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Re: "routine" prenatal visit LONG of courseFrom: Kathi Wilson (wilsonk@gtn.on.ca)Tue Aug 22 18:29:11 2000
"Braun, R. Daniel" wrote:
> The lack of weight gain is indicative of an inadequate caloric intake by the Dan, I would have to qualify this statement by saying "lack of weight gain in a woman with average or below average body mass index". I worry about the women I see who, in particular, are underweight at the onset of pregnancy (as that may, in any case, indicate some dietary deficiencies). But I've had several women who have been in the 200+ lb weight category who have gained little or no weight during pregnancy, but have had adequate to good fundal height growth and given birth to good-sized babies. It's usually because, for once in their lives, they clean up their acts dietarily, cut out the junk and, lo and behold, they don't gain. Most startling was a woman who started and ended her pregnancy at 220. She had a 9 lb 4 oz baby. Recently, I had another woman (who was conscious about her weight anyway), who started at about 220 and ended up at 226. She ate very consciously, exercised regularly, and had a lovely, easy primip birth, with a 7 lb 14oz baby. Both were delighted, of course, because they were immediately well below their pre pregnant weights. I *don't* counsel women to diet during pregnancy. But I do counsel them to eat conscienciously (?sp), and read them the riot act about drinking fruit juice. If I could pass a law, I would make it against the law for pregnant women to drink Fruitopia, Snapple, Nantucket Nectar (or whatever you wish to name). It's a surefire recipe for macrosomia. My favourite MFM consultant agrees. BTW, I like Boost for those skinny women who are having trouble gaining, as it's a complete dietary supplement. Recommend it to my women w/ twins, too. (And, no, I don't deliver them, but do see them collaboratively w/ our consultants). -- Kathi Wilson, RM Ilderton, Ontario, Canada mailto:wilsonk@gtn.on.ca ********************** Thames Valley Midwives 346 Platts Lane,
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