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Re: "routine" prenatal visit LONG of courseFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue Aug 22 18:12:21 2000
The lack of weight gain is indicative of an inadequate caloric intake by the mother. If she isn't getting enough calories, neither is the baby. Milk Shakes have a lot of calories in a small volume. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: Steve & Eryl Raymond [mailto:eryl@intekom.co.za] Sent: Tuesday, August 22, 2000 10:03 AM To: Multiple recipients of list OB-GYN-L Subject: Re: "routine" prenatal visit LONG of course But the reason for weighing a pregnant woman is not to see if she herself has gained weight, it's to see that the normal growth of pregnancy is continuing and therefore that the baby is growing. It would be no help to make the mother gain weight with the milkshake if the baby continued to suffer from Intrauterine Growth Restriction. On 21 Aug 2000, at 7:09, Braun, R. Daniel wrote: I find that lack of weight gain can be successfully managed with supplements like a DQ milk shake after dinner every night. Great compliance. Dan I do not weigh mothers. I feel that there is hardly anything one can do if the mother gains or does not gain weight. I check the fundal height and if there is any suspicion of IUGR, order an ultrasound scan. Even if the mother gains too much weight I do not worry too much as long as the blood pressure remains normal. On the other hand, a woman can become unnecessarily worried if her weight gain is not quite like that of her friend. In fact, I did encounter a patient who spent sleepless nights after finding out that she had lost 500 gms in 4 days - (a fault with the machine being the reason). Dr. Steve Raymond Head of Department of O & G Empangeni Hospital Empangeni SOUTH AFRICA 3880 Ph:(+27)(035)77721111
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