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If you read/follow(ed) Dr. Barbara Luke

post #1 of 13
Thread Starter 
I picked up the book yesterday and read a good part of it last night. Wow! It almost made me feel guilty for not gaining enough in the first 20 weeks of my pregnancy (I didn't know it was twins).

I did the Brewer Diet which is VERY similar. But I've only gained around 5 lbs (in part due to a bad stomach virus a week before my OB appt). The book says 25 lbs!

Since I found out it was twins, I've been eating (as she suggests) and essentially lying around to try and put on some weight. I've put on another 3 1/2 lbs.

But both of my babies were 10 oz and 9.5" on the u/s which is average size for 20 weeks. How much stock do I need to place in those first 20 weeks when I didn't know?

I know from here on out I have to pay attention. But, what do you think? Do you think I did at least mostly okay in the first 20 weeks? I just don't know if it is a good idea to overdo the weight gain to try and "catch up" with the numbers in Dr. Luke's book. But I assure you, I'm eating nothing but good things, and with all that I *have* to eat there's no room for junk food. These calories count!
post #2 of 13
Sounds like you are doing great. If it makes you feel better, I am almost 28 weeks and have gained 19lbs. My midwife is very pleased with my growth and the growth of the babies.

It is far more important to eat right and drink plenty of fluids than to worry about a number on a scale. Your body will tell you what you need.

Doing great mama!
post #3 of 13
I love Dr. Luke and push her book and lots of expectant MoMs. BUUUUTTTT, here's the thing:

1. Don't think you need to gain a lot of weight upfront. Don't push too much. Eat lots of protein, yes, and water and lots of good leafy greens and all. But If you're eating well and not gaining at her rate, that's just your body's way. Giving yourself the protein and nutrients is all you can do.

For what personal experiences are worth, I lost weight over the first 14 weeks with raging MS. Didn't know about the twins until 19w. Had gained 24 lbs by 24 weeks or so as recommended. You just never know how your body wants to do things. For me, I was petrified of being diagnosed with GD, so I stayed away from sugar. Lots of protein shakes and carrying a bag of walnuts with me for snacks worked wonders.

2. I totally disagree with Dr. Luke on activity. Sure, stress is bad. But if you feel ok, by all means get out there and walk, swim or do whatever activity feels good. Don't let your body fall apart just when you need it! I climbed a mountain at 7 months pregnant, and walked 2 miles a day all along. It really made me feel great. Trying to jump start labor I walked 4.5 miles, and it didn't do a thing.

Definitely don't force yourself, just don't hold back if you feel up to something.

And on the flip side, if you are active and do go into labor early, don't think for a minute that the two are related. Unfortunately PTL is a risk of being a multiple momma. We do what we can, and need to listen to our bodies, but sometimes PTL happens. In some cases we have warning - a short cervix for example. But plenty of times we don't.

Just take care of yourself! Eat well, rest as well as you can, and be as active as you feel. Most of all think positive!
post #4 of 13
Quote:
Originally Posted by Gena 22 View Post
I love Dr. Luke and push her book and lots of expectant MoMs. BUUUUTTTT, here's the thing:

1. Don't think you need to gain a lot of weight upfront. Don't push too much. Eat lots of protein, yes, and water and lots of good leafy greens and all. But If you're eating well and not gaining at her rate, that's just your body's way. Giving yourself the protein and nutrients is all you can do.

For what personal experiences are worth, I lost weight over the first 14 weeks with raging MS. Didn't know about the twins until 19w. Had gained 24 lbs by 24 weeks or so as recommended. You just never know how your body wants to do things. For me, I was petrified of being diagnosed with GD, so I stayed away from sugar. Lots of protein shakes and carrying a bag of walnuts with me for snacks worked wonders.

2. I totally disagree with Dr. Luke on activity. Sure, stress is bad. But if you feel ok, by all means get out there and walk, swim or do whatever activity feels good. Don't let your body fall apart just when you need it! I climbed a mountain at 7 months pregnant, and walked 2 miles a day all along. It really made me feel great. Trying to jump start labor I walked 4.5 miles, and it didn't do a thing.

Definitely don't force yourself, just don't hold back if you feel up to something.

And on the flip side, if you are active and do go into labor early, don't think for a minute that the two are related. Unfortunately PTL is a risk of being a multiple momma. We do what we can, and need to listen to our bodies, but sometimes PTL happens. In some cases we have warning - a short cervix for example. But plenty of times we don't.

Just take care of yourself! Eat well, rest as well as you can, and be as active as you feel. Most of all think positive!
Gena, your posts are the best! You are so inspiring!
post #5 of 13
to Gena

I didn't gain nearly what she recommened. I, too, suffered from severe morning sickness and didn't find out about my twins until 20 weeks. I also just don't put on weight while pregnant. I paid a lot of attention to my diet and consumed a huge amount of supplements to try and support the process but all I could do was do my best.
post #6 of 13
Quote:
Originally Posted by Molliejo View Post
Gena, your posts are the best! You are so inspiring!
Thanks!
post #7 of 13
Thread Starter 
Great, thanks! ITA, very uplifting and inspirational.

I'm not stopping activity entirely- I still intend to do yoga and walk some. But I probably won't go out and play soccer or football with the kids anymore. I'll stick to a little less impact. I had only stopped activity so that I might show some weight gain. Now that I'm on the upswing I think I'll do more. I may use this as a push to get DH to join the YMCA again so I can get in the water! I love being in the water in the third trimester with one, I can only imagine how heavenly it'd be with two in there!

So, I'm eating a lot, and I didn't gain much with my other two pregnancies. I worked out nearly everyday with both and gained 25 & 27 lbs. I'm just small though. I like to be active so sitting around all day wouldn't be good for me.
post #8 of 13
My nutritionist told me to disregard her recommendations on the weight gain. She said they are very extreme and that I shouldn't expect to gain more than 10 lbs more than a singleton birth. While the dietary recommendations are fine (increase protein, healthy fruits, veggies, etc) the caloric recommendations are absurd.

And I also disagree with her workout recommendations. Just listen to your body. It will say when you need to slow down.

I'm 23 weeks and have gained 15 lbs so far. My peri is fine with that.
post #9 of 13
Thread Starter 
I'm leaning towards feeling the same way. As if I eat what is suggested, even the calories, I can't guarantee a certain amount of weight gain. I do like her recommendations though as they seem reasonable (fruits, veggies, grains, dairy, fats, etc.)

Though now that I'm eating more and I'm conscious about carrying two I am gaining weight...and fast. I'll be pretty close to 15 lbs (maybe more) now at 24 weeks.
post #10 of 13
You're doing great, and I would just keep doing what you're doing. The guidelines are valuable and may help, but they aren't a magic bullet anyway. I was right on her numbers and delivered very prematurely. I'm sure there are 100 other stories of mamas who didn't gain "enough" according to Luke and had healthy full-term twins.
post #11 of 13
I think she (Barbara Luke) makes good points about the early (and significant) weight gain correlating with fewer complications in multiples pregnancies, and I wouldn't shrug her off, but I think there are lots of areas for qualifications (as people have mentioned.)

I found out I was carrying twins at 14 weeks, but I was still heavily nauseated at that point and vomiting very frequently. (I had lost a lot of weight, though I started out pregnancy over my ideal weight.) Eventually, I began to gain weight.

I had not reached Dr. Luke's target recommendation/goal by 20 weeks, but I did catch up and reach it by 24 weeks.

During the pregnancy, I followed an instinctive diet that sort of mapped out along the lines of something to protect against gestational diabetes (or maybe manage it--not sure what the GD diets look like.) I started to feel like it (my taste/instinct) was grounded in the twin pregnancy. I didn't want sweets, I didn't want grains--not even my usual whole grains, I didn't want most dairy. (I did eat sharp cheddar cheese slices with my daily couple of apples.)

I didn't eat pasta through the whole pregnancy, nor did I eat oatmeal, other cereals, whole wheat pancakes, bread (I had a few grilled cheese sandwiches, but only a handful and hardly ever), or any crackers. I did eat brown rice, and of course got carbs through vegetables. I ate lots of broccoli, Swiss chard, bok choy.... I did tolerate roasted potatoes, and occasionally mashed potatoes. I sometimes substituted quesadillas for my VERY regular rice with stir fry lunches, so I had the occasional tortilla. But that was pretty much it.

I had miso soup (with various seaweeds) and brown rice with chicken/vegetable stir fry each morning for breakfast, and usually more stir fry for lunch. That's what I tolerated best (in big quantities!) through the second trimester and into the third. After I was solidly into my third trimester, I began to crave beef and pork more than I wanted chicken, and I branched out to include those (hadn't had/wanted beef before that, though.)

I still was avoiding milk and most cheese, but I started having ice cream at night right before bed (3rd trimester.) I sometimes would add a couple tablespoons of peanut butter to the bowl. This was the first time I had sweets, and I only wanted it late at night (I think for diabetics or women with GD, milk can be problematic because of the sugar but they actually recommend drinking it before bed, because of the long time before the next meal comes.) Anyway, I found I'd be sick on the mornings when I hadn't had bedtime ice cream, but I'd do well if I had the ice cream.

Overall I ate very well, albeit fairly "lean," and like you, every bite counted. I did start gaining rapidly....maybe that was after the babies, and everything else to do with them, were getting bigger/weighing more. Maybe it was because the vomiting finally had stopped. Whatever it was, I seemed to turn a corner after 20 weeks (I already was gaining, though, and I think I had gained more than 5 or 8 pounds) and my weight gain really took off.

It always felt really healthy, though. I think you sound fine, and the fact that you are upping the protein, feeling like you are eating lots and of high quality, and were already eating along Brewer lines all sounds really good. I found it possible to gain significantly on "lean" foods and I went to term and had babies with healthy, normal weights.
post #12 of 13
I gained 15 lb by 20 weeks after lots of nausea. I aimed for as much protein as possible and did the best I could.

I also saw that the moms who gained more total kept their babies in longer. So that's what I aimed for.
post #13 of 13
I didn't get the Luke book until after I found out it was twins at 20 weeks, at which point I had gained nothing (really, really bad MS here, too) and I panicked, just like you. I tried to follow the diet for a while, but it was too much food, and too many things I couldn't stomach eating (I still had weird food aversions for most of the pg). I ended up eating whatever healthy food didn't make my stomach turn. I gained about 25lbs total, and my two were born at 39 weeks (and they would have cooked longer, I'm sure, but I ended up with a c/s for a breech twin A - long story) at 7lbs11 and 6lbs2, so not tiny . . .

I think if you follow what your body tells you in terms of food quantity and variety, you should be fine
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