pregnancy loss

Losing weight before conception

Weight loss before baby: Princeton IVF blog
weight-loss-pregnancy-rates.jpg

This time of year is a time when many couples who are having trouble conceiving decide it’s time to start seeking help. That help could come from the OBGYN, a midwife or a fertility specialist. It’s also a time in the year, after indulging during the holidays, when many of us have a few extra pounds to shed.

For those who are overweight, part of that advice will be to lose weight before conception.

While this may not be easy, there are multiple reasons why weight loss before pregnancy is good advice.

  • Being overweight will reduce the chances of you getting pregnant on your own

  • Being overweight will increase the chances that if you do get pregnant, you will miscarry

  • Being overweight will increase the chances of medical complications during pregnancy such as diabetes and high blood pressure.

  • While diet and exercise during pregnancy can help limit weight gain during pregnancy, it is not likely to reduce the likelihood of pregnancy-related complications such as diabetes and hypertension.

Delaying pregnancy and excess weight are both bad for fertility, so delaying pregnancy for weight loss is balancing two risks.

At what point do the risks of delaying pregnancy offset the benefits of weight loss?

  • According to a recent study presented at the American Society for Reproductive Medicine, women in their late 30’s or those have poor ovarian reserve may be best off not delaying childbearing despite the obvious benefits.

Caffeine, vitamins and miscarriage

Can caffeine affect your miscarriage risk: Princeton IVF blog
Caffeinated beverages and risk of miscarriage

It may be time to cut back on coffee before pregnancy...

An new study from the National Institutes of Health suggests that the morning pilgrimage to Starbucks, Dunkin Donuts or your favorite coffee may not be such a good idea, at least if you or your partner are trying to get pregnant.  In the past, it was thought that small amounts of caffeine intake were not an issue, but researchers have now found that the as little as 2 drinks a day may almost double the risk of a pregnancy ending in miscarriage. Furthermore, this risk was present not just during pregnancy but when a woman drinks caffeinated beverages even several months before conception, and was even true when the male partner consumes caffeinated drinks. The risk of miscarriage was just as high when the male partner used caffeine.

So, does that mean caffeine causes miscarriages?

Not necessarily. The study was small so this could just be a statistical fluke and it is quite possible that people who drink more coffee have other unrelated issues that make them more prone to miscarriage.  Still, prudence would suggest  avoiding caffeinated beverages such as coffee, tea and soda are a good idea when planning pregnancy.

But, there is a bright side to the study...Vitamins.

It turns out that women who took multivitamins actually had a lower miscarriage risk, by about 50 %.