Overweight And Pregnant | Fit Pregnancy

Overweight And Pregnant

The High-Fat Legacy

If you want your baby to develop healthy eating patterns, don’t load up on cheeseburgers and milkshakes while you’re pregnant. Research on rats found that a high-fat prenatal diet produces permanent changes in the offspring’s brain that ultimately lead to overeating and obesity. Study author Sarah F. Leibowitz, Ph.D., says that triglycerides, unhealthy fats that are elevated in the blood after high-fat meals, stimulate brain chemicals that cause us to eat more. In her study, she fed pregnant rats a high-fat diet, then replaced it with a normal diet just before they gave birth.

Pregnancy Weight Rules Refocus

The heavier you are, the less weight you should gain during pregnancy. That's the new word from the Institute of Medicine and the National Research Council, MSNBC.com and The Associated Press report.

The Big Picture

There have been some really big changes in the land of obstetrics in the last decade and much of it comes from the fact that mothers and babies are getting bigger. A reader wrote in complaining that my blogs encouraging women to eat right, exercise and keep their weight under control were prejudiced against fat women. She said she gained 80 pounds with her pregnancy, was overweight to start with and still delivered a healthy, normal baby. I'm happy she had a positive experience.

When Will I Show, When Will I Go?

It's a good week to answer questions. I'll try to tackle a few. Amber wrote wondering when she should expect to start looking pregnant and when to go to the doctor. The doctor part is easy to answer. Call for an appointment as soon as you take a home-pregnancy test. They may have you come in right away if you have any medical conditions they're concerned about or, they may schedule for what they guess will be your 6-8th week of pregnancy. According to the March of Dimes, this is what you can expect for your prenatal schedule of appointments:

Overweight and Pregnant: Why BMI Matters

Overweight women who want to get pregnant soon might want to reconsider their timing:  A higher BMI is associated with an increased risk of fetal death, stillbirth, and infant death, according to a JAMA review examining 38 studies on the topic. Researchers suggest women take these findings into consideration, if they're planning to conceive

Pound Foolish

From the outset, I had no trouble accepting two immutable laws of nature: 1) Pregnant women get big. 2) Over time, they get bigger. In fact, I greatly enjoyed this process, as evidenced by my avid waddling. I waddled before I was even showing — maybe as early as conception. I waddled excessively in my second trimester. I went whole hog in my third.
    At first, I was one of those “you-can’t-even-tell-you’re-pregnant-from-the-back” people. (As if pregnancy ought to be a period of clever camouflage: “You’re six months? You look three at the most!”)

Weight Gains

If you’ve worked long and hard to be fit and trim, you may not take kindly to the idea of pregnancy’s portliness. While you might envy a friend who slipped back into her old jeans a week after delivery, gaining weight is now part of the program.

the gain game

If you’re confused about pregnancy weight gain, it’s no wonder: In one recent study, 49 percent of doctors gave their pregnant patients the wrong advice, and 27 percent gave no advice at all. And up to half of normal-weight women, and nearly two-thirds of overweight ones, gain too much during pregnancy. What’s more, it’s no longer enough to worry about how much to gain: When you put on “baby fat” affects how much you’ll hang onto afterward.

Does Size Matter?

When she got pregnant with her first daughter, now 5 years old, Christy McDonald weighed 160 pounds, which was 15 pounds over her longtime weight of 145. She never imagined that being slightly overweight then would lead to a struggle with 65 unwanted pounds after her second daughter was born. “I’d hoped to get back to 145 before conceiving again,” says the 5-foot-7-inch graphic designer from Berkeley, Calif., “but I started my next pregnancy 10 pounds heavier than I started the first.” During the year after her second delivery, her weight hovered around 210 pounds.

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