my friends have described her as the 'earthy' type (because they all call me the dirty hippy dont you know lol)... So I am not too concerned there....<br><br>
But I am carrying on...<br><br>
I was weight ONCE. The very first time. I was then just asked what I weight before I got pregnant. That was all. I always thought they would check my weight...I guess thats just what I saw on films though! hehe<br><br>
I dont mind though. If I was concerned then I could have brought it up. I guess if I wanted my weight monitored then I would have suggested it and I dont think they would have said no! Just talk to your mw about it if that is your concern.<br><br>
However - I will mention that sometimes first time mums dont really know what is normal in the way of weight gain. I know how I feel now... But I think it would have been nice if we could have at least gone over it when I got pregnant with my son. I gained 6 stone!!!! yikes! (thats 14lbs to a stone!)... I was 7 stone to begin with...if you think about it, I nearly gained a whole other me!... They didnt seem concerned though! I guess I looked alright! lol...I know now though, I was considered 'underweight' for my size at the beginning of pregnancy so gaining more weight was a 'good' thing. However, I still feel I gained a bit too much and by the time I though 'hey - something isnt right here'...it was too late. My son was a big baby as well - over 10lbs ...and I didnt have GD. I wonder if the weight gain could have played into that. Perhaps it would have been known if I was regularly weighed. Oh well... Live and learn I guess! - I am more confident now and more educated...I think ill manage second baby around just fine hehe
 

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This is all very good to know!<br><br>
I am going to my MW on the 10th...so if she doesn't weigh me, then I won't worry. I have a scale at home anyways. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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It's not laziness, it's called "evidence based practice". The reason midwives do not routinely weigh their patients is because checking weight at every visit has not been shown to have an effect on pregnancy outcome.* Monitoring trends in weight gain does serve to identify pregnancy complications even though doing so does not necessarily change the outcome (much like continuous fetal monitoring picks up more cases of fetal distress but has not had an effect on the neonatal outcomes). Unless the client has a history of eating disorders or OCD related to weight gain I do weigh them at every visit as it does no good to begin monitoring once a problem is suspected if you have not established a baseline pattern.<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>aprilsfools</strong> <a href="/community/forum/post/11626082"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I haven't asked her why now and not before- I just figured she was being extra careful in the last few weeks.</div>
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Actually, I'm betting that information is wanted on the birth certificate. The state collects that kind of data for statistical purposes so that some time in the future they may run an analysis to correlate demographic and health statistic data to examine trends, such as whether/how pregnancy weight gain, number of pregnancies, timing of pregnancies, etc. affects neonatal outcome.<br><br>
*I will admit that this is what I was taught, I have not researched the literature myself. If someone comes up with a contradictory citation please let me know.
 
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