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13th-Nov-2012 04:59 pm
Bill Bailey/Oh no!

I'm 6 weeks pregnant and furious.

 

I went to my GP on the 5th and he asked me a bunch of health questions, asked how I was, said he'd refer me to a midwife and that was it.  For some reason I didn't believe that he had referred me so I rang the midwifery unit today and they hadn't received a referral so she asked me a tonne of stuff, inc my weight and then asked if I've been taking folic acid and vitamin d and if so how much? I said I didn't know how much but I've been taking prenatal supplements from the chemist so assume I'm on the right amount and she said no, because I'm overweight (obese, really) I need to be taking more and the supplements with more in are only available via prescription so my Doc should have seen that I'd need more and prescribed it. Of course he didn't so now I'm waiting for the surgery to ring me back so I can ask them to leave a prescription for me.

 

Why are doctors so incompetant? If my baby gets some kind of defect because I wasnt taking enough vitamins I'll hit the roof. 
Can I double up my pills until I get the fatbitch doses?

 

Sorry for the venting.

Comments 
13th-Nov-2012 05:01 pm (UTC)
I wouldn't worry too much about needing a higher dose. I'm overweight (BMI 35) and my doctor was happy that the dose in Pregnacare from the chemist was fine and so was my midwife and the pharmacist when I talked to her about them.
13th-Nov-2012 05:03 pm (UTC)
I would NOT double up on prenatals or any other vitamin. I honestly haven't heard that just because someone is bigger that they need more vitamins (however this doesn't apply, so maybe someone can speak to that). You can possibly do harm with taking too much of certain ones. There is usually iron and vitamin A in prenatal vitamins that could make you sick if you take twice the daily dose.
I would either phone your doc or wait until they call you before doing anything. If you've been taking the prenatals your little one is probably doing just fine.

(I am not a doctor, nor do I play one on TV)
13th-Nov-2012 05:13 pm (UTC)
You mean, your not Dr. Cox? :-O
13th-Nov-2012 05:07 pm (UTC)
I don't know the answer to your question, but I am obese, have three childand never took anything more than a standard pre-natal vitamin.
13th-Nov-2012 05:08 pm (UTC)
Ugh, stupid phone. *three children and
13th-Nov-2012 05:21 pm (UTC)
Same here, only 2 children instead of 3.

That's the most ridiculous thing I've heard and it honestly would have me looking for a different care provider. What else are they going to have to do differently with your care if you're overweight? ((that's what I'd be asking myself. Find yourself a FatFriendly OB/Midwife))
13th-Nov-2012 08:39 pm (UTC)
I have never heard of that either and started my last two pregnancies with a high BMI.
13th-Nov-2012 05:14 pm (UTC)
That's reassuring, thank you :-)
13th-Nov-2012 05:12 pm (UTC)
I agre with a previous poster that you should not double up. You don't want to overdose your system. I'm sure your baby will be all right. Many people don't even find out they're pregnant till this stage. Just wait to hear back from the doctor and try to relax!

Edited at 2012-11-13 05:34 pm (UTC)
13th-Nov-2012 05:46 pm (UTC)
This. I mean, some people don't realize they're pregnant until they're giving birth, and go on to have perfectly healthy babies.

A balanced diet with lots of vegetables, no alcohol or cigarettes and some exercise within your own limits is a lot more important than any vitamin pills in my opinion. It's good to take a prenatal vitamin but I wouldn't stress out too much about it!
13th-Nov-2012 06:32 pm (UTC)
As my doctor pointed out once, women who (unfortunately) live/lived in terrible conditions - who are starving - have healthy babies.
13th-Nov-2012 05:46 pm (UTC)
I'm obese and I just take two childrens gummy vitamins per day (that's what the adult dosage is) and an iron supplement (because the gummies don't have iron) and I've been fine.
13th-Nov-2012 05:49 pm (UTC)
My first pregnancy I was overweight and I was terrible about taking vitamins. I didn't take them everyday...maybe every other day. my kid is 5 years old now and happy and healthy.

This time around I'm trying to be better, but my husband is often reminding me to take them, cause I just don't remember. For this reason I had a Mirena instead of relying on myself to take a pill, lol.
13th-Nov-2012 05:53 pm (UTC)
Honestly, I would not stress out. The baby is taking what he/she needs from your diet first. Prenatals are to insure that YOU get enough nutrients from what's left over. Certainly, Pre-natals are a relatively new idea, and plenty of healthy babies were birthed before their existence.

You can get accessible folic acid from leafy greens (kale, chard, spinach, arugula, broccoli, etc), and also in beans and citrus fruits. If you have a real concern that your folic acid intake is actually low, try to incorporate more of these things into your diet. Honestly, with a regular Pre-natal, you should be getting perfectly adequate amounts of everything. Doubling up is not necessary or wise, because you can overdose on some vitamins/minerals.
13th-Nov-2012 05:59 pm (UTC)
Honestly, you don't even really NEED to take prenatals at all if you are eating a healthy diet ... it's just that most people don't eat a healthy diet and taking a prenatal is a "just in case" measure than anything else.

I've never heard of obese women needing more folic acid than other women. I wouldn't worry about it. During my first trimester, I didn't take any prenatals because I could barely eat, let alone swallow a pill. Baby is, so far, just fine.
13th-Nov-2012 08:15 pm (UTC)
For what it's worth, I just searched Google scholar and couldn't find anything to support the idea that obese pregnant women require a higher dose of folic acid. Apparently obesity is a risk factor for neural tube defects, but there's no evidence that increasing folic acid counteracts that risk.
13th-Nov-2012 09:45 pm (UTC)
...No, I know some people that don't even use prenatals during their pregnancies. if you have a balanced diet you shouldn't worry. prenatals are really only for filling the gaps of your nutrition and adding extra to help when it's needed.

You will be fine and doubling up without the advice of a doctor or a natro path is not a good idea, just be sure to eat some extra fruit and dark green vegies.
13th-Nov-2012 10:28 pm (UTC)
No I apparently have a BMI of 37 and I'm dangerously close to being in the "morbidly obese" category and the only thing my midwife suggested I take, apart from standard prenatals, is aspirin. It's to thin your blood out or something. And I'm refusing to take it cos I don't believe in taking tablets for the sake of it, especially when pregnant. And my baby has been fine so far just on regular prenatal vitamins from the pharmacy. I just make sure they have at least 400mg of folic acid in them, and are high in other vitamins. B12 is pretty important, too. I just switched to "pregnacare" and both the midwife and the nurse at my doctors surgery think they're the perfect prenatals to take.

I seriously wouldn't worry about it hun. Just make sure you're getting adequate folic acid and eat a well balanced, healthy diet! :)
14th-Nov-2012 05:51 am (UTC)
I would also be reluctant to take aspirin during pregnancy without a very good reason. It's a class D drug.
13th-Nov-2012 10:29 pm (UTC)
Also, too much vitamin A has been proven to cause birth defects so for that reason alone, doubling up is a bad idea!
13th-Nov-2012 10:30 pm (UTC)
i'm in the states, work in health care(although not directly with pregnant women) and i've never heard of heavier people needing a higher dose of multivitamin. maybe it's different where you are, but just my .02
14th-Nov-2012 12:34 am (UTC)
My BMI was 31.5 when I got pregnant, and my OB/GYN was fine with the prenatals I was taking. I don't understand why you would need an extra dose? The values are listed right on the bottle, whatever% of the RDA - there aren't (as far as I know) different RDAs for skinnybitches and for fatbitches.

As far as taking prenatals, I started taking them when I was about 5 weeks, but honestly by the time I gave birth, I'd forgotten to take a LOT of doses. My baby was perfectly healthy.
14th-Nov-2012 03:06 am (UTC)
I have never heard of higher doses of vitamins based on weight. I'd be worried over overdosing, which is possible. It's kinda terrifying that would be suggested...
14th-Nov-2012 02:59 pm (UTC)
I was categorized as obese when I got pregnant with #2 and I didn't take any vitamins at all my entire pregnancy. Baby was perfectly healthy and normal. I don't put a lot of stock in vitamins. Its better to eat healthy.
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