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Healthy Weight Gain During Pregnancy - An Outline

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Maintaining a healthy weight is important for the mother and child and reduces the risk of complications during childbirth. Read below to learn more.

Medically reviewed by

Dr. Sangeeta Milap

Published At August 30, 2023
Reviewed AtOctober 17, 2023

Introduction

During pregnancy, the body undergoes numerous changes to accommodate the growing baby. Hormonal fluctuations, fluid demands, and the baby's growth, uterus, and placenta contribute to weight gain. However, excessive weight gain during pregnancy can lead to complications. Therefore, it is essential to maintain a healthy weight throughout the pregnancy period.

How Much Is Normal Weight Gain During Pregnancy?

Pregnancy brings about significant changes in daily routines, dietary habits, and exercise regimens. Women's bodies also transform to ensure the proper nourishment of the growing child. As pregnancy begins, hormonal levels start to shift, and these changes become more pronounced over time. Weight gain is generally gradual in the early months but increases in the later stages of pregnancy. This weight gain is a result of the baby's weight, body fluids, and the growth of the placenta and amniotic fluid.

The amount of weight gain recommended during pregnancy varies depending on the woman's pre-pregnancy weight.

  • Underweight women are advised to gain about 423 to 635 ounces.

  • Women with a normal weight before pregnancy should aim for approximately 390 to 565 ounces.

  • Overweight women should aim for 247 to 423 ounces.

  • Obese women should aim for 176 to 317 ounces.

It is important to note that the weight gain of a pregnant woman alone is not indicative of how well the baby is growing. Further, assessing a pregnant woman's weight alone cannot accurately predict the baby's weight at birth. Ultrasound scans and other assessments provide a more reliable estimation of the baby's growth and expected birth weight.

What Are the Causes of Weight Gain During Pregnancy?

During pregnancy, the weight gain is not body fat but related to the baby's weight and other body changes. Around 560 ounces of weight will be added up.

  • Baby: 128 ounces.

  • Placenta: 32 to 48 ounces.

  • Amniotic Fluid: 32 to 48 ounces.

  • Breast Tissue: 32 to 48 ounces.

  • Blood Supply: 64 ounces.

  • Fat Stores: 80 to 144 ounces.

  • Uterus Growth: 32 to 80 ounces.

How to Manage Weight During Pregnancy?

During pregnancy, some women gain weight quickly, and some might be already overweight. In pregnancy, one should not go for diet plans to lose weight. To manage weight, eating healthy foods and staying active is essential. Not gaining enough weight can cause problems for the mother and child. Consider the following:

1. Healthy Foods:

  • Fresh fruits and vegetables are rich in vitamins and low in calories and fat.

  • Consider eating cereals, bread, and crackers made of whole grain.

  • Consume dairy products with low-fat content. Take at least four servings of milk products daily. Using skimmed milk reduces calories and fat.

  • Choose low-fat or fat-free cheese and yogurt.

2. Foods to Avoid:

  • For food and drinks which are naturally sweetened, try to avoid added sugar and artificial sweeteners.

  • Food and drinks using corn syrup should be avoided.

  • Drinks with high calories and sugar should be avoided. Use water, soda, or natural fruit juices without sugar.

  • Junk foods and snacks must be avoided during pregnancy. Also, avoid cookies, candies, ice creams, and cakes.

  • Reduce fat intake or consume food with low-fat content.

3. Homely Food:

  • Prepare meals with low-fat content.

  • Avoid fried foods, as they will increase the calories or fat.

  • The best methods of low-fat cooking are baking, boiling, and grilling. Trying these methods of cooking is best during pregnancy.

4. Exercise:

  • Do moderate exercises as recommended by healthcare providers.

  • Do not engage in strenuous exercise that might be harmful to the baby.

  • Make sure to consult the doctor before starting any type of exercise.

Does Increased Weight Gain Cause Health Problems in Pregnancy?

Excessive weight gain during pregnancy can pose serious health problems and complications during childbirth. Pregnant women who experience significant weight gain may have larger-than-average babies weighing over 144 ounces, known as macrosomia, which often necessitates a cesarean section for delivery.

Women who put on excessive weight during pregnancy may encounter challenges in postpartum weight reduction. Conversely, insufficient weight gain during pregnancy can be detrimental to the growing baby and may lead to preterm birth, resulting in a baby with low birth weight.

If a pregnant woman experiences sudden weight gain or gains more than 16 ounces per week, it is crucial to seek medical attention promptly. Rapid weight gain could be an indicator of a condition called pre-eclampsia, which can lead to other health issues like high blood pressure, nausea, dizziness, and headaches. Pre-eclampsia is a potentially dangerous condition that can threaten both the mother's and baby's lives. Therefore, immediate diagnosis and proper management are essential to prevent further complications.

Sudden weight gain during pregnancy can also be linked to gestational diabetes, which increases the risk of pre-eclampsia and contributes to excessive weight gain in the unborn child. Hence, early detection and proactive measures are vital in managing gestational diabetes to ensure the well-being of both the mother and the baby.

How to Manage Weight Gain During Pregnancy?

  • Managing a diet during pregnancy and getting enough exercise as recommended by the doctor helps in reducing health risks. The factors that determine the diet and exercise are the weight of the pregnant women, blood pressure, and gestational diabetes.

  • Pregnant women who are overweight with a body mass index (BMI) of over 30 can reduce the risk of gestational diabetes by modifying their diet and exercise. This can also lower the risk of complications associated with labor.

  • Women with gestational diabetes are advised to reduce their carbohydrate intake and to get enough fiber-rich food. They can avoid three big meals a day and replace them with five or six smaller meals.

  • The exact dietary changes depend upon how much weight the women gain and the associated health conditions. Taking special advice from a nutritionist is helpful rather than deciding on a diet plan from unauthentic sources.

Conclusion

Weight gain during pregnancy is considered normal. But, maintaining a healthy weight is always preferable. Considering the weight of a woman before pregnancy is used to assess how much weight gain can be considered healthy. Sudden weight gain and being overweight can lead to complications like gestational diabetes, pre-eclampsia, and prolonged labor. Therefore, one must always seek help from healthcare providers to maintain a healthy weight during pregnancy.

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Dr. Sangeeta Milap
Dr. Sangeeta Milap

Obstetrics and Gynecology

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