I notice your comments are about the smoker and drinker/smoker not the overweight girl...
I'm 38yrs old currently pregnant with my 2nd and have a BMI of 36, so on my initial checkup with the doctor that was the (only) box that got ticked for 'risks' and therefore I have to also see a consultant as well as the midwife (as I did for my 1st pregnancy).
Despite my watching what I eat (dietician said there wasn't anything she could recommend - I even took a diet & nutrition course) and with moderate exercise (and a very active 3.5yr old) I have great difficulty losing the excess weight. My sedetary job (full time) and my PCOS doesn't help but I'm not gorging on takeaways, snacks and chocolate which these type of programmes always seem to imply overweight people are! I've never smoked and prior to falling pregnant I hardly drank (seriously maybe a bottle of beer or a glass a wine every few months). I get annoyed when on taking my blood pressure and other tests such as the glucose tolerance of the surprise expressed by doctors/nurses etc each time when it's found to be normal/very good (bp 110/70 last check). I'm 30wks tomorrow still fitting my pre-pregnancy clothes (actually lost a bit of weight) and the only complication is that I have SPD this time as I did with my last pregnancy which makes labour extra fun which last time included 4 days of contractions with minimal sleep and lots of walking etc so how's that for stamina - ANOTHER thing that was commented on in last nights programme. Plus SPD means some of the exercises shown last night i.e. squats are a no-no :/
I really wonder what the midwife they showed on the programme would have to recommend because I do want to lose weight and be healthier, but already think the NHS has given up trying to help me i.e. I've exhaused all their usual advice/recommendations AND I really don't want to go on medication OR have a gastric bypass.