Nutrition for obese pregnant women: Things to note

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor I Pham Thi Yen - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital. Doctor has more than 10 years of experience in examination and treatment in the field of Obstetrics and Gynecology.
According to statistics, the rate of overweight and obesity in Vietnam is about 6-10%. In particular, obesity during pregnancy greatly affects the health of the mother, causing serious complications for the fetus. Nutrition for obese pregnant women how to be reasonable?

1. Obesity during pregnancy

Overweight and obesity are defined as abnormal or excessive accumulation of fat in the body, which can cause a decrease in the body's resistance. Body mass index (BMI) by weight divided by height squared is used to identify overweight and obese people. According to WHO, when BMI is greater than or equal to 25 called overweight, BMI greater than or equal to 30 is called obese.
Pregnant women who are obese have a much higher risk of pregnancy complications than normal women. Not only that, during pregnancy, if the diet is not controlled, especially in the second and third trimesters of pregnancy, rapid weight gain will occur. Pregnant women face the risk of miscarriage, premature birth, pre-eclampsia, gestational diabetes....

2. Effects of obesity during pregnancy

Risks when pregnant women become obese affect the mother and baby:
Children with birth defects, the rate of children having birth defects when the mother is obese is very high. Common malformations such as neural tube defects.

Trẻ bị dị tật bẩm sinh, tỷ lệ trẻ bị dị tật bẩm sinh khi mẹ béo phì rất cao
Trẻ bị dị tật bẩm sinh, tỷ lệ trẻ bị dị tật bẩm sinh khi mẹ béo phì rất cao
Risk of miscarriage. Premature babies: Due to the large size of the fetus, it is too much for the uterus to bear, so it causes early labor. Postpartum mortality. Ease of birth abnormality, obstetric trauma at birth, difficult birth due to too much mother's soft tissue. Babies are born with low resistance and are susceptible to infections after birth. Children are prone to type 2 diabetes, cardiovascular disease and obesity. Mother has preeclampsia, eclampsia, gestational diabetes.

3. Nutrition for obese pregnant women

A reasonable diet helps to improve the consequences of overweight and obesity while still providing adequate nutrients for the fetus.
Should eat foods containing many vitamins and minerals such as: low-sweet fruits, vegetables, brown rice, whole grains, low-fat foods, yogurt, fat-free milk, low sugar. Increase the intake of protein-rich foods such as lean meat, lean fish, legumes... Should take more folic acid to limit the risk of neural tube defects. Foods rich in folic acid such as: Spinach, cauliflower, eggs... Also can be supplemented with synthetic tablets. Divide your meals into small meals and don't skip meals. Each meal limits the amount of starch and fat. Reduce foods that contain a lot of saturated fat such as fried foods, fried foods, animal fats, butter. Use unsaturated fats like olive oil instead. Reduce eating foods containing a lot of sugar such as: Confectionery, sweet fruit, carbonated drinks, flavored bottled drinks, sweet fruit juices... Do not drink alcohol, beer, alcoholic beverages, do not drink alcohol. smoke. Limit coffee, tea...

Uống rượu, bia, đồ uống có chứa cồn, không hút thuốc lá có hại cho sức khỏe
Uống rượu, bia, đồ uống có chứa cồn, không hút thuốc lá có hại cho sức khỏe
Do not eat processed foods. Limit salt intake, reduce the risk of cardiovascular disease. The amount of sodium in the body is about <6g/day. Obese women during pregnancy need to limit foods high in fat and sugar and limit salt to enhance protein, vitamins and minerals. In addition to applying a reasonable diet, pregnant women regularly exercise if there are no contraindications to help consume excess energy, limit weight gain, and reduce the risk of complications caused by obesity. Pregnant women can exercise by methods such as walking, yoga...

4. Notes when treating obesity during pregnancy

In obese women, after pregnancy is confirmed, they should go to an obstetrician and nutritionist to plan special care and plan a diet. Carefully monitor blood sugar, blood pressure, liver and kidney function during pregnancy. During the first 3 months of pregnancy, there is a risk of miscarriage. The pregnant woman can be prescribed drugs to support pregnancy, antispasmodic. During the second and third trimesters, the risk of gestational diabetes, gestational hypertension and pre-eclampsia should be monitored regularly. Apply a reasonable diet. A reasonable diet helps pregnant women limit weight gain during pregnancy, limiting complications for both mother and baby. In addition, pregnant women need to have regular antenatal check-ups to control diseases during pregnancy.

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