New medical guidelines .. Weight changes during pregnancy

Imposed widespread problem of obesity


Riyadh: Dr. Abeer Mubarak
Issued Experts in Health Foundation »Institute of Medicine (IOM) States United new guidance on the expected natural changes to the weight of the pregnant body. The committee included experts doctors and a nutritionist and public health researchers. The old version of the instructions on this matter was issued in 1990, 19 years ago, when it was not a problem obesity is widespread among women, as it is the case today in American society and the world. The new guidelines, which were issued on May 28 last, were not directed only toward obese women originally such as pregnancy, but for all women and all weights. And focused on the discussion of the status of women mast in pre-pregnancy and the importance of launching attention by weight, exercise and eat healthy foods and the use of oral contraceptives. And in a serious attempt to reduce the weight to normal before getting pregnant. Said Dr. Kathleen Rasmisin, Chairperson of the Committee, Brofssorh nutrition at Cornell University: during pregnancy increases the weight of a lot of women are higher than what they should. She added, it is important to weigh more than during pregnancy. If possible, it is important to have the weight of women well before her pregnancy.
* Detailed information

* And built elements of the new instructions to calculate the amount of the proportion of «BMI for women before pregnancy. And given tips on the expected natural increase in body weight during pregnancy. The amount is calculated ratio «BMI» (BMI) body mass index of a person through a simple calculation, which is dividing weight in kilograms by the square of height in meters. For example, if the person's weight 65 kg, and a length of 1.7 meters, the result of the calculation is 22. Almost, the value of the index was less than 20, this is the «weight loss for the normal level Underweight. What was between 20 to 25 is the scope of «normal weight» Normal weight. What was over 25 to end 30 is «overweight» Overweight. What was above 30 to 40 is 'obesity'. Anything above 40 is 'excessive obesity'. Under the new guidelines, for women who become pregnant one embryo, on:

- Who have a «weight loss: the expected natural increase between 12.7 kg to 18 kg.

- Who have a 'normal weight': expected natural increase between 11.3 kg to 15.8 kg. - Who have a «overweight»: expected natural increase between 6.8 kg to 11.3 kg. - Who have a 'obesity': expected natural increase between 4.9 kg to 9 kg. For women pregnant with twins, any جنينين, provides guidance on:

- Who have a «weight loss: No advice about the expected weight gain during pregnancy, due to lack of evidence. - Who have a 'normal weight': expected natural increase between 16.7 kg to 24.5 kg. - Who have a «overweight»: expected natural increase between 14 kg to 22.6 kg. - Who have a 'obesity': expected natural increase between 11.3 kg to 19 kg. And Professor Rasmisin commented: «to women to achieve these goals, they receive personal attention before, during and after pregnancy, and the support of their doctors and their families.

* Increase during pregnancy

* Required, and obtaining important, is to achieve an increase in body weight of pregnant women. But excessive, above what is expected as normal, it may carry health risks to the mother and the health of the fetus. Explains Professor Rasmisin it by saying what his summary: «seriousness of this excessive increase on the health of the fetus and the mother, is the birth of a child is too large in weight and size, which may lead to injuries in the fetus, or the mother, through the process of leaving the uterus through a natural way to give birth, or may lead to having to conduct a Caesarean section, or the emergence of the problem of overweight and obesity in women after childbirth. The Professor Rasmisin something important, which is that pregnancy itself is not the time to think about women's projects and weight loss programs, ie not room for Pal 'diet'. On the contrary, confirmed that women must weigh more than, but this increase should not be without an end naturally. In addition to the risk to the fetus and the health of the mother during pregnancy and birth, she pointed to the fact is that it is difficult perhaps after birth, it has removed these large increases in weight.

She Professor Linda Barbour, specialized in internal medicine and obstetrics and gynecology at the University of Colorado in Denver, Colorado, objecting to one element in the new guidelines, which involves weight gain during pregnancy for women obese originally, any women with obesity. She said that we have a lot of medical scientific evidence that it is not necessary to increase the weight of these women during pregnancy, and it is very possible to become pregnant and give birth to healthy babies without increasing their weight during pregnancy. For her part, Dr. Melissa Guest, OBGYN Medical Center at Ohio State University, U.S. that a hard task is to talk about the increase in the weight of women during pregnancy, and many people do not realize that there are limits to increasing health in body weight during pregnancy. And the needs of women during the days of pregnancy, is eating about 300 calories (kcal) extra over what you eat normally to keep the weight off during pregnancy. But some misunderstands the notion that pregnancy to take two people dining, in reference to that other person, any fetus, is a creature the size of a small asset. Asked Dr. Guest another problem that needs serious attention to solve, namely, that only about 10% of women who Arajanha in clinic, already Asalnha what they must do to become a better health status before pregnancy. And less than 1% of obese women to reveal their serious attention to decrease the weight of their bodies to normal before the start of pregnancy.