J.H. asks from Berkley, MI on May 13, 2009
Weight Gain During Pregnancy
I have a friend who is expecting her first child in October. She is around 18-19 weeks pregnant. She visited her OB recently and the doctor she saw said she was "extremely concerned" with my friend's weight gain. My friend didn't divulge the exact number but said she'd gained "in the teens" so far... And, by the way, my friend quit smoking right before she got pregnant (so part of her weight gain is likely due to that). The doctor proceeded to tell her that she should only gain about 5 pounds in the first 20 weeks of pregnancy!!! Is this outrageous or what? The doctor then proceeded to say that the average woman only gains 20-25 pounds during pregnancy... Now, I'm pregnant with my second right now and gained over 50 pounds with my first. Right now, I'm on track to only gain about 35 with this pregnancy and my doctor is raving to me about what a good job I'm doing with my weight. If my math is right, I'd say my friend is on track to gain in the high 30's overall... My friend was not overweight to begin with (probably about a size 6 or 8) so there's no need for her to strictly watch her pregnancy weight gain and she's very upset and stressed out (horrible for the baby!) I'm trying to make her feel better by telling her the "average" woman definitely gains more than 20-25 pounds in a pregnancy. I know most doctors would like to see you only gain 25-35 if you are a healthy weight to begin with but I wouldn't say that's the actual "average". Do you other moms mind sharing your weight gain number during pregnancy? I know this is a personal subject for many but I was just tyring to help a friend feel better... She understands the risks involved with gestational diabetes but I don't think her weight gain even comes close to warranting those concerns at this point. Thanks!
So What Happened?™
Thank you to everyone who responded and shared their stories. I shared many of these with my friend and she feels so much better now! I love mamasource :)
Featured Answers
C.B. answers from Grand Rapids on May 18, 2009
My doctor told me 25 - 35 pounds was average and I gained about the 35 pounds. She said if you gain more, it's ok, but it will just be harder to lose after the baby is born.
She should relax and find a new doctor.
C.
M.D. answers from Detroit on May 15, 2009
Her doctor is correct. In every book you read that is what it says. And if you are over weight to begin with you should only gain 15. When I was expecting, I gained a lot and my doctor said nothing to me, I wish he would have now. I had some extra water and a big baby, but still. However, my aunts all told me that when they had my cousins, back then doctors were really on women to only gain 25. And most women did only gain that much. Now a days, doctors are scared to tell you the truth. Every woman is different, but she should only be eating a few 100 calories more a day. That is were we go wrong...we say that we are eating for 2...double the calories. She shouldn't be worried....but she should just be mindful of what she is eating and then don't worry about the scale.
J.H. answers from Detroit on May 14, 2009
Hi J.-
I had my first child in December. I was a little overweight before I got pregnant. When I found out I was pregnant, I really tried to eat more healthfully so I could try to avoid gestational diabetes (it runs in my family). I ended up gaining 13 pounds by the time I delivered my healthy baby boy, but still developed gestational diabetes anyway. Every woman is different, so if other risk factors are involved, the doc is maybe just being cautious.
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M.D. answers from Detroit on May 15, 2009
Her doctor is correct. In every book you read that is what it says. And if you are over weight to begin with you should only gain 15. When I was expecting, I gained a lot and my doctor said nothing to me, I wish he would have now. I had some extra water and a big baby, but still. However, my aunts all told me that when they had my cousins, back then doctors were really on women to only gain 25. And most women did only gain that much. Now a days, doctors are scared to tell you the truth. Every woman is different, but she should only be eating a few 100 calories more a day. That is were we go wrong...we say that we are eating for 2...double the calories. She shouldn't be worried....but she should just be mindful of what she is eating and then don't worry about the scale.
K.T. answers from Detroit on May 14, 2009
I was overweight to start with (at 36-37) and gained 20 lbs. - son was 8-13 and two weeks out he was 9-9 and I was 35 lbs. less (had an issue with water towards the end).
In the waiting room for an ultrasound, I sat near a mother who had about three suckers while we waited. She said she had gained 75 lbs. with her first and was looking at 55lbs. at about 25 weeks this time around - she was in her 20's.
How old is your friend? I know they are more strict when you are labeled "Advanced Maternal Age" (love that tag) because of the concerns for diabetes and other issues.
K.H. answers from Detroit on May 14, 2009
I gained 57 lbs with my pregnancy. That was a bit excessive, but I'd say that if the doctor is freaking out already, maybe she should look into getting a different doctor that won't try to worry her with the little things so much! My doctor always said the reason I gained so much was because I drank so much orange juice, I was a smoker who wasn't smoking because of the baby, and also I never had morning sickness.
EDIT - I also wanted to add... I quit smoking 9 weeks ago (again & for good this time) and have gained about 15 lbs just from that.
C.H. answers from Detroit on May 14, 2009
I have 2 children and with both I gained 50 lbs. Both of my children are healthy. Sounds like your friend is gaining weight as she should for a pregnant woman. Maybe she should get a different MD. :) Good luck to her:)
D.S. answers from Grand Rapids on May 14, 2009
J., i did start my pregnancies a bit overweight, and dureing each pregnancy i lost weight, all during the months, but then in the end gained only 20 lbs with each of my kids, and when i birthed them i gained it all back and started each new pregnancy with that extra 20 lbs, and so by the third child i was 40 lbs heavier, i ended up weighing about 190 after third child or more, i did not have a problem with gestational diabetes, but that also depends on how well you are eating, too, if she is eating right and cutting out sweets anyway, then i would say the weight gain is normal, she might need to change drs if he is too concerned about her weight, but i think the not smoking has more to do with it , so i would not be too concerned, yeah ive seen women gain 50 lbs and be totally fine, but i would watch what i eat, have a good day , D. s
L.J. answers from Detroit on May 14, 2009
with my 1st daughter i gained about 50 lbs, and 10 lbs in one month yikes! but with my second i exercised and was more carefull i only gained around 35-40. sometimes the doctors would mention to me my weight gain with my second but i told them i am doing much better than i did with my 1st and they didn't mention it again.
A.B. answers from Detroit on May 14, 2009
It is absolutely possible to not gain a whole lot of weight during pregnancy and still have healthy, normal weight babies. I am 5'4" and when I got pregnant with my first I weighed 141 lbs. I get extremely ill while I'm pregnant, and so, with all 3 of my children I only gained 10lbs during each pregnancy. My oldest was 7lbs 14 oz, my second was 6lbs 11 oz and my 3rd was 8lbs 1 oz. The recommended weight gain of 25-35lbs is for the overall health of the mom and baby. The more weight you gain, the harder it is to take of after the birth (for the most part). In addition, higher weight gain increases your risk of gestational diabetes and preeclampsyia among other issues. I gain weight by looking at food normally, so I spent some time concerned about only gaining 10lbs. But, my doctors assured me that the baby will get the nutrients from me that it needs and I will be the one to suffer. Eating a healthy, well balanced diet is what is most important for mom and baby. Of course, indulge in moderation, but if she is eating a healthy, well balanced diet, and still gains a lot, well then, that's how her body handles pregnancy. You only need 500 extra calories a day when pregnant.
A.B. answers from Lansing on May 14, 2009
I don't know why doctor's don't change the expected weight gain. Yeah if your perfect you won't gain more than 25-30 lbs. Pretty sure we don't live in a perfect world. I was a size 6 when I first found out I was pregnant. The very first time I went to Dr. after finding out, I had already gained 6lbs. Yep!!!! And just kept on going up. I was also a smoker before getting pregnant and quit. I gained 60 lbs. I had a BEAUTIFUL 10 lb 5 oz healthy baby boy. This is just my opinion but I believe your body knows what it needs for you and your baby. I did not eat unhealthy or fast food to gain that much either. I probably ate more healthy than I ever had in my whole life and I still gained 60lbs. No worries your body does amazing things and what was meant to be will be. You won't get another chance to gain 60 lbs in 9 months again until you get pregnant again so ENJOY IT!
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