I had an appointment with a Bariatric Educator at the Wharton Clinic today and as I embark further into fertility treatment, it came to mind to ask if the Wharton Clinic keeps pregnant patients. I was chatting with the BE (Dietitian) and I asked what would happen if I got pregnant. This was a question that had never come up before...so when Dr. Wharton popped in to check on how things were going, I asked him. Unfortunately, I will have to discharge from the clinic when I get pregnant. Despite the fact that weighing-in, having my blood pressure checked regularly and checking in on my nutrition at a place that specializes in helping obese people get healthy, would probably be a good idea, due to legal and insurance reasons Dr. Wharton will not be able to help me during pregnancy.
I said I guess the two are conflicting and he disagreed and told me that the latest research shows that if an obese women loses weight during pregnancy the benefits out weigh the risks (pardon the pun). I truly respect Dr. Wharton's opinions and told him that. He told me to see the nutritionist that the OB offers.
I have since "googled" and found the new research for myself and will look for help (midwife, OB, nutritionist) that supports the new way of thinking with obese pregnancies.
I'm disappointed but I guess based on older medicine the law sees pregnancy and weight management as opposing forces and I know how it takes time for bureaucracy to catch up with the latest research. We are on the edge of a change of mind with regards to the old way of thinking that with pregnancy comes weight no matter at what weight you started.
Dr. Thorton published a paper, "Perinatal Outcomes in Nutritionally Monitored Obese Pregnant Women: A Randomized Clinical Trial," that was published in the June issue of the Journal of the National Medical Association and I found a report on this paper at sciencedaily.com where I found this quote and it hit home for me. Dr. Thorton was quoted "Pregnancy has become a license to eat. We talk about 'eating for two,' but it's really more like eating for 1 and 1/20th."
Too bad I won't be able to have the Wharton Clinic help me with my 1/20th!
TTFN
P.S. I will have another BE appointment in 2 weeks because I haven't been journaling. I will have to bring 2 weeks worth of daily food journals with me to that meeting! Ooops, I guess it has finally caught up with me!;)
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