05/01/2026
There’s no such thing as a “fat vagina”!
"In late 2019, an obstetrician in Scotland made a rude, untrue, unevidenced, and misogynistic comment during a BBC radio programme which immediately led to other obstetricians and the Royal College of Obstetricians and Gynaecologists in the UK speaking out to refute what he had said.
His claim, which I am repeating here only for the sake of anyone who has come across it and believed it, was that one reason for an increase in the caesarean rate is that larger women have increased fat tissue in the birth canal.
In other words, to use the horrible term coined by journalists, ‘fat vaginas’.”
That’s the beginning of a section in my book, ‘Plus Size Pregnancy: what the evidence really says about higher BMI and birth.’
The section is called ‘The myth of the fat vagina’, and I included it because so many people asked me to look at the evidence for this myth.
I did that.
And, as I also wrote in the book, ‘having looked thoroughly at the evidence on this topic, I can confidently assure you that there is no such thing as a ‘fat vagina’.
It’s an incorrect, misogynistic, obstetric myth that has no basis in evidence or real-world experience."
I hope that helps set the record straight.
Visit I have long talked about the problems that can stem from our use of the word ‘risk.’
For many years, I have written about how we can effectively discuss risk with women and families.
I continued that conversation in my book, “In Your Own Time: How western medicine controls the start of labour and why this needs to stop.”
As I write in the book:
“The word ‘risk’ simply means ‘chance.’
It doesn’t mean ‘you have a medical condition.’
Life itself is risky, and we all encounter risks every day.
Getting out of bed is risky, but thankfully not very risky, so we generally all do this every morning.
We need to put risks into context.
There are pros and cons to induction, as with everything in life.
What’s important is that you have good evidence and knowledge, so that you can weigh up the decision and decide what’s right for you.
Visit https://www.sarawickham.com/plus-size-pregnancy to find out more.