About This Blog

   Note: All content on my website and blog is copyrighted. Do not repost or use without permission.

Purpose of This Blog

The main purpose of this blog is to create a unique intersection of the fat-acceptance and birth worlds, two realms that rarely interact.

The focus of my mission is to:
  • provide general information about pregnancy, birth, breastfeeding, and parenting
  • to discuss how to improve care for women of size in pregnancy, birth, breastfeeding, and menopause
  • to discuss how to improve overall health care for people of size throughout life
  • to discuss parenting as a person of size
  • to raise awareness about the impact of weight stigma and discrimination on people of size
  • to promote health by focusing on positive habits instead of numbers on a scale
Too many resources about "obesity" and pregnancy rely on scare tactics and exaggeration. It is time for common-sense information about pregnancy in women of size, without scare tactics or judgment. It is time for frank discussion about how fat women are treated (and mistreated) in pregnancy, birth, and parenting, and how overly-interventive and discriminatory treatment in this group impacts outcomes. It is time to discuss how to provide dignified and respectful care for women of size, and to open a dialogue about how best to improve outcomes in this group.

This blog also aims to provide information about pregnancy in general, discussing the benefits and risks of various maternity care choices, reviewing research on pregnancy, birth and breastfeeding, and advocating to help improve maternal-child health worldwide.

However, this blog is not just about pregnancy-related concerns. It discusses healthcare for people of size through all stages of life. It highlights the negative impact of weight stigma, negative body image, diets, and weight cycling, and seeks to raise the awareness of Health At Every Size® as an alternative approach to health.

Finally, this blog is also for people of all sizes, not just fat people. It discusses concerns common to people everywhere, particularly healthy living issues such as parenting, gardening, nutrition, food preparation and preservation, and emergency preparedness.

And every once in a while, just for fun, a little fluffy content like humor, music or pop culture is thrown in to lighten things up or to be a cheerful filler in a week too busy for a more in-depth post.

Both health-care consumers and health-care providers are welcome on this blog and are encouraged to dialogue in a respectful way about these issues. Spamming, disrespectful, inaccurate, unkind, or inflammatory comments, however, will not be tolerated.

About The Author

The author of this blog is "kmom" (also known as Pamela Vireday). I am a childbirth educator, speaker, free-lance writer, and well-rounded mama to four kids. I write at:
I can be emailed at kmom AT plus-size-pregnancy  DOT org. I read all my emails, although I apologize that I no longer have the time to reply to all of them.

I graduated from college magna cum laude and have done extensive graduate work beyond that. I have taken childbirth education training with several different organizations, am a Certified Childbirth Educator with Birth Works, am active with The International Cesarean Awareness Network, and have received several teaching awards and other honors. My website and/or blog has been recognized with a Size-Wise Website Recognition Award, and was a Finalist for the 2012 "Best Pregnancy Blog" Award from about.com.

Here is a summary of my writing and speaking work in the childbirth field outside of my website and blog.


Author/contributor of the following articles and books:

Science and Sensibility Blog: 

   3-part series on Obesity and Pregnancy
   ("Rethinking the Obesity Paradigm, An Insider's View")
               Part One: Discussing the Risks of Obesity and Pregnancy
               Part Two: Analyzing the Research on Obesity and Pregnancy
               Part Three: A Proactive Approach to Preventing Complications
                               Among Women of Size

   Practice Variation in Cesarean Rates: Not Due to Maternal Complications

   Welcoming Women of Size and Promoting Optimal Birth Outcomes

Our Bodies Ourselves Website:
               Women of Size and Cesarean Sections: Tips for Avoiding Unnecessary Surgery
Midwifery Today: Are You A Size-Friendly Midwife?

Without Measure: Lowering the Cesarean Rate in Big Moms


Our Bodies Ourselves - 2011 edition
               Reviewer and contributor for the pregnancy chapter of the 2011 edition of OBOS

The Politics of Size: Perspectives from the Fat-Acceptance Movement
               Chapter contributor for this scholarly fat-acceptance anthology


Speaker/Workshop Presenter at the following conferences/events (topics in italics):

Women Living Large, November 2001 
  • Plus-Size Pregnancy
National Association to Advance Fat Acceptance (NAAFA), May 2002 
  • Plus-Size Pregnancy
  • Polycystic Ovarian Syndrome
International Cesarean Awareness Network (ICAN), May 2003 
  • Plus-Size Pregnancy
Birth Works, July 2003 
  • Plus-Size Pregnancy
Midwives’ Association of North America (MANA), October 2004 
  • Plus-Size Pregnancy
International Cesarean Awareness Network (ICAN), April 2005 
  • VBAC After Multiple Cesareans
Midwives’ Association of North America (MANA), October 2005 
  • Serving Women of Size
  • Lowering the Cesarean Rate in Women of Size
International Cesarean Awareness Network (ICAN), April 2007 
  • VBAC in Women of Size
Birth Works, July 2007 
  • Transforming Your Fears
National Association to Advance Fat Acceptance (NAAFA), July 2007 
  • Plus-Size Pregnancy
Midwives Association of North America (MANA), October 2009 
  • VBAC in Women of Size
  • Nutrition and Weight Gain in Women of Size
International Cesarean Awareness Network (ICAN), April 2010 
  • When VBAC Doesn't Happen: Supporting CBAC Mothers
Guest speaker, Grand Rounds, OHSU Nurse-Midwifery Program, December 2011 
  • Improving Care for Women of Size: An Evidence-Based Look