(no subject)
From: Carlos Brito (clbmtoc@telcel.net.ve)
Tue Aug 22 21:03:53 2000
At Tue, 22 Aug 2000, Braun, R. Daniel wrote:
>
>Studies show that women who weigh over 200 pounds need not gain any weight.
>BUT THEY SHOULD NOT LOSE ANY EITHER.
>
>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: Kathi Wilson [mailto:wilsonk@gtn.on.ca]
>Sent: Tuesday, August 22, 2000 6:30 PM
>To: Multiple recipients of list OB-GYN-L
Have you ever use l-carnitine in profilactic way ??
>Subject: Re: "routine" prenatal visit LONG of course
>
>"Braun, R. Daniel" wrote:
>
>> 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, 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,
>London, Ontario, Canada
>
>http://tvm.on.ca
>mailto:info@tvm.on.ca
>
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