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Although larger women currently DO have higher c/s rates, it is NOT a given that a large women must have a c/s.

In fact, midwifery studies show that even with bias and emotional baggage and complications, the MAJORITY OF LARGE WOMEN STILL HAVE NORMAL VAGINAL BIRTHS MOST OF THE TIME.

It is so important for us to see that many of our fat sisters have traveled this journey before us.

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Unfortunately, medical studies rarely differentiate between large women who take excellent care of themselves and those who do not, making the risks seem to apply equally based on size alone.

Therefore, many providers apply interventions equally to all women of size, when only a few may actually need them.

Since a number of studies and meta-analyses have found that epidurals (especially in the beginning of labor) result in higher rates of c/s, and these doctors have already been told to expect fat women to 'need' a c/s, the number of fat women having a c/s at this hospital is likely to remain high.

Big moms do have a higher cesarean rate, though many are probably unnecessary.

They tend to have somewhat higher rates of complicating conditions that often result in c-sections (pre-eclampsia, gd, PCOS which often results in pre-eclampsia or gd, etc.).

In addition, although it's not true for all fat women by any means, some fat women are out-of-shape and don't eat properly or exercise, which also tends to increase the rate of complications in pregnancy.

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Pregnancy books and most websites do not fulfill this need; mostly they are filled with warnings about "obesity" and pregnancy, admonitions not to get pregnant until you lose weight, dire predictions of disastrous pregnancies filled with complications, or horror stories designed to scare you into weight loss compliance.

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