Kylie,
Maternal weight gain is determined largely by diet (intake, quality & absorption) plus lifestyle (ie level of activity, substance abuse, It is in no way related to fetal growth. Weight gain during pregnancy is largely maternal. Some women are large, well nourished, healthy, fit & active. Other large women are inactive & actually poorly nourished with inadequate diets.

I think you are confusing the quality of diet with the quantity which cause the weight gain. Some women lose weight in pregnancy because they are conscious they are growing a baby & adjust their diet to a healthy intake of nutritious foods away from their usual fat, CHO & preservative high diet. They are actually better nourished than when non pregnant but leaner.

Mothers who are malnourished usually produce LBW infants, this is unrelated to their weight gain. Unhealthy lifestyles & inadequate diet will dictate reduced fetal brain growth or potential as opposed to fetal weight gain. A large baby is not necessarily a healthy one. It's about quality not quantity & fetal growth as measured regularly by the same practitioner will soon pick up the baby who isn't growing. Here is one of the big advantages of continuity of caregiver, IUGR or SGA is picked up much more quickly by the same hands feeling a baby each visit than a series of different people palpating.

With kind regards
Brenda Manning
www.themidwife.com.au


----- Original Message ----- From: "Kylie Holden" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, January 27, 2006 12:14 PM
Subject: Re: [ozmidwifery] Weight gain in pregnancy


Thanks Sally-Anne
I guess that's what I get for reading too many textbooks! I did think it would be an individual thing, but wasn't sure. Feeling more reassured about my friend now...thanks!

Kylie


From: "Sally-Anne Brown" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: <ozmidwifery@acegraphics.com.au>
Subject: Re: [ozmidwifery] Weight gain in pregnancy
Date: Fri, 27 Jan 2006 11:28:22 +1100

Dear Kylie

I think it can be individual. I have been caring for a woman who is normally 110 kgs and usually loses weight (14-15 kgs) with each pregnancy and the babies are fine. I guess it is done to how the woman is feeling in herself and how bub palps etc.

Kind Regards

Sally-Anne
----- Original Message ----- From: "Kylie Holden" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, January 27, 2006 10:38 AM
Subject: [ozmidwifery] Weight gain in pregnancy


I have another question for you all!

I know a woman who is pregnant, currently about 27 weeks. She has been told by her doctor that as she is very overweight (100+kg) she should put on as little weight as possible during pregnancy. At 27 weeks she has only put on three quarters of a kilo, and doctor is very pleased! I didn't know what to say to her. Is such a small weight gain safe for the baby? According to the textbooks, average weight gain is 3-4kgs in the first 20 weeks and then half a kilo every week after that (of course, wide variances occur and every woman is different), but the books that I have don't say if it's different for obese women.

Less than a kilo of weight gain at 27 weeks...any thoughts?

Thanks
Kylie

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