Having a high BMI during pregnancy does not mean something will go wrong, but it can increase the risk of certain complications. Many feel worried about this, and it’s important to know that the purpose of maternity care is support — never blame. Your body is growing your baby, and you deserve to feel safe and respected in it.

A higher BMI is associated with increased risk of high blood pressure, pre-eclampsia, gestational diabetes, and a larger baby. This does not mean you will develop these conditions — only that your care team monitors you more closely so any changes are detected early. You may be offered extra ultrasounds to assess fetal growth, and your blood pressure and blood sugar may be checked more frequently.

Some pregnant people experience stigma in healthcare settings. As a midwife, I want to be clear: you are entitled to compassionate, professional care regardless of body size. Our goal is to support your health, not judge it.

Gentle movement — even short walks — can lower risks and improve wellbeing. The goal is not weight loss; it’s supporting circulation, strength, and comfort. Many find water exercise, pregnancy yoga, or walking helpful.

Nutritional guidance may be offered to help stabilise blood sugar and energy levels, not to restrict you. Food should support your body, not stress dig it.

During labour, your midwife will monitor blood pressure, bleeding, and fetal wellbeing a bit more closely. Most people with a high BMI have straightforward births.

Alma’s tips

• Short, regular walks can improve both wellbeing and pregnancy health.

• Ask for support if you feel worried about blood pressure or blood sugar.

• You deserve respectful care — say something if you don’t receive it.

• Focus on comfort and wellbeing, not weight — your body is doing something incredible.