Hi all,
I have been through my lactation textbooks, which are getting a bit ancient I must admit, regarding the safety or otherwise of dieting in pregnancy question. I was able to find a reference to toxins in breastmilk in Breastfeeding Matters by Maureen Minchin on p28-30 "A baby's exposure to toxins may be increased if his mother diets sufficiently to break down body fat during lactation, as fat-soluble chemicals may be excreted in milk. Hence mothers should not aim at rapid weight loss during lactation. " It is easier for chemicals to get to the foetus than it is for them to get to breast fed infants, so one may assume that there is some degree of risk during pregnancy from dieting IF there are pesticides in the mother's fat stores. It may be difficult to assess the degree of risk for a particular woman, but loss of large amounts of fat, particularly fat that has been there a long time, during pregnancy may be inadvisable.

I have been trawling through some websites I obtained from a google search and it seems that pesticides in human milk (and presumably in everyone's bodies) are dropping, as many have been banned from use. However the number of sites that I found indicate that this has been of concern to many poeple. Worth a look, but I think the risks are fairly small unless a woman has been working with the chemicals herself or perhaps if she lives on a farm where they have used a lot of these chemicals in the past (they take a long time to break down).

On the other side of the coin, I did some searches about dieting in pregnancy and came up with this website for plus-size women:

http://www.plus-size-pregnancy.org/Dieting_and_Pregnancy.html#Dieting%20During%20Pregnancy
 
The other websites which mentioned dieting in pregnancy advised against it due to the additional nutritional requirements of the mother due to the needs of the fetus and physiological changes in the mother. Personally, I always lose weight (up to 10kg) at the start of my pregnancies due to 'morning sickness'. I usually regain this weight, plus a little more, mainly in the last month. My pregnancy outcomes seem to be fine (kids now 7-19 years old).
 
From all of this I think it probably inadvisable to lose large amounts of weight during pregnancy, and particularly for women who may have had exposure to harmful chemicals. However, a small weight loss, such as that achieved by Judy's friend (6kg), particularly if they are gradual, might be OK. It seems like an area that could do with some more research, however, it is not a topic that lends itself to a randomised controlled trial!
 
Regards,
Nicole.

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