The next time you’re at the gym, take a look around you—obviously, it will be mostly women there, but if you look closely enough, you’ll see that they don’t all have the same bodies. Some women are naturally thin and petite, while others are naturally bigger and curvier (and yes, naturally bigger can also include larger breasts and thighs!). The question is—do women who are naturally bigger have easier pregnancies than those who are thin? And more importantly, does it matter?


What is pre-eclampsia?

Doctors and scientists aren't quite sure why women who are thin have more risk of developing pre-eclampsia than their naturally bigger counterparts. Pre-eclampsia is a disorder of pregnancy in which the placenta separates from the uterus, and other symptoms may include high blood pressure, protein in the urine, and swelling.


What's the issue with high BMI during pregnancy?

Women who are naturally big have lower BMIs than women who are thin, so they have an easier time carrying the baby. For some people, when a mother is expecting, it can be difficult to find what is appropriate and comfortable for her to wear as her body changes. This can make it more difficult for mothers with bigger or heavier bodies to move around freely and get enough exercise during pregnancy. Being pregnant for a longer period of time can also lead to high blood pressure due to the extra weight on the heart.


Reasons for a higher BMI being associated with lower risk of pre-eclampsia

Women who are naturally bigger have a higher risk of pre-eclampsia, because they are more likely to have high blood pressure than those who are thin. Higher BMI is linked to higher blood pressure, but it can also be a sign of insulin resistance. And the woman who has these two risk factors has an even higher chance of having pre-eclampsia.

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