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Weight loss before pregnancy and maternal weight gain during pregnancy it can affect the health and growth of the fetus in the womb. Why? Health and fetal growth is strongly influenced by her mother’s health. One of the important factors for maternal health is weight management, which should be done since the mother’s pregnancy. Body mass index is normal for women is between 19-23. When your weight before becoming pregnant mothers are too thin or too fat, then you should first set to a normal weight. Here are some things to consider for the influence of maternal weight on pregnancy:
- When your weight is the mother before pregnancy is normal, then the mother’s weight gain should be between 9-12 kg
- If the previous weight is excessive, then the weight gain is between 6-9 kg.
- If before pregnancy maternal weight is less, then the weight gain should be between 12-15 kg
- If the mother carrying twins two or more, then the weight gain during pregnancy should be more, depending on the number of babies conceived
- She should not have to worry if the weight gain during pregnancy is still in the ideal range. Weight gain is not just caused by fat deposits, but also due process of fetal growth, weight of the uterus, placenta, blood volume, amniotic fluid, the fluid in the mother’s body tissue, and breast enlargement. Pattern of maternal weight gain during pregnancy can be seen as follows:
- During the first trimester, usually little weight increase of about 1-2 kg. While mothers often feel nausea and loss of appetite, weight loss should be kept up. In this trimester, the organ of the brain, sensory perception, and the fetal genitalia are formed.
- By the second trimester, usually the mother’s appetite has recovered and should be more careful in regulating food consumption. Weight gain average is ideal at the time was 0:35 to 0.4 kg per week. Weight gain would be better if there is a slow and continuous. Please note, weight gain excessive or too fast can be an indication of accidental poisoning in pregnancy and diabetic disorders.
- Consumption of food with balanced nutrition and variety are needed during pregnancy. If the estimated weight gain during pregnancy is approximately 12.5 kg, then the mother’s body needs extra calories of energy for 70000-80000. Added calories are generally needed in the last 20 weeks of pregnancy, when fetal growth took place very rapidly. If 80,000 calories divided into 40 weeks (280 days), then the additional calories needed by the prospective mother is around 285-300 calories per day.
- When your weight before pregnancy and maternal weight gain during pregnancy is less than normal, then the baby will be born with the risk of underweight or low birth weight infants (BBLR). BBLR baby would interfere with physical growth and intelligence.
- If pre-pregnancy weight and weight gain during pregnancy is excessive, then the baby will be at risk due to stunted growth of blood vessel constriction. The mother is also at risk of complications, both during pregnancy and childbirth, such as bleeding, high blood pressure, or poisoning pregnancy (preeclampsia). In addition, she also would be difficult to remove the excess weight after giving birth.