Limited weight gain and dietician?

Question

Hello all,  my BMI qualifies me for obese which kills me. I've gained a ton of weight in the past 2 years due to injury and infertility. I ate a lot of feelings in the past few years. And then the fertility drugs made me BALLOON up in the past 6 months. I'm super grateful to be pregnant and of course know that being overweight causes complications. BUT... My blood pressure, cholesterol, and sugars are just fine. I'm healthy, just bigger than the BMI chart says is healthy.

At my first perinatal appointment the doctor suggested I gain between zero and 11 pounds. Has anyone else been told such a limited weight gain?  If so what are your strategies for success?  I am going to ask for a referral to a dietician at my Thursday appointment and ask for some information about controlling weight gain. I blindly agreed with the doctor at the last appointment, so grateful to see baby on a sonogram. But now I'm kind of irritated that she just told me not to gain weight but didn't offer anything to help support that goal. I feel like there is a stigma that plus size people know how to lose weight and we just choose not too. But I really feel like I've tried over the past few years to control my weight and have been stymied by grief, injuries, and the fertility treatments.

Thanks for any thoughts and feedback. Lots of love and luck to you mama's!!!

Answer

I was 257 before pregnancy. I just had my baby boy 9 days ago and weighed 271. I had an amazing midwife who never ever ever mentioned my weight or what I "should/need" to gain. I also had amazing blood pressure, all my tests came back extremely healthy. The only issue I developed was diabetes around week 28. Could be bc I was bigger, but she said most likely it was not. Some women just get it when pregnant. I noticed this pregnancy (3rd) and about 100 pounds more than my last 7 years ago that I wasn't super hungry all the time. I really didn't watch what I ate until the diabetes, and even then just limited my sweets and junk food. 9 days postpartum I have dropped 22 pounds. Haven't done anything to do that either except probably not being able to find time to eat lol. My body gained what it needed. I'm sure yours will too as long as you don't have the "I'm finally pregnant and am going to eat whatever I want whenever I want" attitude. Just stay somewhat conscious of what your taking in and limit it accordingly. I tried to only do fast food (taco bell was a big craving) once a week. Have one sweet a day, etc. You and baby will be fine! Might also look into another ob or midwife. Not all are very supportive of plus size pregnancy. You can call around and ask receptionist the doctors views on plus size pregnancy and find one that is more supportive. Plus size mommas need love too! 😘😘😘

Answer

I was told not to gain more than 20lbs...I gain what I gain. It's much easier said than done. I was an emotional wreck One point during my last pregnancy; The nurse practitioner told me I had gained too much weight. I stressed about that the entire month until I saw my real doctor...she didn't say one thing about it. At that moment I gave myself grace and let it go. Enjoy your pregnancy and try not to stress too much.

Answer

My doctor recommended the same thing.  She was very nice and explained why.   So I've done salads with lean chicken.  And when I'm craving sweets I down a bottle of water. For snacks I've been doing grapes and apples and other fruits.  When I have pasta I use whole grain.  And I have a smoothie to start my day.  I'm at 30 weeks and passed the diabetes test twice and my blood pressure has stated great:) 
Good luck!!!

Answer

Hi in have a BMI of 40.72 extremely obese but don't look that big. I haven't gained any weight at all though sometimes I gain after a meal. I am 216lbs. And that has been my weight from before to now at 19 weeks pregnant. Am expecting a girl, can feel her kick and that on its own is enough for me.

Answer

My OB also wants me to gain 0-10 pounds. I lost 3 pounds early in the first trimester because of nausea & food aversions, but at my 12 week appointment I had apparently gained 4 pounds. So even though I was technically only up 1 pound my doctor still gave me shit about it.
I've had friends tell me to find a new doctor, but I've had this one for years and the stress of finding a new one seems too much at the moment. I wasn't offered any dietary guidance other than "don't eat any carbs" and "eat protein with breakfast."

Limited weight gain and dietician?

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