$Unique_ID{BRK02062} $Pretitle{} $Title{Recommended Weight Gain During Pregnancy} $Subject{pregnant pregnancy weight gain fetus fat nutrition trimester diet prenatal care overweight underweight} $Volume{} $Log{} Copyright (c) 1993 Tribune Media Services, Inc. Recommended Weight Gain During Pregnancy ------------------------------------------------------------------------------ QUESTION: My mother and mother-in-law are having a battle and my friends are having a real laugh. It is all about my pregnancy and the object of the discussion is the amount of weight I should gain. One side says I must keep the weight below 20 pounds, while the other camp claims I can gain as much as the baby needs to be healthy, a ton or more if necessary. Who is right? Are there any rules to this or is this just a lot of unnecessary attention to a process that should be left alone? Help, please! ------------------------------------------------------------------------------ ANSWER: You certainly have both sides represented by powerful forces, and the fact is that at one time or another in the history of prenatal care both the restrictive attitude as well the more permissive one held favor for a time. The main concern is truly not the weight gain of the mother, but the health of the baby. Since it is true that more calories are required to produce the needed tissues in the mother as well as all the growth of the developing fetus, additional food is certainly required. And it is generally agreed that the mother will add a few pounds in the form of fat to ensure the optimal newborn weight, as well as the fact that this form of energy storage is a part of the normal bodily processes during pregnancy. But there are many factors to be considered before your family feud can be resolved, and they include the state of your nutrition before the pregnancy, your own age and height, and your weight before the pregnancy. Without that specific information at hand, let me provide you with some general rules that are currently considered to be correct. If you were within the weight range considered normal for your height at the onset of your pregnancy, a weight gain of from 25 to 35 pounds is just fine, and should be gained at the rate of 3.5 pounds during the first 3 months of your pregnancy, and 1 lb. per week during the 2nd and 3rd trimesters. Women who are overweight to start should gain about 15-25 lb. during the entire pregnancy, 2 lb. during the first three months then about 2/3 of a lb. a week. A women who is underweight at the beginning may put on from 28 to as much as 40 lb. during the pregnancy, 5 lb. during the first trimester and better than 1 lb. a week thereafter. All of these numbers are general averages and your own doctor can help you evaluate your condition and the appropriate weight gain for your pregnancy. Looks like both Moms were just a bit in error. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.