I recently did a project with a "supersized" woman. (Yeah, I know, not my favorite term either.) We got to talking about our kids, and of course pregnancy and birth experiences came up. I was curious to see how she'd been treated. The answer.....not well. She gave me permission to share her experience here.
At the time of her first pregnancy, about 20 years ago (only 1990, folks, hardly the Dark Ages), she was much smaller. She thinks she was a little over 200 lbs. at the time. She was still treated like crap.
She spent a lot of time trying to eat really well in pregnancy, mostly salads and protein. She had severe nausea which made eating anything difficult, but she was doing her very best. But of course, no one believed that she could possibly be eating decently.
She remembers one particular visit with her OB. The OB told her, "You're killing your baby because you can't control your appetite."
Now remember, she was already eating well, and her weight gain was within guidelines. But this doc looked at her and made all kinds of assumptions about her habits (and what would happen), just based on her body alone. And then proceeded to scare the crap out of her about her baby, based on her size alone. She left the appointment in tears and cried for days.
Post-note: She didn't switch OBs but she did start bringing her husband to appointments, who intimidated the OB away from further comments like that. The baby from that pregnancy, contrary to predictions, is alive and well and was part of the project we collaborated on....a truly delightful girl.