{"id":52888,"date":"2019-12-12T10:40:48","date_gmt":"2019-12-12T10:40:48","guid":{"rendered":"http:\/\/www.jomec.co.uk\/altcardiff\/?p=52888"},"modified":"2020-11-27T19:38:01","modified_gmt":"2020-11-27T19:38:01","slug":"inpoverty-overweight-and-trying-for-a-baby-losing-weight-to-conceive","status":"publish","type":"post","link":"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2019\/12\/12\/inpoverty-overweight-and-trying-for-a-baby-losing-weight-to-conceive\/","title":{"rendered":"#InPoverty: Overweight and trying for a baby? The NHS&#8217;s lack of fertility support"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">Although 60% of adults are overweight, women are being denied access to fertility treatment with no assistance because of their size<\/h3>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"800\" height=\"600\" loading=\"lazy\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600.jpg\" alt=\"\" class=\"wp-image-52962\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><noscript><img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600.jpg\" alt=\"\" class=\"wp-image-52962\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-800-x-600-100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript><figcaption>Infertility can be extremely isolating. The journey is not only financially challenging, but it affects all areas of life &#8211; relationships, careers and health<\/figcaption><\/figure>\n\n\n\n<p>Getting pregnant is generally portrayed as an easy thing to do. With one contraceptive slip up, a bundle of joy will appear in nine months. Sadly, for many, this is not the reality.&nbsp;<br><\/p>\n\n\n\n<p>Approximately, 84% of couples will conceive naturally within a year of having regular unprotected sex. However, <a href=\"https:\/\/www.nhs.uk\/conditions\/infertility\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">one in seven<\/a> couples will suffer from infertility according to the NHS.&nbsp;<br><\/p>\n\n\n\n<p>A large proportion of the one in seven will be denied treatment due to body mass index (BMI) barriers. Imagine being told that you can\u2019t receive treatment because you&#8217;re overweight, with no advice or support given in return? This is the reality for many of those struggling with infertility.&nbsp;<br><\/p>\n\n\n\n<p>The Welsh Government acknowledges that the nation is suffering an obesity epidemic, with 60% of adults overweight, they have outlined plans to tackle the issue with their <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/gov.wales\/sites\/default\/files\/consultations\/2019-01\/consultaton-document_0.pdf\" target=\"_blank\">Healthy Weight: Healthy Wales<\/a> initiative.&nbsp;<br><\/p>\n\n\n\n<p>The most deprived areas in Wales have the highest <a href=\"https:\/\/researchbriefings.files.parliament.uk\/documents\/SN03336\/SN03336.pdf\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">rates<\/a> of obesity, 28% of adults in these areas were obese in 2018\/19, compared with 22% of adults in the least deprived areas.<br><\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/foodfoundation.org.uk\/wp-content\/uploads\/2018\/10\/Affordability-of-the-Eatwell-Guide_Final_Web-Version.pdf\" target=\"_blank\">The Food Foundation<\/a>\u2019s report on the affordability of the UK\u2019s <a href=\"https:\/\/www.nhs.uk\/live-well\/eat-well\/the-eatwell-guide\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">Eatwell Guide<\/a> (a guide outlining what\u2019s needed for a balanced and healthy diet), found that the <a rel=\"noreferrer noopener\" aria-label=\"cost (opens in a new tab)\" href=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/in-poverty\/inpoverty-when-you-cant-afford-to-eat-nutritional-food-isnt-on-the-menu\" target=\"_blank\">cost<\/a> of such a diet would estimate to be \u00a341.93 per adult, per week &#8211; a cost that many can\u2019t afford.&nbsp;<br><\/p>\n\n\n\n<p>Abigail Scott Paul works for The Joseph Rowntree Foundation, an organisation working to <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.jrf.org.uk\/blog\/effective-poverty-and-obesity-campaigns-need-more-just-stats\" target=\"_blank\">solve<\/a> UK poverty.&nbsp;<br><\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Living in poverty creates a stressful environment where less immediate priorities, such as losing weight feel unobtainable when it\u2019s more important to focus on surviving.\u201d<br><\/p><\/blockquote><\/figure>\n\n\n\n<p>As one of the fattest nations in Europe, what support is currently being given to those who are struggling to start a family? More importantly, have weight issues prevented them from qualifying for help?<br><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"800\" height=\"600\" loading=\"lazy\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600.jpg\" alt=\"\" class=\"wp-image-52964\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><noscript><img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600.jpg\" alt=\"\" class=\"wp-image-52964\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IMG-IVF-800-600-100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript><figcaption>90% of people going <a href=\"https:\/\/fertilitynetworkuk.org\/let-down-lack-of-support-for-fertility-patients-before-during-and-after-treatment\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"through (opens in a new tab)\">through<\/a> infertility are depressed and 42% feel suicidal<\/figcaption><\/figure>\n\n\n\n<p><strong>A \u2018soft target\u2019<\/strong><\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/fertilitynetworkuk.org\/\" target=\"_blank\">Fertility Network UK<\/a>, the leading patient-focused fertility charity, <a href=\"https:\/\/fertilitynetworkuk.org\/trying-to-conceive\/nhs-funding\/wales\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">outlines<\/a> that in Wales, \u201cWomen accessing IVF treatment must have a BMI of between at least 19 and up to and including 30.\u201d<br><\/p>\n\n\n\n<p>Dr Rebecca Brown, a postdoctoral research fellow at Oxford University, has <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007%2Fs10728-019-00366-w.pdf\" target=\"_blank\">argued<\/a> that there is insufficient evidence to suggest that IVF is any less successful with women who are overweight, and that obese people are a \u201csoft target\u201d for cost cutting.&nbsp;<br><\/p>\n\n\n\n<p>\u201cNegative attitudes towards obese people render them as easy targets for cost cutting commissioners,\u201d she says.&nbsp;<br><\/p>\n\n\n\n<p>Alice Matthews is Wales\u2019s coordinator for Fertility Network UK and speaks to women regularly about their fertility journey.&nbsp;<br><\/p>\n\n\n\n<p>\u201cYou wouldn\u2019t believe how many I speak to who have been refused help or access to fertility treatment because of their weight, it\u2019s so upsetting for people,\u201d Alice confesses.&nbsp;<br><\/p>\n\n\n\n<p>\u201cI think the hardest thing is just being told, \u2018You\u2019re too fat, lose some weight\u2019, these really negative comments. It\u2019s stressful. What do we do when we\u2019re stressed? We eat.<br><\/p>\n\n\n\n<p>\u201cIf you are trying to lose weight, follow a balanced healthy lifestyle and be active everyday &#8211; it\u2019s not rocket science. That\u2019s the problem, the advice is very simple, it\u2019s just hard to execute without proper physical and emotional support,\u201d says Alice.&nbsp;<br><\/p>\n\n\n\n<p>Tracey Sainsbury, a fertility counsellor at <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.londonwomensclinic.com\/\" target=\"_blank\">London\u2019s Women\u2019s Clinic<\/a>, a private organisation that provides fertility treatments, speaks to women who have been denied treatment because they are overweight on a weekly basis. Tracey believes that programmes like Slimming World or Weight Watchers can be useful for fertility weight loss, but understands that women still require additional support.&nbsp;<br><\/p>\n\n\n\n<p>Support is often vital for those wanting to lose weight. Weight loss groups like Slimming World start at \u00a34.95 a week. The cost of support coupled with the cost of eating healthy isn\u2019t financially viable for many.<br><\/p>\n\n\n\n<p>In Wales, the mean intake of sugar is two times higher than the recommended maximum for adults, with the majority of people eating more calories than needed. Alongside this, only <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/gov.wales\/sites\/default\/files\/consultations\/2019-01\/consultaton-document_0.pdf\" target=\"_blank\">half<\/a> of adults get enough physical activity, and a <a href=\"https:\/\/gov.wales\/sites\/default\/files\/consultations\/2019-01\/consultaton-document_0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">third<\/a> undertake no physical activity at all.<br><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"1280\" height=\"720\" loading=\"lazy\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7.png\" alt=\"\" class=\"wp-image-52967\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7.png 1280w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7-300x169.png 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7-1024x576.png 1024w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7-768x432.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><noscript><img decoding=\"async\" width=\"1280\" height=\"720\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7.png\" alt=\"\" class=\"wp-image-52967\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7.png 1280w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7-300x169.png 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7-1024x576.png 1024w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/1-in-7-7-768x432.png 768w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/noscript><figcaption>If you&#8217;re under 35, you have a 29% chance of having a successful round of IVF with the NHS. As Dr Rebecca Brown has argued, there is insufficient evidence to support the fact that treatment is less successful for those with a \u2018normal\u2019 BMI<br><\/figcaption><\/figure>\n\n\n\n<p><strong>10 years of emotional negligence&nbsp;<\/strong><\/p>\n\n\n\n<p>Fehmida Motana decided she wanted to start growing her family back in 2001. She was diagnosed with polycystic ovary syndrome after having several miscarriages. As a result, Fehmida gained 30kg (4st 7lbs) \u201calmost overnight.\u201d&nbsp;<br><\/p>\n\n\n\n<p>Because of her weight, Fehmida was denied access to fertility treatment for almost 10 years.&nbsp;<br><\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>All they (the NHS) kept saying was \u2018Just come back when you lose weight\u2019, they didn\u2019t offer any support.\u201d<br><\/p><\/blockquote><\/figure>\n\n\n\n<p>\u201cI was losing weight incredibly slowly, you\u2019re in a spiral of anxiety and depression. I\u2019m not excusing the fact that I was overweight, I think if there is a medical reason for the weight, nutritionists or dieticians under the NHS should work together to provide extra support,\u201d she said.&nbsp;<br><\/p>\n\n\n\n<p>Fehmida had a rapid period of weight loss, losing 30kg (4st 7lbs), but still remained 2kg (0st 3lb) over the threshold.&nbsp;<br><\/p>\n\n\n\n<p>The NHS still wouldn\u2019t provide Fehmida with support, advice or treatment. Finally, after 10 years of waiting, she decided to book a private appointment at another clinic.&nbsp;<br><\/p>\n\n\n\n<p>The private clinic told Fehmida that they could use discretion and agreed to treat her on the NHS.<br><\/p>\n\n\n\n<p>\u201cThey ended our 10 years of agony waiting for IVF, and saved us thousands of pounds,\u201d Fehmida explained.&nbsp;<br><\/p>\n\n\n\n<p>In May, with help from IVF on the NHS, Fehmida gave birth to twin girls.&nbsp;<\/p>\n\n\n\n<p>Unlike 84% of couples, Fehmida\u2019s journey was a painful one. After 17 years of trying for a baby, 10 of those years were prohibited by BMI barriers. She was not given the correct help, support or advice throughout her infertility struggles. <br><\/p>\n\n\n\n<p>For those struggling to lose weight, eat healthy and budget for support, the only other option is private treatment, which often <a href=\"https:\/\/www.nhs.uk\/conditions\/ivf\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">costs<\/a> in excess of \u00a35,000. The enormous cost of private fertility treatment is simply out of reach. These women are trapped in a cycle of unattainable weight loss and anxiety.<br><\/p>\n\n\n\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe class=\"zeen-lazy-load-base zeen-lazy-load\" title=\"#InPoverty: Overweight and trying for a baby\" width=\"1200\" height=\"900\" src=\"about:blank\" data-lazy-src=\"https:\/\/www.youtube.com\/embed\/C5uSIwG-n4M?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><noscript><iframe title=\"#InPoverty: Overweight and trying for a baby\" width=\"1200\" height=\"900\" src=\"https:\/\/www.youtube.com\/embed\/C5uSIwG-n4M?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/noscript>\n<\/div><figcaption>&#8220;There is not enough support to lose weight, or understanding for the reasoning behind the excess weight from both GPs and IVF clinics,&#8221; says Kelly Da Silva. <\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Although 60% of adults are overweight, women are being denied access to fertility treatment with no assistance because of their size<\/p>\n","protected":false},"author":281,"featured_media":52972,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[431],"tags":[5560,6682,7061,7062,4444,807,7063,3591,7064,7065,7066,7067,2988,6900,7068,119,5381,211,7069],"coauthors":[7242],"class_list":["post-52888","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-poverty","tag-anxiety","tag-baby","tag-bmi","tag-cost-of-living","tag-depression","tag-diet","tag-dovecote","tag-family","tag-fertility","tag-fertility-network-uk","tag-healthy-weight-healthy-wales","tag-infertility","tag-nhs","tag-obesity","tag-overweight","tag-poverty","tag-treatment","tag-wales","tag-weight-loss"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>#InPoverty: Overweight and trying for a baby? 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The NHS&#039;s lack of fertility support - alt.cardiff\" \/>\n<meta property=\"og:description\" content=\"With 60% of adults in Wales overweight, women are frequently being denied access to fertility treatment because of their weight\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2019\/12\/12\/inpoverty-overweight-and-trying-for-a-baby-losing-weight-to-conceive\/\" \/>\n<meta property=\"og:site_name\" content=\"alt.cardiff\" \/>\n<meta property=\"article:published_time\" content=\"2019-12-12T10:40:48+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-11-27T19:38:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/IVF-1-980x635-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"980\" \/>\n\t<meta property=\"og:image:height\" content=\"635\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Georgia Buchanan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Georgia Buchanan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2019\/12\/12\/inpoverty-overweight-and-trying-for-a-baby-losing-weight-to-conceive\/\",\"url\":\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2019\/12\/12\/inpoverty-overweight-and-trying-for-a-baby-losing-weight-to-conceive\/\",\"name\":\"#InPoverty: Overweight and trying for a baby? 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