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Multiples
yet another weight question
At the last appointment my Dr said, "you're weight looks better then last time." Well, according to his scale I lost a lb for an overall gain of about 6lbs. Last time it was a lb higher because I was wearing jeans and boots. When I told him last time that I was still sick daily he said I was still gaining weight so he wasn't worried (and he knows I'm on zofran).
Everything I've read, (dr luke and other books) have a much higher weight goal (even though I am overweight, I'm nowhere near the goal for Dr. Luke or others for this point in pregnancy). My OB has never mentioned an actual # goal or even said anything about weight gain other then the above comments.
I can't help but wonder if I'm being sensitive about his comments because until I got pregnant I've always had problems with my weight. I know dr luke is a guideline, but would you bring it up with your OB?
I never saw him before I was pregnant, he came recommended by a few friends, and I know of at least 2 sets of twins he's delivered (friends of friends). But he's so laid back about most stuff, I wish he was a little more, I don't know, concerned maybe? because it's twins.
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Re: yet another weight question
All of this.
I love my OB, but he is really laid back about the weight thing. He told me that he didn't think I should gain any weight during my first trimester, but my MFM and I decided on my own to go by Dr. Luke's recommendations for diet and weight gain. So far I've gained about 12 pounds. The OB is not thrilled, but I feel that I'm doing what's best for my babies.
so how did you bring up seeing an MFM with your dr? He said he would send me to one if needed, but so far so good.
I would like to see one, we're paying cash for the pregnancy so I don't really need a referral but it would be awkward to see one behind his back or something. How did you bring it up with your dr if it wasn't their suggestion?
As far as I know they are di/di, but no one has used that term directly (although they have said seperate everything). The babies were 7oz and 8 oz at 17w4days.
If you ever have any questions, don't hesitate to ask your doctor. From my experience with being pregnant with twins so far, there are just so many questions, so many more things to worry about, and googling is just a bad idea. Don't ever feel like you're being a pest - ask anything that comes to mind and if they give you questionable information ask for clarification or ask here.
Dr. Luke's book is highly recommended here, but a lot of the women who recommend it do say that the one thing they're not necessarily sold on is the weig gain. I was overweight to begin with (size 16) and originally my OB told me to gain 45-50 pounds when I asked her. Early on I lost some weight and in the second trimester I gained very little. As of now I'm up about 20 pounds. H and I asked my OB and MFM if there was an issue with my lack of weight gain and they said no because the girls were both growing well and when they started measuring my belly it was always right on track for a twins pregnancy.
I also agree with PP about asking about seeing an MFM. From how it was explained to me on here, your OB monitors you and makes sure you're okay and the MFM focuses on the babies and makes sure they're okay (not that your OB won't watch them as well, but the MFM's sole job is to watch the babies). While the extra appointments are a pain, I like having two doctors to ask questions and watch out for me and the girls.
I asked my Dr. at our first visit about an MFM. He didn't really feel it was necessary, but I insisted, so he gave me the referral. I do think it irritated him a bit, but I didn't really care. I may be overly cautious, but if something were to go wrong with my pregnancy I want to be sure that I have as little opportunity as possible to look back at what I did or didn't do and blame myself. I'm neurotic...
i dont have much insight to your situation but i do think OBs are getting kind of obsessed with women not gaining too much weight in pregnancy. i did feel much better about weight and everything else once i finally met with my MFM.
also - the jeans and boots thing? serious. that's so annoying. if i weigh myself it's naked in the morning....sometimes i do it before an OB appointment and sure enough, after a meal or two and some clothes it's always 2 pounds higher. especially if you are somewhere in a colder climate, well yeah, those extra layers will add to the scale!
My doctor has been so laid back about my weight, and it's driven me nuts. I have had problems with my weight (inability to gain), especially during this pregnancy. I would say something and she'd be so calm and just say, "Oh, you aren't losing weight."
I finally brought it up with my MFM when they noted the babies were measuring small, particularly the girl. It was only then that they pushed for me to see a nutritionist (I go tomorrow), and my OB called and said she apologized for not realizing it had been so long since I'd gained any weight at all.
I really wish my OB had shown more concern, especially when I brought it up the first few times.
Do you have a MFM to discuss it with? Or could you track your weight and be more blunt and say "Dr, this is REALLY bothering me. What would you suggest?"
My OB never discussed weight gain, and I never asked. We're both relatively laid back, and I knew from having seen him during my first pregnancy that he'd let me know if he thought I was doing something wrong. (For the record, I never read Dr. Luke, either).
He did send me to see an MFM for my Level II ultrasounds, and that was to ensure I was in their database should I need to deliver with them (my hospital doesn't have the capability to handle a baby earlier than 35 weeks, and my MFM's place has a level III NICU).
All of that to say, my OB and I were a good fit. We're both very laid back. He and his partner answered my questions when I asked them, and always made me feel better if I got worried. Sounds like maybe you need to find an OB that's a better fit for you.
my doctor is pretty laid back also, but luckily so far my only issues have been in my head. so for me, I'm glad I'm doing all the worrying and he is reasuring and calm. I think if I had a doctor that fussed over me and brought up more things for me to concern myself with, I'd be a mess.
His advice every apt is to eat well, drink lots of water, and put my feet up/rest as much as I can.
ID Twin girls 04/2012
Baby #3 Due Jan. 2017
I only gained about 20lbs by the end (lost over 10lbs in the first 10 weeks) - I stayed at a gain of about 11 lbs from 20-30weeks and my Dr was never concerned. The boys always measured big, and the Dr's assured me that they would get everything they needed. My boys weighed 6.3 and 7.9 when born at 37 weeks. At 12 weeks pp I was 20lbs under my pre-pregnancy weight - of course it all came back when I stopped breast feeding and then found myself pregnant again ;op
You need to make sure you are taking care of you - getting enough liquid, protein, fiber and of course those pesky vitamins; but unless they are seeing your babies measuring small or some other complication I wouldn't worry too much about the exact number of lbs you gain.
ps - I was on zofran for 22 weeks