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Pregnancy weight gain

 

 

Weight gain during pregnancy is a natural and essential aspect of the development of a healthy foetus. Understanding the nuances and factors that influence this body change can help you better prepare for the nine months of gestation.

 

The different phases of weight gain

First trimester

During the first trimester, weight gain is often minimal, as the body adapts to the new situation. The uterus is beginning to prepare to receive the baby, but the foetus is still very small. On average, a pregnant woman gains between 1 and 2 kilos in the first three months. This increase includes the gain in blood volume, the formation of new fat cells and the increase in amniotic fluid.

Second trimester

The second trimester is generally marked by more rapid weight gain. At this stage, the baby is growing rapidly, causing the uterus to expand significantly. Women usually gain between 5 and 7 kilos during this period. This weight gain can be attributed to a combination of foetal growth, increased blood production and increased fat formation, which will serve as an energy reserve for childbirth.

Third trimester

The last trimester is when weight gain is most marked, with an average of 4 to 6 kilos added up to the birth. During these final months, the baby grows to around 50 cm and weighs around 3 to 4 kilos. The volume of amniotic fluid also increases, as does the supply of essential nutrients to support the baby until birth.

Factors influencing weight gain

Body mass index (BMI) before pregnancy

InitialBMI plays a crucial role in determining the appropriate weight gain during pregnancy. A woman with a normal BMI (between 18.5 and 24.9) should ideally gain between 11 and 16 kilos. Those with a BMI below 18.5 should aim to gain slightly more, while those with a BMI above 25 should moderate their weight gain to between 7 and 11 kilos.

Diet and physical activity

Eating a balanced diet rich in nutrients is essential for a healthy pregnancy. Foods such as green vegetables, fruit, lean proteins and whole grains should be favoured. This not only provides the nutrients needed for the baby’s development, but also helps control weight gain. Moderate physical activity, recommended by health professionals, also helps to stabilise weight.

  • Green vegetables
  • Fresh fruit
  • Lean proteins
  • Whole grains

Hormonal changes

Hormones play a vital role in regulating pregnancy. Variations in oestrogen and progesterone levels can influence fluid retention, appetite and body fat distribution. These hormonal changes are essential to prepare the body for birth and lactation.

The components of weight gain

Baby weight

An obvious component of weight gain during pregnancy is the baby’s weight. At term, a newborn baby weighs around 3 to 4 kilos. This weight represents a significant fraction of the total gain observed in most pregnant women.

Amniotic fluid

Amniotic fluid surrounds and protects the foetus during gestation. It accounts for a significant proportion of weight gain, with a volume of up to 1 litre, which represents around 1 kilo. This fluid plays a key role in maintaining a stable environment for the baby, as well as its respiratory and digestive development.

Placenta and uterus

The placenta, essential for feeding the baby via the umbilical cord, also weighs just under a kilo. What’s more, theuterus expands drastically to support the baby’s growing weight, contributing to an increase in total body mass.

Blood volume and fluid retention

To meet the increased needs of both mother and baby, blood volume increases significantly. This expansion can represent up to 2 additional kilos. Similarly, fluid retention due to hormonal fluctuations can add 1 to 3 kilos, affecting the ankles, feet and hands in particular.

Fat reserves

Finally, additional fat reserves are stored to provide a source of energy for both childbirth and possible lactation. These reserves, mainly located in the thighs, hips and lower back, account for around 3 to 4 kilos of the total weight gain.

Medical monitoring and recommendations

Regular antenatal check-ups

Attending antenatal clinics is crucial for monitoring the health of both mother and baby. Doctors use various indicators, including weight measurement, to ensure that weight gain is adequate and safe. They also take into account the development of the UTERUS and examine BLOOD samples to check levels of iron and other essential vitamins.

Personalised dietary advice

On the basis of antenatal consultations, healthcare professionals can formulate specific dietary recommendations. This often includes guidelines on daily calorie intake, hydration, and the choice of types of food that are beneficial for both mother and baby.

Monitoring for unusual symptoms

Any unusual or disproportionate symptoms, such as excessive or sudden weight gain, should be reported immediately to the healthcare professional. Further investigations may be required to exclude underlying medical conditions. In particular gestational diabetes or hypertension, which could complicate the birth and affect both mother and baby.

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