Friday, May 29, 2009

Guidelines released on average weight gain during pregnancy


The Institute of Medicine (IOM) today issued new guidelines on how much weight to gain during pregnancy. But actually, those guidelines begin before pregnancy.

The IOM wants women of childbearing age at a healthy weight before getting pregnant, for the sake of the health of mother and baby alike. And the IOM wants women to be offered preconception counseling about weight, diet, physical activity -- and contraception, if they're overweight or obese, so that they can lose extra weight before pregnancy.

Then, once a woman gets pregnant, she's supposed to keep her weight gain within certain limits, based on her BMI (body mass index) before pregnancy.

Here are the IOM's weight gain allowances for a woman carrying one child: If she's underweight, she should gain 28-40 pounds. If she's at a normal weight, she should gain 25-35 pounds. If she's overweight, she should gain 15-25 pounds. And if she's obese, she should gain 11-20 pounds.

Does that sound doable to you? Or did you figure that since you're "eating for two," you can double your calories -- especially if you're having cravings or feeling hormonal?

Don't go there, says Melissa Goist, MD, a clinical assistant professor of obstetrics and gynecology at the Ohio State University Medical Center.

A normal-weight woman would need only 300 extra calories per day to maintain a healthy pregnancy with one baby -- that's one-sixth of her prepregnancy calorie budget and roughly the amount of calories in a Snickers bar, Goist says.

Of course, Goist isn't recommending that pregnant women get their extra pregnancy calories from candy bars -- a healthy, balanced diet is the way to go.

Goist says it can be tough to talk to pregnant patients about weight, like her patient who was 8 pounds heavier each month that Goist saw her. Keeping that pace for nine months would put her way over the IOM's recommended weight gain. Plus, Goist says that patient wasn't following her dietary advice -- she was feasting on carbohydrates.

Goist, and the experts who wrote the IOM's new guidelines, say the public hasn't gotten the message that pregnancy isn't a time to ignore weight or eat with abandon.

What do you say? If you've been pregnant, how much weight did you gain, and did your doctor talk to you about it? How hard was it to lose the weight after the baby was born, and would you gain more or less weight if you had to do it all over again?

Source:webMD

1 comment:

  1. This is a very common question of pregnant women is that how much weight to gain during pregnancy?According to me If a pregnant woman is going through any of the health problem then she might not be able to get normal healthy baby. Diabetic or high blood pressure females are more likely to conceive a baby with low birth weight. In general, it is being said that three hundred more calories needs to be taken where as exact amount of weight gain depends on the weight before pregnancy. If you are having average weight before conceiving then on average weight gain during pregnancy would be 25 to 35 pounds. Those females who are underweight are required to gain 28 to 40 pounds of weight. Is weight gain during pregnancy is only of a baby? No, it includes weight of placenta, uterus, blood and the amniotic fluids. How much weight to gain during pregnancy if a pregnant woman is obese? She needs to gain only 11 to 20 pounds in nine months. This means that in the first trimester only one pound weight to gain and half pound in each week of second and third trimester.

    ReplyDelete