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I am obese; I've been obese throughout all of my pregnancies. I don't <i>look</i> truly obese because I'm tall and I carry most of my weight in my bottom half. I weigh considerably more now and during DD2's and DS's pregnancy than the start of my pregnancy with DD1. There's about a 50 lb. difference, if not more. It was *very* weird seeing "obese" on my chart with DD1. I didn't look or feel obese, but there it was. It shows more now, though.<br><br>
I was told to gain no more than 25-30 lbs with DD1 even though I was obese. With DD2 I was told by a CNM at an OB/CNM practice no more than 15 lbs. I was only seen once by a CNM with DS and never made it that far to discuss weight. My CPM didn't say anything about weight. She knew I ate pretty well and didn't have a problem with weight with my others.<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>sunflwrmoonbeam</strong> <a href="/community/forum/post/13907614"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">As someone who's just barely "obese" I too find these things ridiculous. See, if you break it down, "fat" women (as someone who was 10 pounds shy of "obese" at a size 8, I'm defining fat as size 6 or up) are expected to lose weight during pregnancy.<br><br><b>Fetus= 7-10 pounds<br>
amniotic fluid = ~2 pounds<br>
placenta = ~2 pounds<br>
50% increase in blood =1/2 pound<br>
other fluid retention = 4+ pounds<br>
uterine growth = ~2 pounds<br>
boob growth =~1-5 pounds (for the truly "blessed")</b><br><br>
Add this up and you have:<br><br>
18.5-25.5 pounds. And we're not even talking about increasing fat stores for breastfeeding here. So that means a pregnant "obese" woman needs to lose 5-10 pounds in herself over the course of a pregnancy in order to have the "appropriate" weight gain.<br><br>
And, as an "obese" woman who sews and thus knows her measurements, I've gained 4 inches in the bust, 13 in the waist, .5 in the hips and 0 in the thighs. In short, I've put on no bulk that's not explicitly pregnancy related (meaning I have not increased my fat stores at all, aside from the boobage), and I'm up 25-30 pounds at 40 weeks. I can still close my pre-prego pants (we won't say they fit because the waistline is all screwy due to my ginormo belly) and yet I've gained too much weight?<br><br>
There are reasons why I spend a lot of time talking about fat acceptance. The idea that I should starve myself WHILE PREGNANT is indeed one of them.</div>
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I know it's generally thought or said that obese or overweight women tend to lose weight during pregnancy. In reference to the bold, with DD2 I was told to gain no more than 15 lbs. I actually lost weight. My metabolism skyrocketed and began losing weight when I was around 12 weeks. By 16 weeks I was -7. At every appt. I was -7. They took notice to my lack of weight gain and got worried. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"> They suggested a 3000 calorie diet to gain weight. There was no way I could eat that much, and I didn't see a reason to. I wasn't restricting anything. I ate pretty well. Chose healthy food options, but also ate treats here and there, and definitely towards the end. I knew she was fine. The day I had her I was-7. So, just going based on the pregnancy weight, none of it showed up on the scale because I lost fat/body weight. In between appts. I would weigh myself and would gain 2-3 lbs, but would end up back at 292 at every appt. I was never recorded to have gained weight. The pregnancy/baby weight balanced out my actual weight loss.<br><br>
I lost weight up until I started retaining fluid with DS. Then when the polyhydramnios set in I picked it up quickly. A good chunk of it was fluid retention and amniotic fluid. The amount of amnio fluid I had in there was shocking. It accounted for most of my weight gain.<br><br>
I'm seeing homebirth midwives again with this pregnancy and weight isn't a big deal. They don't want me losing too much. They know I eat sensibly. They don't weigh their patients.
 

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I find the guidelines silly. I have always been a big girl. I am 5'5". I started my first pregnancy at 175, twins. Gained 42lbs. I got bigger, more overweight. Some pregnancies I started out at over 260. Some I gained 20ish, one only 11lbs. After my 8th baby I worked hard to lose over 63lbs. I started my last pregnancy at 212, this one at 210. My last I gained 32lbs. This one so far at 28 weeks 36lbs. What is the difference. Nothing. I eat the same, I watch portions usually. I spulge some. Last baby was a girl, over 10lbs. This baby I believe is a boy and will weigh less. My weight and gain, either "excessive" or "not enough" never caused any issues for me.
 

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I originally read this post a couple hours ago, and have been thinking about it ever since. I feel that it's another one of those medical "cover our butts" types of situations. I can't imagine that the doctors actually think that this will work for EVERYONE, but they have to have some sort of "disclaimer." For those who seriously don't know any better.<br><br>
We have to keep in mind that for the most part, I think this is a very knowledgeable message board, we tend to read/know/care more about issues that affect us more than the average woman out there. Sad, but true. I have known SO many moms who don't read a single book on pregnancy because they can't take the time, or they don't want to spend 9 months "being scared." Or if they do, it's "The Girlfriend's Guide to Pregnancy" or those stupid pregnancy magazines that have more articles about how to look "hot" while pregnant than on actual pregnancy.<br><br>
We also tend to care a little more about what we put into our bodies, and for the most part eat healthier than the vast majority of Americans (um, although I did just come from Coldstone).<br><br>
It's sad that doctors don't spend more time educating their pregnant patients on what healthy eating is during pregnancy. I know neither doctor I've had has mentioned it to me, and I truly am considered obese by those charts (of course not in my opinion, but I digress). I mentioned to my dr this pg that I was a *bit* concerned that I was starting this pg 20 lbs heavier than my last, and she mentioned that I should keep my weight gain around 25 lbs. She hasn't mentioned it since (and w/ the way my hormones are going lately, she'd better no if she knows what's good for her!).<br><br>
It's sad that they'll say...only gain XX lbs, and harass a woman for gaining more, yet do nothing to help her.<br><br>
I don't know what the answer is to this...those charts aren't going away.<br><br>
Thankfully, we all seem to know that it's a bunch of BS, and we're going to gain what we need for our babies. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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<div>Originally Posted by <strong>Talula Fairie</strong> <a href="/community/forum/post/13908934"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Oh! I didn't realize you were speaking sarcastically <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment"><br><br><br></div>
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me either.
 

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I've only read the op, but those numbers don't look very new to me.<br><br>
Part of your expected weight gain is extra fat, and if you start out not having much fat at all, then you'll need to put on more, and if you start out already having plenty of extra, then you don't need to put on extra for a fat layer.<br><br>
Personally, my last two pregnancies I started out at a healthy weight, and once I quit losing from sickness, I put on about 40 lbs each time. I know the goal for someone my size is 25-35, but 40 wasn't something I worried about, and felt like just the right amount for me.
 

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Most of the clothing you can buy in stores right now, 6 and 8 are not fat. At 5'6" and 128 lbs, I straddle a size 4 and a size 6. I am not overweight at all. I am exactly at the midpoint of healthy weight range for someone of my height, and I also have a larger frame, so it's actually at the lower end of the healthy weight range for me personally.
 

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Ridiculus! Seriously...eat healthy and your body will gain what it needs to! I think it's stupid to have set weight guidelines for pregnant women...everyone is different. With my DS I started off 156 pre-pregnancy, gained 22 lbs., and then at my 6 week checkup I was 154. All I did was eat healthy and take care of myself...my body did the rest.<br>
Some women will gain more/less than the guidelines say...each body and each baby is different.
 

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I don't think a mere guideline is stupid at all. A lot of people Want to know what would be reasonable and why. A simple guideline is only information. It's not a promise to get in trouble if you do differently.
 

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Discussion Starter #49
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<div>Originally Posted by <strong>umbrella</strong> <a href="/community/forum/post/13913461"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I don't think a mere guideline is stupid at all. A lot of people Want to know what would be reasonable and why. A simple guideline is only information. It's not a promise to get in trouble if you do differently.</div>
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ITA. A lot of people really don't have a clue that you are NOT eating for two. You are going to likely need to increase your calories, but not seriously eat for two.<br><br>
I have been scratching my head a bit at all of this size whatever talk too. I hope that most people realize that women's sizes as listed on the tag don't mean squat. Companies adjust those all the time. I have jeans that are from the same manufacturer that are listed as being the same size but are soooooooooo not. The smaller pair is about 5 years older than the larger, even though they both claim to be the same size. You can go to Maurices right now and choose three different brands of jeans in the same size and see that none of them are truly the same size as the others.<br><br>
It seems like there is a lot of anger almost towards this article too. If you are comfortable with your body and your weight gain, then why not just brush it off? Not everyone feels like that. Some people really are looking for a little bit of a guideline. I think as long as there are teary eyed mamas looking for advice on how to shed unwanted stubborn pregnancy weight, there will be someone to give them suggestions. This just happens to be a suggestion of how to maybe prevent some of that for some people. If you feel it doesn't apply to you, then don't worry! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue">
 

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huh. is that new? 25-35 is the same as its been for 10 or more years. or were the changes for just the obese population?
 

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I find it really hard to control how much you do or don't gain.<br><br>
I'm a fit mama, I started out my journey two years ago carrying an extra 30 pounds on my small frame (I'm only 5'2"), I learned that even through proper diet and exercise, you can't control how fast your body will shed the extra fat (Even if you're tracking your calories consumed vs expended), and I find it equally hard to believe you can control how it goes back on during pregnancy.<br><br>
I was told to gain 30-35 pounds, and I doubt very much I'll gain all of that, but what am I gonna do? stuff calorie dense foods in my mouth when I'm not hungry just to pile on extra body fat I don't need? So long as you are meeting YOUR nutritional needs and the needs of your baby (ies) and making wise choices when it comes to the types of foods that you do eat (and getting decent exercise as well), I think weight is just another number for women to agonize over.<br><br>
Just like very baby, every woman is different and we'll metabolize every bite differently.
 
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