What steps can I take to promote a healthy pregnancy?

You can limit the impact of having a high BMI and help ensure your health and your baby's health. For example:

• Schedule a preconception appointment. If you have a BMI of 30 or higher and you're considering getting pregnant, talk to your health care provider. He or she might recommend a daily prenatal vitamin and refer you to other health care providers — such as a registered dietitian — who can help you reach a healthy weight before pregnancy.
• Seek regular prenatal care. Prenatal visits can help your health care provider monitor your health and your baby's health. Tell your health care provider about any medical conditions you have — such as diabetes, high blood pressure or sleep apnea — and discuss what you can do to manage them.
• Eat a healthy diet. Work with your health care provider or a registered dietitian to maintain a healthy diet and avoid excessive weight gain. Keep in mind that during pregnancy, you'll need more folic acid, protein, calcium, iron and other essential nutrients.
• Be physically active. Consult your health care provider about safe ways to stay physically active during your pregnancy, such as walking, swimming or doing low-impact aerobics.
• Avoid risky substances. If you smoke, ask your health care provider to help you quit. Alcohol and illicit drugs are off-limits, too. Get your health care provider's OK before you start or stop taking any medications or supplements.

Having a BMI of 30 or higher during pregnancy can increase the risk of complications for you and your baby. Working with your health care provider can help you manage your risks and promote a healthy pregnancy.