February 2012 Moms

Scolded by my doctor, again...

So, I had an appointment tomorrow and I have gained 6 pounds in a bit over a month. My doctor says that I've already gained all the weight I'm supposed to gain in the ENTIRE pregnancy, and I'm only 26 weeks Indifferent (measuring two weeks ahead, though). He says that women with normal weight are supposed to gain only 18 pounds.

I talked to my coworkers today (most of them are female) and the average weight gain that they had was 26 pounds. And they all lost it while breastfeeding or soon after that.  Hmm

I'm on a diet now. If you want I'll share it with you, but I have to pick up my doctor's note from my MIL's house tomorrow. 

My weight gain is all that I could think of today!

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Re: Scolded by my doctor, again...

  • Don't worry about it too much!  I gained 40 lbs with my daughter, and my doctor never said anything about it!  (I did have a 9 lb, 13 oz baby!) The first 30 lbs came off easily, but I had to work hard to get the last 10 off. 

     This time, I haven't gained 15 lbs yet (at almost 24 weeks.)  I'm hoping I will only gain 25 to 30 lbs so that I won't have to work so hard to get it off next time!  My point is that your baby will be fine either way, but gaining less weight might make it easier on you in the long run!

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  • 18 lbs sounds low to me for a normal weight person.  I always heard 25-35 for people starting at normal weight.  I gained a little over 40 with DD and am on track to do the same this time (I am normal weight when not pregnant as well) and my OB is not at all worried about it.  She says everybody is different and the average is just an average; your body will do its own thing.  As long as you are eating healthy and getting reasonable amounts of exercise, you are doing what you need to do.

    Your coworkers are also probably underreporting.  :)  Good luck and try not to stress out about it too much!

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  • Everything I've ever read or heard says that 25-35 lbs is normal for an averaged weight woman to gain. Tell your dr. to shove it! Wink
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  • Only 18 pounds? That seems pretty low if you're starting out at a healthy weight.My doctor said that she wanted me to gain between 25 and 35 pounds, and I started out average/thin. At my 20 week visit, I had gained 7 pounds in 5 weeks, and my doctor said that as long as I didn't gain that much every time, she wasn't concerned. (This time, I had gained 4 pounds in 4 weeks.)
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  • according to webmd, if you are healthy to begin with, here is a break down of the "expected" weight gain:

    Where Does the Extra Weight Go During Pregnancy?

    Baby

    8 pounds

    Placenta

    2-3 pounds

    Amniotic fluid

    2-3 pounds

    Breast tissue

    2-3 pounds

    Blood supply

    4 pounds

    Fat stores for delivery and breastfeeding

    5-9 pounds

    Uterus increase

    2-5 pounds

    Total

    25 to 35 pounds

     

    I'm no medical professional by any means, but 25-35 lbs is the range that I've heard most. Unless you were overweight prior, 18 sounds a little on the low end.


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  • Wow, 18 pounds is right where we were supposed to be at this point in pregnancy I thought.  I've gained about that and plan on AT LEAST another 10-20.  I think I gained about 40 with DD and weighed less a year later than I had since I was in high school.
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  • To make you feel better I gained 8 pounds this past month! I had a dr appointment this morning. So I have gained a total of about almost 15 pounds. So I hope that your doctor is wrong about the 18 pounds. Because I was of normal/thin weight before getting pregnant. I just hope I don't put on another 8 pounds this month. I'll need to be good at Thanksgiving. But I have always heard, and been told my doctors that the normal weight gain is 25-35 pounds, so I wouldn't worry too much.
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  • I like this site for information.  It goes along with what both my OB and insurance nurse suggest.

    Most of my friends gained over 50lbs with their first, not saying that is ideal & neither do they.  So 18 does not seem like a weight to be scolded for, maybe he should have just made you aware of his concerns.

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  • my friend steph just had a baby and gained 80 lbs.  so even if you gain more then your doc wants (and 18 sounds low) at least there is no way you'll gain 80!!  (I am only supposed to gain 10 b/c I was overweight to begin with and ***so far** am on track, but I always tell myself that if I end up gaining 12 or 15 it's no big deal, because it won't be 80.)

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  • and, I'm sorry your doctor scolded you, because I'm sure you're doing your best anyway!
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  • I started my pregnancy at 125 pounds and I'm 5' 4''. Not super thin, but I'm also really muscular. I didn't look fat (and I don't look overweight now, either). I guess that is normal weight, right?
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  • imagecabee310:
    Everything I've ever read or heard says that 25-35 lbs is normal for an averaged weight woman to gain. Tell your dr. to shove it! Wink

     

    Definitely this! I would ask a second doctor for another opinion. You should never be made to feel badly because of your weight gain.

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  • 18 pounds that is crazy! Two different docs have told me a pound a week starting at 10 weeks. So an average of 30 pounds. I gained 40 with H and I'm on track to gain that amount again. I just never heard of only gaining 18 pounds.
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  • odd my doc says normal would be about 25-30lbs.. thats what all my friends have been told too...i think your doc is crazy!
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  • If my doctor scolded me about my weight gain while pregnant (especially if I was where you are at) I would be looking for a new doctor.  Every woman is different, and no two are going to gain the same amount in the same way.  I have already gained 25 lbs and I am not going to stress about it.  I don't look unhealthy, I look pregnant!  And I'm eating a variety of good foods and walking occasionally to keep active.  Sorry your doctor is stressing you out.

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  • 18 lbs is old school thinking- like 1970s. Is your dr old? They have revised that theory. Don't listen to your dr.
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  • imagepevilallonga:
    I started my pregnancy at 125 pounds and I'm 5' 4''. Not super thin, but I'm also really muscular. I didn't look fat (and I don't look overweight now, either). I guess that is normal weight, right?

    That is a normal weight. 18lbs is pretty low overall. Your doc is crazytown. I've always been told 25-35lb gain is "ideal" for a normal weight person. I am also 5'4" and started pre-pregnancy at over 200lbs and my doc still said even I should gain 15-20lbs during pregnancy- and you should never try to lose weight during pregnancy.

  • How OLD is your Dr.???

    I would seriously consider finding another care provider.  Your Dr. sounds like a moron.  At least make sure to run this "diet" by an actual dietitian- I personally would have a hard time taking any advice from this Dr. in the future.

    Also, the whole focus on specific numbers is an outdated concept.  My MW asks me my weight at every apt, but she really doesn't stress about it because she knows I am eating healthy. 

    I gained 35 with Lily and lost it all in 3 weeks...and I AM overweight. 

    GL


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  • What the heck?! I've probably gained about 18 lbs up to this point too. IDK about you, but I'm all belly. Okay maybe a little ass, too...But still. I can't believe they said that. I got in trouble for 6lbs in one month but she never said my overall gain should be only 18.

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  • Don't let it get to you. Just because you don't go by the standard guideline of weight gain doesn't mean that you're unhealthy. My friend gained 50lbs with her first pregnancy, and she was a bit overweight before she got pregnant... and all she did was worry about it... She breastfed her son, lost all 50lbs in less than 9 months, and never had an issue of any kind during or after the pregnancy.

  • imagepinksweetpea2:

    How OLD is your Dr.???

    I would seriously consider finding another care provider.  Your Dr. sounds like a moron.  At least make sure to run this "diet" by an actual dietitian- I personally would have a hard time taking any advice from this Dr. in the future.

     

    Haha! He's really young, like 38, but he is really good. He gave us our IVF baby!  He says that the normal weight gain is 2.2 pounds per month (a kilo), but I see here that most of your doctors said to gain one pound a week!

    I will continue seeing him, but I'm  going to an actual dietitian next week. I'm being good, I swear! I even stopped drinking soda (which is bad for you during pregnancy, but also bad for you in general) which was my craving! I eat some sweets, sure, but I've always eaten desert 2 or 3 times a week. I'm not eating anything that I didn't eat before my pregnancy. And the only thing I have for dinner is a glass of milk because I don't like to eat at night.

    I'll keep you posted!

    Thank you so much everybody for your support! Crying

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  • Dont let your Dr make you feel bad. I think only gaining 18lbs for a person of normal weight is actually quite hard to attain, meaning most people gain about 25-35lbs.

    I think you're right on track for gaining and as long as you're doing it in a healthy way with proper foods and not junk then i wouldn't be concerned. 

    Sorry your Dr made you feel bad. 

  • imagechristinak22:
    Wow, 18 pounds is right where we were supposed to be at this point in pregnancy I thought.  I've gained about that and plan on AT LEAST another 10-20.  I think I gained about 40 with DD and weighed less a year later than I had since I was in high school.

    All of this.  exactly.

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  • Every single book you read says that if you have a normal BMI then a good weight gain is 25-35 lbs.   They used to recommend to our moms to only gain 20 lbs, but they don't do that anymore.

    So if you didn't start pregnancy a little overweight, I wouldn't worry about it too much.  Your doctor sounds a little crazy to me.  I would definitely give him the side eye and a piece of my mind if mine told me anything that much at odds with everything else I've read and researched.

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  • imagepevilallonga:
    imagepinksweetpea2:

    How OLD is your Dr.???

    I would seriously consider finding another care provider.  Your Dr. sounds like a moron.  At least make sure to run this "diet" by an actual dietitian- I personally would have a hard time taking any advice from this Dr. in the future.

     

    Haha! He's really young, like 38, but he is really good. He gave us our IVF baby! 

    Just because he is good at IVF, does not mean that he is good at all aspects of pregnancy.  I have had a couple of friends who have stood by their OBs because they helped them through fertility issues, only to be burned at the end.

    Just be careful.  What he is suggesting actually sounds unhealthy to a point.   You are supposed to eat and gain weight when you are pregnant. 

    GL


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  • imagenoryang:

    imagecabee310:
    Everything I've ever read or heard says that 25-35 lbs is normal for an averaged weight woman to gain. Tell your dr. to shove it! Wink

     

    Definitely this! I would ask a second doctor for another opinion. You should never be made to feel badly because of your weight gain.

    Or just smile and nod and keep doing what you're doing.  You don't always need a doctor to approve everything you do. 

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  • I totally agree with the PPs.  EVERYTHING I have read says 25-35 lbs for someone of a healthy weight, which it sounds like you were.  Babies have growth spurts and the weight doesn't always come on at a steady pace.  It's completely unfair for your Doc to be scolding you for 6lbs in a month! 

    My midwife doesn't even weigh me at my appointments, if the baby's measuring correctly and I obviously haven't ballooned since my last visit, it's fine.  As of this morning, I've gained about 17 lbs.  On schedule for a 31 lbs gain. 

    I hope this diet your OB is putting you on is not too restrictive... 

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  • Seriously?  I'm exactly where you are in terms of weight gain and how far along I am and my doctor says I'm doing just fine (or rather, she doesn't mention it unless I bring it up, but then all she does is reassure me).  I gained over 40 last time with no problem and lost it fairly quickly after.  I'm really not sure about the diet thing.  I'd get a second opinion, or something.
  • I agree with everyone else.  Everything I've read and even my doctors handout given at the first prenatal appt. says 25-35 lbs.  18 seems really low to me (assuming normal starting weight) and even leaning more toward the unhealthly side.  It's one thing if you're eating well and the most you manage to gain is 18 lbs based on your body and metabolism...it's a whole other story to go on a diet to try to stick to the 18lbs.  It really just doesn't seem right to me.  I would ignore this specific piece of advice and just eat healthy.

     

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  • imagepinksweetpea2:
    imagepevilallonga:
    imagepinksweetpea2:

    How OLD is your Dr.???

    I would seriously consider finding another care provider.  Your Dr. sounds like a moron.  At least make sure to run this "diet" by an actual dietitian- I personally would have a hard time taking any advice from this Dr. in the future.

     

    Haha! He's really young, like 38, but he is really good. He gave us our IVF baby! 

    Just because he is good at IVF, does not mean that he is good at all aspects of pregnancy.  I have had a couple of friends who have stood by their OBs because they helped them through fertility issues, only to be burned at the end.

    Just be careful.  What he is suggesting actually sounds unhealthy to a point.   You are supposed to eat and gain weight when you are pregnant. 

    GL

    And just because a doctor said something that doesn't necessarily coincide with the norm, doesn't mean he is a moron.

    OP--there's a reason for what your doctor said, and he's probably just looking out for your health and the baby's health--not too many doctors (none that want to keep their license anyways) would suggest you do anything that would bring harm to you or your child. I wouldn't stress over it too much!  

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  • imageRachNRich:
    imagepinksweetpea2:
    imagepevilallonga:
    imagepinksweetpea2:

    How OLD is your Dr.???

    I would seriously consider finding another care provider.  Your Dr. sounds like a moron.  At least make sure to run this "diet" by an actual dietitian- I personally would have a hard time taking any advice from this Dr. in the future.

     

    Haha! He's really young, like 38, but he is really good. He gave us our IVF baby! 

    Just because he is good at IVF, does not mean that he is good at all aspects of pregnancy.  I have had a couple of friends who have stood by their OBs because they helped them through fertility issues, only to be burned at the end.

    Just be careful.  What he is suggesting actually sounds unhealthy to a point.   You are supposed to eat and gain weight when you are pregnant. 

    GL

    And just because a doctor said something that doesn't necessarily coincide with the norm, doesn't mean he is a moron.

    OP--there's a reason for what your doctor said, and he's probably just looking out for your health and the baby's health--not too many doctors (none that want to keep their license anyways) would suggest you do anything that would bring harm to you or your child. I wouldn't stress over it too much!  

     

    Actually, the reason the recommended weight went up is because it IS unhealthy for the baby. Babies need the nutrition for proper brain development which occurs later in pregnancy. Research indicates that gaining too little weight can lead to smaller heads, smaller brains and lower IQ. Obviously OP should discuss this with her doctor, but I do question why someone who is clearly of normal BMI prepreg is being told to maintain such a low gain.

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  • I have no idea what I've gained. I didn't weigh myself when I found out I was pregnant, nor did my OB. I know roughly what I weighed then, but haven't stepped on a scale yet. I guess my doc's not that concerned about it.
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  • imageMrs.MillerJune2008:

    Actually, the reason the recommended weight went up is because it IS unhealthy for the baby. Babies need the nutrition for proper brain development which occurs later in pregnancy. Research indicates that gaining too little weight can lead to smaller heads, smaller brains and lower IQ. Obviously OP should discuss this with her doctor, but I do question why someone who is clearly of normal BMI prepreg is being told to maintain such a low gain.

    I agree with the bolded part, and that's about it. I may not have an MD, but--like I said--not too many doctors run around telling patients to do things that will cause harm to them and their unborn child. We weren't at OPs appointment, so we have no idea how concerned her doctor really was with her weight. But, if she's that concerned, she needs to take it up with him....having a message board full of women who don't have medical degrees telling someone her doctor is a moron isn't going to do her any good. 

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  • imagepevilallonga:
    I started my pregnancy at 125 pounds and I'm 5' 4''. Not super thin, but I'm also really muscular. I didn't look fat (and I don't look overweight now, either). I guess that is normal weight, right?

    This is exactly where I started and my midwife and the supervising OB, as well as every book I've read, says that I should gain the "recommended" 25-35 lbs. Not sure where he's getting 18lbs from, at all.

    At my 20 week, the midwife told me to be careful as I'd gained 8 lbs in one month, and if I did that every month, I'd obviously be in trouble. I missed my 24 week appointment due to work obligations, so I'm going next week...not sure what I've gained since I'm honestly not keeping track. I'm eating pretty sensibly, and I'm exercising. That's all I can do! I was super depressed after they told me I gained too much too fast, so I decided to forget about it and just enjoy being pregnant.

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  • Please do not go on a diet, I'm no doctor but that sounds absurd.  As long as you eat well, don't overindulge and keep active you are doing all you can to keep your body and your baby healthy during pregnancy.  I'm sorry your doc gave you a hard time, it sounds like you're doing everything right and I don't think you should stress about it!


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  • imagepinksweetpea2:
    imagepinksweetpea2:

     

    Haha! He's really young, like 38, but he is really good. He gave us our IVF baby! 

    Just because he is good at IVF, does not mean that he is good at all aspects of pregnancy.  I have had a couple of friends who have stood by their OBs because they helped them through fertility issues, only to be burned at the end.

    Just be careful.  What he is suggesting actually sounds unhealthy to a point.   You are supposed to eat and gain weight when you are pregnant. 

    GL

     

    This

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  • I get why some drs worry about excessive weight gain and the possible risks associated w/it, but if you are healthy in every other way, I wouldn't worry about your weight gain. Plenty of women gain upwards of 40lbs+ and they go on to have a healthy pregnancy and lose most of it w/in the yr. And what type of diet are you going on? Is this one dr approved or are you taking it upon yourself to do it? You shouldn't be "dieting" while pregnant per say, if anything, you should try to just eat heatlhier and try to move around a bit more if possible. I'm plus size and although I've lost 15lbs during my pregnancy due to healthier eating habits, I'm still far from being a healthy weight and thankfully my dr supports that but doesn't make me feel bad about it. If I had a dr that was stressing me about my weight gain at any size if I was healthy in every other respect, I'd switch to someone else but that's just me.
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  • I was overweight when i got pregnant, and when i had my 20 wk appt i had gained 20 lbs total. (never mind i just moved across the country and had been living in a hotel for a month) my dr was really upset. I joined weight watchers to maintain and so far i have done a lot better.

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  • 18 lbs sounds really low.  My BMI was a little high so I was considered slightly overweight and my Dr said to gain 15-25.  I'm right about at the 25 mark :(   I think your Dr is crazy.  Anything I've read shows 25-35 for average women.
  • I'm sorry that you were scolded. I quit looking at the scale at about 22 weeks and asked the doctor's not to tell me how much I weigh from here on out. But at 22 weeks I had gained about 18-20 lbs and my doctor didn't bat an eyelash. I wouldn't worry about the weight if you are eating healthy...if you sit around eating junk it may be a different story. But being healthy is a priority...regardless of the numbers on the scale.
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