Oh, don't worry, discussion is always healthy !!!
With kind regards
Brenda Manning
www.themidwife.com.au
----- Original Message -----
From: "Kylie Holden" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Sunday, January 29, 2006 8:09 PM
Subject: Re: [ozmidwifery] Weight gain in pregnancy
Hi Brenda
Thanks for that. After I posted I started thinking about it a little bit
more and I worked out where I was going wrong! All I could remember
learning from books etc is that pregnancy is the worst time to try and
lose weight, but as you say, a healthier diet will of course lead to
weight loss in obese women, pregnant or not.
Looks like I may have opened another can of worms...oops!
Kylie
From: "brendamanning" <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: <[email protected]>
Subject: Re: [ozmidwifery] Weight gain in pregnancy
Date: Fri, 27 Jan 2006 13:19:08 +1100
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: <[email protected]>
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: [email protected]
To: <[email protected]>
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: <[email protected]>
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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