Re: quest Doc opinion about inconsistent advice on weight gain
From: Alicia M. Lapidus M.D. (anonymous@obgyn.net)
Thu, 14 Nov 2002 09:21:58 -0600 (CST)
28 to 30 pounds as total weight gain is what we recommend during
pregnacy, more is overloading heart and kidney functions.
At Thu, 14 Nov 2002, Concerned wrote:
>
>I am 28 weeks into my second pregnancy, and my current OB is concerned
>with my weight gain. I know docs don't put much faith in patient recall
>of pre-pregnancy weight, I can assure you that my weight is consistently
>113-116 lbs. when not pregnant; it just naturally seems to stay in that
>range. I started out at 116 lbs. at 12 weeks in the first pregnancy
>and at 114 lbs. at 12 weeks in the second pregnancy.
>
>My first OB (who moved after Baby #1's birth) recommended 35 lb. weight
>gain. I actually gained 45 lb., but had severe swelling in my feet and
>legs that explained some of that. I don't have a record of my weight
>pattern in the first pregnancy, but I know I had gained 15 pounds at 24
>weeks. I ate sensibly and didn't fret too much about my weight because
>my doctor wasn't worried. I was back down to 116 lbs. within a month
>after the birth.
>
>In this pregnancy, I've gained 20 pounds at 28 weeks and my new doctor
>has scolded me, saying I should be gaining 28 pounds total. My legs and
>feet are just starting to show signs of swelling so I know there is some
>water-retention, but it's not significant (yet). Should I go on a
>strict diet to try to gain as little additional weight as possible? I
>just don't have the same peace of mind and would appreciate a doctor's
>opinion on how I should deal with this weight gain. By the way, this
>second pregnancy began 25 months after the first pregnancy began, and I
>am 32 years old.
--
Alicia M. Lapidus M.D.
Chief of Staff Obstetrics, Hospital Fernández
Assistant Professor, School of Medicine, Barcelo University
Vicepresident of Argentine Society of Hypertension in Pregnancy
Director Latina Obgyn.net- http\latina.obgyn.net\espanol
Buenos Aires
Argentina
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