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The article was written by Specialist Doctor II, Master Nguyen Thi Huong Linh - Department of Obstetrics and Gynecology - Vinmec Times City International General Hospital.While you do need extra energy, there's no need to 'eat for two'. During the first 3 months, you should limit weight gain as little as possible. In the second trimester, you only need to add about 300-350 calories/day and an average of 400-450 calories/day in the last 3 months compared to before pregnancy, this will help you gain weight reasonably during the process. pregnant.
1. How much weight gain during pregnancy is reasonable? How much do you need to gain during pregnancy is reasonable? It depends on your pre-pregnancy weight index [BMI = weight(kg)/height 2(m)].
Underweight (BMI < 19.8): a reasonable gain from 13 kg to 18 kg. Average weight (BMI 19.8 to 26): a reasonable gain of 11 kg to 16 kg. Overweight (BMI > 26): a reasonable gain from 7 kg to 11 kg. So the more you weigh before pregnancy, the less weight you need to gain during pregnancy.
Normally in the first 3 months you should only gain from 1 to 1.5 kg and about 0.45 kg / 1 week in the later stages of pregnancy. However, mothers carrying twins should gain 18 to 20 kg, which means about 0.7 kg/week. This is very important when you are pregnant with twins because your weight will affect your baby's weight because twins are often born prematurely, so you need about 3,000 to 3500 calories/day.
Where is the weight gain during pregnancy distributed? Newborn: 3.5kg Placenta: 0.8 - 1.2kg Amniotic fluid: 0.8 - 1.2 kg Breast organization: 0.8 -1.2 kg Increased circulating mass: 1.8 kg. Fat reserve: 2-4 kg. Uterine weight gain: 1 – 2.5 kg Total: 11 – 15.5 kg. Is it safe to lose weight during pregnancy? If you are overweight, during pregnancy, your doctor may want you to lose weight. You can only lose weight under the guidance and supervision of your doctor. In general, don't try to lose weight or diet during pregnancy.
How to gain weight reasonably during pregnancy? If you want to gain weight during pregnancy, you should follow these tips:
Eat 5 to 6 small meals a day. Supplement foods such as: grapes, cookies, dried fruit, ice cream, yogurt Can add peanut oil, banana, apple, sweet potato, celery very good for pregnant women Skimmed milk, eggs, cereals. Add a little butter or cheese to your meal But remember not to add too much, you will gain excessive weight.
What to do if you gain too much weight If you gain more weight than your doctor ordered, you must tell your doctor and most of the time want to lose weight postpartum. Here are the points to keep in mind to slow down your weight gain:
Should avoid fast food, if you eat, limit the use of sauces or mayonnaise, cheese... You need to supplement milk daily but avoid using it. whole milk, use skim milk, reduce calories. Yogurt should be used. Limit sweet foods and drinks with a lot of sugar, coconut water, sugarcane juice. Should use filtered water, soda water, mineral water. Limit sweet and high-energy snacks such as cookies, chips, jam, honey. Use fat in moderation. Fats include animal fats, vegetable oils, butter, cheese, sauces....try to limit trans fats. Cook properly. Fried foods with avocado oil will add fat and calories. Bake and boil would be better. Exercise: reasonable exercise will consume less energy. Walking or swimming is safe for pregnant women. Follow your instructor's advice before performing the exercise. Proper weight gain during pregnancy not only helps the fetus develop properly and properly, but also avoids the risk of disease for the mother during pregnancy, helps reduce the risk of complications for the mother and child during and after birth.
References.
Institute of Medicine: " Weight Gain During Pregnancy : Reexamining the Guidelines."
Mamun, A. Circulation, 2009; vol 119: pp 1720-1727.
Oken, E. American Journal of Obstetrics and Gynecology, 2007: vol 196: p 322 e1-8.
Barker, D. Journal of the American College of Nutrition, 2004; vol 23: pp 588S-95.
Bayol, S. British Journal of Nutrition, 2007; vol 98: pp 843-85.
NutritionMD: "Pregnancy and Nutrition."
Massachusetts General Hospital: "How Much Weight Should I Gain?"
Elizaberth M. Ward , MS, RD ; Matthew Brennab, WebMD. October 02, 2012.