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OB doesnt approve of Brewer diet

post #1 of 18
Thread Starter 

I have been following the Dr, Brewer Pregnancy diet for twins (http://drbrewerpregnancydiet.com/id9.html) and my OB mentioned that I have gained more weight than advisable at this point. I disclosed to her I was following this diet to stay well nourished and grow some big strong babies. She said it is unhealthy and since I was a bit overweight when I got pregnant, that it will do more damage than good and I might end up with gestational diabetes and this diet is not proven as effective. She said that I need to only eat 300 extra lean calories per day total, not per twin...

 

Now I am confused. I dont know if I am doing the right thing with following the diet (it makes sense to me) and I am prepared to loose the weight afterwards, does she have a valid point?

 

I have read a lot of stories online of this diet being great to ward off preenclampsia and grow healthy strong babies. Has anyone here ever followed this with good results?

post #2 of 18

Oh, Eric's mama, I'm sorry.  It's so hard when you try and do your best and then somebody doubts you.  It IS confusing.  

 

From Midwifery Today-  http://www.midwiferytoday.com/articles/nutritionpreg.asp

 

The midwives I had and the midwives I've worked with (as an assistant midwife) all generally followed his recommendations (they usually recommended less milk/dairy products as they believe overdoing milk products can build larger-boned babies).  OBs don't usually consider nutrition holistically.  If your calories are real food- protein, whole grains, vegetables and fruits with some healthy fats- then you will not develop gestational diabetes as a result from weight gain eating those healthy foods.  If you are gaining weight because you are eating cheetos and donuts or even "healthy" junk food, then it's true that you don't want to gain junk food weight.  I'm also wary about you being defined as "overweight" because I don't agree with those charts!  

 

My mother-in-law, who is 5' 2", carried her twins to 40 weeks, and they were born vaginally one and a half hours apart.  They weighed 8 lbs 5 oz (boy) and 6 lbs 14 oz (girl).  I have two friends who carried twins past 40 weeks (working with midwives) who followed Brewer Diet- all those babies were close to 7 pounds or more.  I have two other friends who had twins with OBs who were induced at 37 and 38 weeks.  One of the docs admitted that in their medical books there was no discussion of care of twin pregnancies past 37 weeks so he wasn't comfortable letting it go longer, citing something about being worried about the integrity of the placentas. 

 

Unfortunately OBs don't seem to have an agreement/understanding about pre-eclampsia being pretty much a result of malnutrition.  It's still considered a result of high blood pressure, which is really only a late and secondary symptom of pre-eclampsia.  Even in People magazine recently, a Kardashian delivered early b/c of pre-eclampsia, and they cite it as a disease of high blood pressure.  OBs are not required to take a nutrition class in med school, so no wonder there's a disconnect.

 

Do you have any other choices of care providers?

 

You might be interested in this too-  http://www.spinningbabies.com/spinning-babies-and/twins

 

Also, check out this awesome picture of twins just born!  Found it today when I was researching birth photographers- http://www.melissacatephotography.com/birth/

post #3 of 18
Don't feel bad, I always get a lecture about weight gain, and I'm underweight when I start out! I think they just want to say SOMETHING! Honestly, you need to eat a lot with twins. With a singleton, meh. The women I know with the healthiest twins gained A LOT. So there's my very uneducated opinion.
Oh and you won't develop GD just cause you gained too much weight. It is true that GD moms tend to gain a lot in the first trimester, but that's because they have dramatic blood sugar swings and eat to compensate. I n other words diabetes causes weight gain , not the other way around.
post #4 of 18

Just anecdotal...my friend followed a similar diet, gained 60 lbs, and carried her twins to 38 weeks before she went into labor naturally. They were both just over 7lbs, I believe.

 

If it feels right to you and you feel good eating this way then continue doing so. I really don't think there's any magic amount of weight every single woman should gain while pregnant. Just eat healthy foods when you're hungry and you'll gain what you need to gain to support both your baby's and your own nutritional needs.


Edited by TrishWSU - 6/28/13 at 12:09pm
post #5 of 18
As a side note my midwife, who is a large woman to begin with (atleast 5ft 10 in and 225 lbs) said when she was pregnant if you gained more than the allotted amount between visits they would stamp your chart with a red pig! This was in the seventies at the height of the feminist movement. I thought that was hilarious. I am trying to not gain much this time since I've gained 40-50 previously and have never lost it all... Thinking about doing paleo or whole30. I think cutting out starches and sugar would be good for me. Not sure about eliminating dairy.
post #6 of 18
Unless you are eating junk food, I cannot possibly see how following this diet is a poor choice. He likely doesn't know much about Brewers, but I think it's a fantastic idea. Go with your gut, mama. You know what is best for you.
post #7 of 18

Eric's mama, sounds like you are doing what is right for your babies.  I am following Dr. Luke's diet https://www.drbarbaraluke.com/Books/Expecting.aspx

She discusses gaining the most weight in trimester 1 and 2 because it helps the babies have the nutrition they need when trimester 3 comes around and you can't eat as much since your stomach has less space then.

 

There are other ladies pregnant with twins on a thread over http://www.mothering.com/community/t/1374101/pregnant-with-twins-or-more-spring-summer-2013/280#post_17393045 and most of those ladies followed the Dr. Luke diet and had babies that were well grown and mature.  Check it out.

post #8 of 18

Ohh I like the idea of gaining the most weight early on! I do think that you can't really go wrong with healthy food choices- if what I am eating is relatively whole, unprocessed, nutrient rich, etc. then I figure any extra weight I gain I will deal with later. I'm still breastfeeding, too, and we all know in the nausea and sick days its hard enough to get anything down. Now, what is wrong with big-boned babies? Last pregnancy I practically lived on dairy, and my baby was almost 9lbs, and almost 30 at her first birthday, and she is still almost off the charts in height and weight. I've wondered if dairy has had something to do with it- I am only 5'5, hubs 6', but there are more people over  than under 6 feet in most of my family, so I have been assuming she just got taller genes than her mama. She is WAY bigger than I ever was, at every stage so far. But why would a dairy-large bones connection be a bad thing? I'm honestly asking because I'm doing tons of dairy this time around, too- it about the only thing I actually crave (not just dairy, I'm talking drinking milk! I would NEVER drink milk in my non-preg state).  

post #9 of 18
My only evidence is anecdotal, bc I restricted calories in the 1st tri w/both dds and they were both innduced for being underweight, I was following Health Canadas guidelines for weight gain during pregnancy, so I don't think much of those recommendations! Especially not w/ 2 babies!!! If your OB feels like this now, how do they feel about "letting" you go to term?! Or deliver naturally, if you like??
post #10 of 18

Geez Lida I nver even heard of being induced for underweight! 

post #11 of 18
If a baby was underweight, wouldn't it make more sense to leave them in longer so they could get bigger?
post #12 of 18
If a baby was underweight, wouldn't it make more sense to leave them in longer so they could get bigger?
post #13 of 18

If they suspect IUGR they will deliver early because the baby is not able to effectively grow in utero. That's the only reason I can think of. Seems silly to induce just because mom isn't gaining weight-the baby can still be growing fine. 

post #14 of 18
Yeah, it was bc my belly wasnt growing and babes were falling on the growth curve according to the ultrasound measurements. Th US actually overestimated both dds weights.

Ericsmama, can you ask for a referral to a dietician and/ or look up the recommendations for calories per multiple? 300 is the recommendation for a singleton, it seems odd that they wouldnt recommend more for a multiple pregnancy.
post #15 of 18
Especially since with twin births they are often early so you have less time to give them the best birth weights you can. Follow your gut, eat healthy food, not empty calories from junk, and if you get GD deal with it then. The best thing you can do for your babies right now is eat well to give them the nourishment they need.
post #16 of 18
Thread Starter 

I have an appointment with a dietician next week. I want them to analyze my situation, weight, etc and the Brewer diet specifically. Ideally they can confirm that this is a good fit :-) and I can take the information to the OB and tell her to leave the issue alone, ideally. I even ordered a glucose meter off Amazon and for the past week have been checking my blood sugar levels several times a day....call it sheer curiosity :) and they have been below average from what I understand from the online charts and guidelines.

post #17 of 18
I think you are doing a wonderful job!! I gained 50 lbs with my twin pregnancy...I was induced at 37 weeks due to baby B having IUGR and my history of fast labors (baby B needed to be born at a hospital 45 min away due to needing cardiac care immediatly after birth).
I would keep following the healthy diet! GOOD LUCK!!
post #18 of 18

I just want to add my voice to keep doing what feels right for you. I don't understand doctors sometimes, what does your OB want you to do, restrict your diet to meet some statistic?  Like the others said, if you're eating whole food, and your rule out GD or other issues, then trust your body to know what it is doing.

 

I actually don't tell my OB much because I know then a lecture is coming up that I'm going to ignore and I continue doing what I feel is right for me. My diet would make most doctors fall off their chair (meat, eggs, saturated fat especially butter, dairy, fruits and veggies, potatoes, white rice). I did that with DD and  had a very healthy pregnancy, she was 8 lb at 39 weeks and I had abundant milk supply. I lost all the of the weight (with some effort of course) when she was around 7 months.

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