Pregnant with obesity
Does a woman have with obesity in pregnancy, some things are different than in normal weight. Are there risks? How much should I take? When I feel my child? We provide answers to the 10 most important questions of plump pregnant women.
Diet and Exercise: This helps the (baby) Belly
Photo: © panthermedia.net / Cathy Yeulet
In terms of weight, everything is now eh no matter, too late - so many overweight pregnant women think resigned. But no matter how a woman has been eaten - it counts for her baby in the belly just what she eats now. And regardless of whether they had previously been a couch potato - the baby benefits from every walk, she's doing now. Although women with high BMI are at greater risk of complications in pregnancy and childbirth. But that can be even lower with simple measures. How this works, and how you can deal calmly with other peculiarities of pregnancy!
1. Will I grow more during pregnancy?
"I'm in the 10th week of pregnancy and unfortunately overweight. Now I, am worried that I will fully thick", Posts a unsettled forum-user. But plump pregnant women take not automatically faster than normal weight. "So, I am now in the 26th SSW and had increased far only a kilo. I guess that is also the fact that one pays a bit more attention to what you eat comes from. And that as attacks more time for apple to chocolate bars!"Replies another woman on the anxious posting, and another worry: "I'm not the slimmest and had increased only five kilograms of my pregnancy." So there is no reason to fear the weight would become independent quasi.
2. How much can I gain during pregnancy?
How much should increase an overweight woman in pregnancy maximum depends on their BMI (body mass index) from before pregnancy. Experts give the following recommendations:
- At a BMI of 25 to 29.9: 7 to 11 kg.
- In a BMI from 30: 5 to 9 kilograms.
The worry, the baby could get because too little food is unfounded: the increased need for calories is in a pregnant woman only 255 Kcal per day, and this only from the second trimester of pregnancy. This corresponds to a single cheese bread or a fruit yogurt. "dinner for two" is out!
Now increase slowly lowers one of the main risks: that of gestational diabetes, which can be harmful to the woman, but also for the unborn child. Although he goes after childbirth gone, but half of those affected developed eight to ten years on a lasting type 2 diabetes, warns the German Diabetes Association (DDG).
3. Can I still eat what tastes good to me?
one must starve also "chubby" Pregnant not. It is enough attentive to eat: Especially rapidly digestible carbohydrates (pasta, bread, rolls, sweet) will be reduced. It is better to "friendly" Choose carbohydrates such as whole wheat bread, brown rice, legumes, fruits or potatoes. For here the carbohydrates combined with fiber - and that lowers the famous glycemic index, that makes full longer. The largest proportion of carbohydrates, experts recommend, should this woman noon eat.
Also, fat is permissible but it should - for frying or in a salad - valuable vegetable oil be (. Eg corn, safflower, canola oil). One fifth of the amount of food should consist of protein: meat and sausage may be enjoyed, but in low-fat form, then, as with chicken or turkey breast, cooked ham, cold roast. Also in milk and milk products (cottage cheese, plain yogurt) does not need to hold back, but they should also be low in fat. Twice a week lean fish such as cod, pollock or haddock belongs in the kitchen, which offers especially high-quality protein.
Even these small changes make a big difference: "The diet during pregnancy seems to be programmed (the unborn) food intake, the Fettgewebsentwicklung and a predisposition to obesity later in life"Emphasized nutrition expert Dr. rer. nat. Ulrike Amann-Gassner in a press conference of the German Diabetes Society. States: plump pregnant women who eat now valuable, allowing her baby to start to a healthier life. Severely obese women should use dietary advice or a nutritionist course, because it is easier to find the Essweise that now fits into one.
4. Can I go on a diet during pregnancy?
In severe obesity, but especially when gestational diabetes is present, a pregnant woman should reduce their current calorie intake - but only by a shift to more complete, food, reducing dead calories (sweets, white flour products, animal fat) and a plus in motion. This change should be done with a large obesity or diabetes accompanied by a doctor or a nutritionist.
Through such a change in eating habits and more exercise, it may be that a woman decreases slightly in the first months of pregnancy. This side effect is okay, but not the aim of the change in diet. All diets but (also applicable as balanced) are off limits even with obesity, because this threatens an undersupply of the fetus with essential nutrients.
5. How the doctor makes the ultrasound in obesity?
In obese pregnant women ultrasound provides less meaningful images. Then, the German Society for Ultrasound in Medicine back (DEGUM). The reason: the ultrasound signals can not penetrate deep enough into the abdomen. Sometimes, therefore, the doctor will change earlier than other pregnant women from vaginal to abdominal ultrasound, because the offers a larger field of view. It may also be that he thereby asks the woman to sit down or to lie on the side, so he can see the child better.
6. How can I move in overweight more?
Even a small increase in movement now causes a lot: "Go for a walk every morning and evening for half an hour fast. And all endurance sports are good: swimming, running, cycling. In general: Small steps make a start, otherwise you're overwhelmed and stops"Advises nutritionist Professor Hans Hauner in an interview with the magazine PARENTS. A first step may be to go or walk to smaller purchases to climb no more lift.
7. When I feel overweight my baby?
Pregnant rounded feel their child usually only later, because the uterus simply better padded. Often the baby can therefore make only around the 24th week of pregnancy around noticeable by his knock signals.
8. Do I need to obesity more maternity care?
At a high BMI is considered a risk pregnant women, here are a reason additional preventive examinations or tests that are covered by health insurance. It might be made more ultrasounds than with other women in order to control the development of the child. And blood and urine tests as well as a check of blood pressure are made more often to notice diabetes, preeclampsia and other disorders at an early stage.
Most also a glucose tolerance test is made showing whether the body responds normally to a high carbohydrate intake (glucose solution), so no diabetes is present. A pregnant woman with a lot of excess weight can also discuss with their doctor whether they should control their blood sugar levels in addition itself. "Studies have shown that a diet therapy in combination with physical activity and regular blood glucose self-monitoring is a useful measure for preventing gestational diabetes"Explains Dr. Ulrike Amann-Gassner.
9. What to do about swollen legs?
Fits not a shoe more, a pregnant woman should first go to the doctor. Because strong water retention can indicate a too high rise in blood pressure or a threat of preeclampsia (severe metabolic disorder). The doctor gives the all-clear, now helps paradoxically ample drinking! At least two liters of water daily, the kidneys stimulate - and then make it easier to dismantle and excess water from the fabric. In addition, food should be relatively heavily salted (one to four teaspoons of salt daily), recommend midwives. Because salt binds the water in the blood plasma and "sags" then no longer so easy in the tissue. The recommendation, low salt food in water retention, is considered obsolete.
In severe and swollen legs, a pregnant woman can be prescribe by phlebotomists or family doctor also support stockings. Often it is in addition to water and the blood rushes to your legs because the leg veins are dilated during pregnancy. Does she have leg pain or feelings of tension in the leg should think a woman and a possible phlebitis or thrombosis (venous occlusion) and go to the doctor immediately, the risk of thrombosis is increased in obesity.
10. Will I be able give birth normally, despite being overweight?
Most women also bring with extra kilos their child as normal to the world. Was the diet during pregnancy unfavorable and the woman had therefore a high insulin levels in the blood, her child may be above average. Then the probability of a Caesarean increases. This also applies if you already have a gestational diabetes has developed. Towards the end of pregnancy, the doctor can estimate the birth weight by ultrasound and advise the woman.
Pain management during a spontaneous delivery can be tricky with a lot of body fat. For example, it is difficult to find the right spot for a PDA (peridural anesthesia). A date for a preliminary in the maternity clinic can determine whether a PDA anatomically expected is quite feasible or not.
Quite heavy women have a higher risk of transferring their child, so much to get it beyond the age of 40 weeks. Also set days after ET a no labor, it may sometimes be necessary to induce labor artificially by labor drip or make a planned caesarean.
Many statutory health insurance companies cover up to 75 percent of the costs of dietary advice or a nutritionist course, some have even such courses. Simply call the own ticket office and ask.