In my first trimester, I lost 5 pounds. Does anyone have the same issue during pregnancies and deliver a healthy baby? I was around 69kg when I I got my positive test.
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I am not eating less or even doing any physical work, so I am beginning to worry as I eat whatever I feel and yet I lost weight. My daughter is pregnant for the first time and gets upset about weight loss. I told her it was normal but people seem to think you should only gain during pregnancy. With my pregnancies if I felt concerns I called the doctor or mid wife. I dont remember losing any weight though. I lost weight during my 3rd trimester and my blood pressure was a bit high. My doctor monitored us closely. Great tips! I lost weight with both pregnancies.
I was heavy to start but the doctor was okay with my weight loss because i was tracking what I ate. I actually lost weight during my 3rd trimester but because I was grieving the loss of a loved one and unable to eat. In fact, I gained exactly the same amount, to the ounce, with both of my kids. I even weighed the same the mornings I delivered them both! I know I gained. And gained some more. Posts like these make me realize I am so clueless as to this kind of information.
Every pregnancy is different. I had a great midwife and doctor and I was so active and eating well during my last pregnancy that I lost weight and it was healthy. I definitely had some gain in my second trimester.
Explanations
However, the study by Smith et al. Only 3, of 31, infants with fetal ultrasounds met the strict entry criteria. Finally, because fetal size, and hence energy demands, are relatively small in the first trimester, first trimester fetal growth is unlikely to be dependent on adequate maternal weight gain.
In the second trimester, fetal growth is the most rapid, and therefore, most likely to be influenced by maternal nutrition. Low maternal weight gain during the second trimester doubled the risk of intrauterine growth retardation even though the contribution of fetal weight to maternal weight gain during this trimester is minimal. In the third trimester, the fetus quadruples its fat mass Moore Adequate fetal nutrition during this period also remains critical.
However, fetal and placental weight gain in the third trimester may account for up to one half of maternal weight gain. Therefore, low maternal weight gain in the third trimester may be an effect of intrauterine growth retardation and not a cause. Unfortunately, efforts to manipulate fetal nutrition through maternal dietary changes have been contradictory. Data from developing countries suggest that nutritional supplementation in pregnancy leads to significantly increased total pregnancy weight gain Mardones-Santander et al. However, little equivalent data exists to support the use of routine nutritional supplementation in the USA or Europe.
Rush et al.
Is It Normal to Lose Weight During the 2nd Trimester of Pregnancy? in Dec - www.nurseryhills.com
Women who received a high protein supplement had increased number of preterm deliveries, neonatal death and growth retardation up to 37 wk gestation, despite increased maternal weight gain. However, in women receiving supplemental food aid through the WIC program, there was a significant increase in head circumference at birth, although there was no noticeable effect on birth weight or intrauterine growth retardation Rush et al.
Unfortunately, maternal weight gain was not evaluated.
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Studies of nutritional supplementation in Canada also revealed small, but significant influences on average birth weight, but no significant differences in the incidence of low birth weight infants or the amount of maternal weight gain during pregnancy Rush We chose to define intrauterine growth retardation as a term birth weight below g.
Our definition is consistent with previous studies reviewed by Kramer , and is largely based on the increased morbidity and mortality in infants born below this birth weight McCormick Long-term health consequences were also described in full term-infants born below g Barker , Curhan et al. However, gestational age based criteria are limited by the reference standard utilized Miller Finally, we have limited the accidental misclassification of preterm infants by only including patients enrolled within the first trimester.
In women enrolled in prenatal care before 16—18 wk gestation, Kramer et al. Unfortunately, this study utilizes relatively old data. During the s to s recommendations for the amount of weight a pregnant women should gain were substantially lower than current recommendations Institute of Medicine b. In fact, the 12 th edition of Williams Obstetrics recommended limiting pregnancy weight gain to As a result, mean weight gain in the two cohorts averaged 2—4 kg lower than currently observed averages.
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In addition, the definition of low trimester gain utilized in this study 0. In conclusion, increased awareness of maternal weight gain in mid and late pregnancy is critical to identifying infants at risk for IUGR. Fetal growth may be impaired by relatively short periods of poor maternal weight gain, even if subsequent weight gain is adequate. However, nutritional supplementation of all mothers with poor gestational weight gain is not currently indicated because previous experience has been contradictory.
Abrams , B. Google Scholar. Ancri , G. Maternal protein and calorie intake and weight gain in relation to size of infant at birth. Babson , S. Barker , D. Bernstein , I.
What to Do About Weight Loss During Pregnancy
Carmichael , S. Public Health 87 : — Caulfield , L. Curhan , G. Circulation 94 : — Eastman , N. Williams Obstetrics 12th ed. Google Preview. Edwards , L. Frederick , J.
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Henrichsen , L. Acta Paediatr. Hediger , M. Hickey , C. F , Hoffman , H. Hytten , F. The Physiology of Human Pregnancy 2nd ed. Institute of Medicine United States Subcommittee on nutritional status and weight gain during pregnancy Nutrition During Pregnancy, pp. Institute of Medicine United States Subcommittee on Nutritional Status and Weight Gain During Pregnancy Historical trends in clinical practice, maternal nutritional status, and the course of and outcome of pregnancy. In: Nutrition During Pregnancy, pp. Koops , B. Kramer , M.