You can buy skilful scales, analyzing mass of fat, muscles and bones. During pregnancy you can use this scales only for weighing, as they still cannot consider mass of fetus, placenta, amniotic fluid.

6-30% of women in childbirth with adiposity suffer from bleeding during delivery and also post-natal period, which is caused by as defect of uterus retractive capacity, as changes in fibrillation system.

You should also remember that women, suffering from adiposity, are in the risk group of development of defects of carbohydrate exchange, i.e. appearing of diabetes, so 2 months after delivery or cessation of lactation they should pass a test to determine level of glucose in blood.

How to reduce risk?

Regardless of many complications, adiposity is not a contra-indication for pregnancy. While preparation to conception a woman should consult not only accoucheur-gynaecologist, but also endocrinologist, during whole pregnancy she must observe all doctors’ advices.

First of all, a woman should control her weight. Overweight of pregnant women with normal body weight should not exceed 10-12 kg, about 4 kg of which go for increase of fat tissue, and overweight of pregnant women with adiposity should not exceed 5-6 kg.

Majority of pregnant women with adiposity should pass tolerance test to glucose while their first visit to obstetrician-gynaecologist. If there are some defects discovered, you should stick to a special diet, and in some cases a doctor may even prescribe injections of insulin for you.

To lower excitability of food center, you should eat frequently (8-6 times per day), and food should be low-calorie, but take big volume in stomach, what contributes to removal of hunger. Exclude taste substances that increase excitability of food center and appetite (salty, spicy dishes, broths) from your ration, and also substances, which are quickly absorbed and digested (sweets, sweet fruits).

Protein content in a pregnant woman’s ration should be enough, 20% of daily ration. You should receive about 30% of fats, and 50% of carbohydrates daily. Nutrition should be rational, don’t eat only meat or dairy food, just as only fruits and vegetables, and, of course, don’t misuse sweets. Menu for pregnant woman should be varied: 6-11 parts of it should be cereals, 3-5 parts – vegetables, 2-4 parts – fruits, 3-5 parts – dairy produce, 2-3 parts – meat food, legumes or nuts, 1 part - sweets. Caloric content of ration depends on IBM, but in average is it equal to 2500 kilocalories per day.

Women with adiposity should reduce caloric content of food, but no more than on 10%, otherwise coming food will not provide a normal growth and development of fetus. Remember that pregnant women with adiposity should not go without food, as then ketonemia can appear, i.e. products of metabolism will be found in a woman’s blood – ketones, influencing fetus development negatively.

Pregnant women with adiposity should arrange fasting days 1-2 times per week. Here’re some of them (volume of eaten food should be divided into 5-6 meals).

Cotton-cheese: eat 400 g of non-fat cotton cheese per day, 2-3 cups of tea without sugar (you may put lemon in it) or dog-rose extract.

Apple: 1,5 kg of raw or baked apples. 2 cups of tee without sugar.

Cucumber: 1,5 kg of fresh cucumbers, 2 cups of tea without sugar. Calorie content of cucumbers is very low (2 times lower, than of cabbage and 3 times lower, than of apples).

Salad: salad of 1,2 – 1,5 kg of various raw vegetables (cabbage, carrot, lettuce, cucumbers) with vegetable oil and 1-2 spoons of sour cream.

It’s better to start with cotton-cheese day, as cotton cheese creates more pronounced feeling of satiety, than vegetables and fruits. It’s useful to make a graph of results of systematic weighing to control change of body weight.

In addition to nutrition, restricted in calorie content, but complete, medicinal gymnastics is also recommended to prevent overweight. This gymnastics helps to increase energy demands, which contribute to mobilization of fat from depot. A complex of exercises for pregnant women is composed individually, depending on term of pregnancy and degree of adiposity. During pregnancy you should remember, that basic task is not to reduce quantity of fat tissue, but to avoid gaining additional one, at the same time providing normal growth and development of fetus.

Yana Mikheeva is the creator of the Baby-Health.Net at http://www.baby-health.net

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