Weight category
Body mass index mountain range
Weight gain range of pregnant women
underweight
< 18.5
12.5 ~18kg
Normal weight
18.5~25
1 1.5~ 16kg
be overweight
25~29
7~ 1 1.5kg
fat
Over 29 years old
Less than 7 kg
twins
-
15.9 ~ 20.4 kg
triple
-
22.7 kg
However, Sun Xudong, the attending physician of obstetrics and gynecology at Yadong Memorial Hospital, said that the relevant information of Taiwan Province Province is based on the data of the American Medical Association of Obstetrics and Gynecology, and it has relaxed a lot of space to apply American body size standards to orientals. Therefore, pregnant mothers should pay attention to their eating habits during pregnancy, especially obese mothers. Because they have enough nutrition for the fetus, it is not recommended to gain more than 7 kg during pregnancy.
According to long-term research and medical statistics, the cause of infertility is not only the woman's problem, but the man may also be responsible, but the woman's problem accounts for about two-thirds, including uterine fibroids, tubal obstruction, ovulation failure and other related factors. Infertility caused by obesity is usually related to the problem of maternal ovulation, and the most important hormones in women are estrogen and lutein, which are controlled by the brain and also regulated together with estrogen secreted by adipose tissue. Obesity will affect the secretion function and interfere with the physiological cycle, thus causing abnormal ovulation and affecting pregnancy. Furthermore, obese people may usually be accompanied by polycystic ovary disease, which will cause abnormal ovulation, or not ovulate at all, even if the probability of miscarriage is high. However, infertility caused by obesity is rare, and it is not the most difficult problem to overcome. However, it is necessary for obese women to lose weight properly if they want to function normally.
Before pregnancy? Pregnant? Weight control of postpartum fat mommy The relationship between mommy's fatness and fetal size Theoretically, usually the fetus conceived by fat mommy will be larger, but the fetal size is mainly related to the placenta, and the thickness of umbilical cord also determines the amount of nutrition supplied to the fetus. If you want to look closely, it is also related to whether blood pressure is normally lost to nutrition. In principle, regardless of whether the mother has eaten or not, the placenta will steadily supply heat to the child. Dr Sun Xudong also gave an example. I once met a mother who gained only 3 kilograms during her pregnancy, but her child was 3300 grams. It can be seen that the fetal weight gain is too small, not too small. In addition, the size of the belly does not necessarily represent the size of the fetus. Sometimes there are no certain standards because of the lying posture of the fetus, as well as the mother's figure, proportion and visual effect.
The weight change of pregnant women during delivery can be roughly divided into the following factors ── fetal growth, amniotic fluid increase, placental umbilical cord, maternal enlargement, fat increase, fetal blood supply, growth of other normal tissues, etc. Therefore, it is normal for pregnant women to gain weight. The following are the weight gain items listed by doctors according to general standards and clinical experience. Pregnant mothers may wish to make a reference and comparison:
General standard (gram)
Loose standard (g)
embryo
3800~4000
4500
amniotic fluid
700~800
1000
Umbilical cord+placenta
700
1000
Maternal water and blood volume
4000~4500
5000
Normal tissue (muscle/* * *) plus or minus adipose tissue.
< 1000
1000
total
10200~ 1 1000
12500
Dr. Sun Xudong said that if the normal range of weight gain is 15 kg, if the above items are particularly relaxed and overestimated, the total value is only 12.5 kg, so where is the remaining weight? The most reasonable explanation is that the rest grows on the mother, which deserves careful consideration by all pregnant mothers.
Fetal weight and health status Many pregnant women think that the bigger the fetus, the better. Actually, it's not entirely correct. Too small or too heavy a fetus will affect health. An oversized fetus may make it difficult for the mother to give birth. It doesn't matter if the fetus is small, as long as it is checked on time to ensure health and soundness. Never overeat in order to raise the fetus, which will easily hurt the health of the mother.
Too small or too heavy a fetus will affect health.
Before pregnancy? Pregnant? Postpartum fat mommy controls weight to solve pregnancy myth! Since ancient times, it has been a woman's bounden duty to carry on the family line, and the requirements of the older generation for their daughters-in-law also began with their looks. Therefore, the traditional concept always thinks that "a big ratio will give birth", which is nothing more than the hope of a natural birth. After all, having a baby is a big deal. During pregnancy, I always hoped that my mother would eat more, emphasizing "one person eats, two people make up", hoping to give birth to a healthy and beautiful fat doll smoothly. Whether it is the appearance condition of natural delivery or the traditional concept of dietary supplement during pregnancy, are they correct?
Is "* * * big" easier to be born? In the early days, because of the underdeveloped medicine, it was always thought that it was easier for * * * to have a big baby, but whether the delivery and delivery were smooth or not, correctly speaking, should depend on the "internal structure of the pelvis" rather than the appearance of * * * ─ because the size and shape of the pelvis will directly affect the difficulty of production. If the pelvic outlet is round, it is the most difficult because of the narrow opening. Of course, the shape of the pelvis is hard to see in appearance.
Before early production, X-rays were used to judge whether it could be produced naturally, but now this practice is not so popular. Dr. Sun Xudong explained that the pelvis will begin to change near delivery (about 37 weeks), and some pregnant women even described it as "the pubic arch has a burst feeling" because three large bones and ligaments in the pelvis will be stretched and deformed near delivery. Similarly, thin people don't necessarily have dystocia, and they have to wait until the pelvis is loose and the plastic molding conditions are coordinated during production, so it's just speculation, which is not completely correct.
* * * The big contrast is just speculation, which is not entirely correct.
How much is "one person eats two people to make up"? The nutrition ingested by the mother will be transmitted to the fetus through the placenta and umbilical cord, so whether the mother eats healthily or not will naturally affect the health of the fetus. However, the doctor also reminded that the nutrition of ordinary people is already sufficient. Don't take too many nutrients rationally because of pregnancy in the name of strengthening the body and raising the fetus, which will cause pregnant women to be overweight or it will be difficult to recover their ideal body after delivery. If the diet is not properly controlled, it will not only make up for the fetus, but also cause the dilemma of losing weight after childbirth. Remember that during pregnancy, you eat more than your weight, and the related weight control and nutritional intake are very important. Mothers should also pay attention to raising fetuses instead of meat, and don't neglect their weight because they want to increase their baby's body shape. Eating too much food is not good for mother and baby, and may endanger their health in serious cases. Therefore, it is necessary to control your weight in time and never fall into "eating alone"
According to the above explanation, Dr. Sun Xudong suggested that obese mothers who gained too much weight during pregnancy should actively control their diet, eat a small amount of meals, eat more foods with high nutritional value and low calories, which will help to control their weight well, and pay attention to a balanced diet and protein intake, so as not to affect the development of the fetus, but also to avoid the accumulation of too many calories in the body, which will make it difficult for the body to recover in the future. If it affects production, it will be a burden for mother or doctor.
1 The nutritional sources for improving eating habits are sugar, fat and protein. Try not to touch sweets, because sugar molecules are the smallest, so placental absorption is the best. Excessive maternal intake will cause fat accumulation and obesity; The relative heat absorption of fat and macromolecules is not better than that of sugar; Protein is the most important component of human cells, and it is the most worth ingesting during pregnancy. You can eat more vegetables, lean meat, fruits and vegetables, but you should avoid fruits with high sugar content, such as Liu Ding, watermelon and mango.
2 don't exercise, do more activities. During pregnancy, few people will ask pregnant women to lose weight or eat less, but basic activities are indispensable. Need to simply walk or do basic activities. Even at home, you can do some lightweight housework and keep your limbs flexible.
Before pregnancy? Pregnant? Postpartum weight control of fat mommy The pregnancy situation that fat mommy may encounter Dr. Sun Xudong said half jokingly that a truly obese mother will make doctors feel oppressive when she goes to bed, but she also said seriously that it is really not recommended for pregnant women to gain too much weight, especially if the weight gain exceeds 12kg in the seventh month of pregnancy, and the fetus will become bigger, so that it is possible to give birth naturally and increase the chance of caesarean section. In addition, obese mothers have a high risk of childbirth surgery. If it's unfortunate,
1 the probability of caesarean section is increased. Generally speaking, choosing natural delivery will recover faster without leaving scars, which is the preferred mode of production for many mothers. Usually, when giving birth, the doctor will advise you to try it first, but obesity may also lead to rich pelvic adipose tissue, narrow the birth canal and compress the space that the baby can pass. If you happen to meet a larger fetus, it will be relatively difficult to pass through a narrow birth canal. On the other hand, obesity will weaken the contractility of pregnant women's abdominal muscles. If the fat mommy lacks exercise, it will lead to the inability to exert strength during delivery and the difficulty of natural delivery. If a caesarean section is decided temporarily, the abdominal tissue of a fat mother is usually thicker than that of the average person, which is easy to affect the position of laparotomy, and it will be risky if the time is prolonged. In addition, the scar after caesarean section, although benefiting from the progress of modern technology, usually does not leave obvious traces, but thin mothers can operate beautifully, the wound can be hidden under the hair, and fat mothers may only hide in the fat folds of the abdomen. If it is easy to sweat, it is more unfavorable for wound recovery.
Choosing natural delivery will help you recover faster and leave no scars.
Second, it is easy to cause maternal complications. In addition to the negative impact on natural delivery, obesity may be accompanied by related complications caused by endocrine disorders, including diabetes, hypertension and hyperlipidemia. In addition, the proportion of cardiovascular disease, heart disease, stroke, fatty liver and liver disease will be higher. The following are some common symptoms for readers' reference.
Gestational diabetes If pregnant women have gestational diabetes, it will usually lead to fetal growth or growth retardation, thus increasing the risk of maternal delivery. After the child is born, it is also possible to inherit the mother's abnormal blood sugar.
Pregnancy-induced hypertension is a common pregnancy disease, which mostly occurs in primiparas or multiple pregnancies. Because of poor blood circulation, the mother can't supply the oxygen and nutrition needed by the fetus through the placenta smoothly, which will cause the baby's growth retardation and even the stillbirth in severe cases.
As mentioned above, overweight mommy will increase the chance of dystocia, because too thick body fat will weaken muscle elasticity, and if contractions are weak, it will easily delay delivery and prolong delivery time; On the other hand, the birth canal will be smaller. If the baby is too big, it may cause shoulder dystocia, and it may cause problems such as baby fracture in an emergency.
Other pregnancy toxemia, pre-eclampsia, amniotic fluid embolism, postpartum hemorrhage and other related problems may also occur, no matter which of the above may endanger the health of mother and baby, so be especially careful.
The doctor added that a large number of studies have found that children born to obese mothers have a higher proportion of related diseases and problems in the future, so obese mothers should really pay attention to controlling their weight, and know the health status of the fetus during prenatal examination and make a good production evaluation.
Before pregnancy? Pregnant? Precautions for weight control of postpartum fat mommy: Fat mommy will gradually return to the state before delivery within half a year after delivery. Postpartum and six weeks after confinement are the best golden periods for slimming. Fat moms who want to lose weight can get a good slimming effect through breastfeeding, especially colostrum contains immunoglobulin, so newborns who eat breast milk are less likely to catch a cold, which is an incomparable advantage of formula milk. It is really good for one person to eat two people.
According to medical research, breastfeeding and postpartum breastfeeding will consume a lot of physical strength. Breastfeeding can consume about 800 ~ 1000 calories a day on average. Breastfeeding itself is the best way to lose weight. Many mothers lose weight during breastfeeding and their children eat healthily. Mom can also lose weight and get back in shape quickly. Of course, doing well in the next month will also help to secrete milk, but don't eat too much to avoid weight loss and weight gain.
What if I can't lose weight? I was overweight before I gave birth, so I can't lose weight just because I gave birth. Simply put, if you really want to lose weight, you should control it from pregnancy. Although no one will ask pregnant women to lose weight, the adjustment of diet still depends on themselves. If I can't lose weight after giving birth and prepare to have another baby, I will still experience the problems and influences discussed above again, and I must bear the same risks of pregnancy and childbirth. Therefore, for the sake of children's health and myself, diet control is an important topic that I should pay attention to all my life.
Sun Xudong Education: Department of Medicine, Kaohsiung Medical University, Ph.D. Program, Institute of Basic Medicine, Fu Jen Catholic University Experience: Obstetrics and Gynecology Resident, Chief Physician, Clinical Research Physician, Laparoscopic Expert of Taiwan Province Obstetrics and Gynecology Medical Association, Perinatal Medical Association Expert of the Republic of China Current position: Full-time attending physician of Obstetrics and Gynecology, Yadong Memorial Hospital, lecturer of National Yangming University School of Medicine.