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Advice for Overweight Moms-to-Be

Four Tips to Help Manage Weight Gain
-- By Becky Hand, Licensed and Registered Dietician

The Scenario:

You've just had a prenatal visit with your doctor. Because of your prepregnancy weight the doctor has advised you to gain no more than 15 pounds during your pregnancy.
You received a few general guidelines, such as "eat a balanced diet and walk 15 minutes a day." Now you're thinking, um, "thanks" and your mind is going crazy, you need more specific advice. You're wondering what to do. You need HELP!

The Solutions:

TIP #1: Stick to your weight gain goals. Goals for total weight gain during pregnancy should be based on your pre-pregnancy weight, height, and age. The National Academy of Sciences/Institute of Medicine has issued recommendations for weight gain during pregnancy. Since every woman and every pregnancy is unique, you and your physician should discuss your specific weight gain guidelines and expectations.
  • Overweight women (BMI 26-29) should gain no more than 15-25 pounds during pregnancy.
  • Obese women (BMI greater that 29) should limit weight gain to no more that 15 pounds.
TIP #2: Keep track of your weight gain rate. Just as the amount of weight gain is important to a healthy pregnancy, so is the rate of gain. Remember, this is not the time to lose weight. Report any sudden and/or unexplained weight change to your physician immediately.
  • During the first trimester, limit weight gain to 0-5 pounds total.
  • During the 2nd and 3rd trimesters, overweight women should gain about 2/3 pound per week (18 pounds total).
  • During the 2nd and 3rd trimesters, obese women should gain about 1/2 pound per week (14 pounds).
TIP #3: Select one of these nutritious and caloric based food plans.

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Member Comments About this Article
"Love how they don't comment on those of us that dropped 20lbs the first trimester due to morning sickness. No wonder my doc didn't say anything about weight gain and even said I was OK to lose weight as long as I didn't get dehydrated." -- LADAMEBLANC2
"Please note that this recommendation is for those woman that have been advised to limit their weight gain or who have a BMI that puts them in an 'obese' category that indicates need to limit weight gain. If this is not your situation, please decline these recommendations in favor of your specialized Babyfit calculated guidelines or your medical providers recommendations." -- TANYA_BABYFIT
"Sorry, 1500-1700 calories a day to only gain 15 lbs? I came here from Sparkpeople. You know, the dieting site? My caloric goal there was 1500-1800/day. I was LOSING 2 pounds a week on that, even without the energy demands of baking a baby! I have a hard time viewing this recommendation as anything but dangerous." -- BETHTHECAT
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About The Author
Becky Hand
Becky is a registered and licensed dietitian with almost 20 years of experience. She teaches prenatal classes and counsels individuals, helping women eat right and stay fit before, during and after their pregnancies.
Becky Hand

 


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