I learned quite a bit about nutrition, since I am deeply interested in medical field. What I see these days is truly scaring me.
Because I am pregnant myself, I visit some pregnancy on-line boards and one of them is weight gain board. I have my own concerns, since I've gained 30 lb in 5 months, so I watch my calories now because of strong possibility of gestational diabetes, not just vanity.
I saw SO many posts on that board from women, who are 4,5,6 months along with weight gain of only 6 - 12 lb complaining that they are afraid to be FAT, that they watch their diet, etc.
It is different with people who can't gain or those who are obese, etc. , but these girls are obviously in normal range, just withholding proper nutrition from their growing children.
I realize that amercian culture "encourages" girls and women to be extremely thin through media, etc., but I had no idea it was that bad and I didn't know that many unborn babies are under such threat, on top of everything else threatening their well being.
Do you see many patients at work who are not gaining weight on purpose or did i just stumble on a particular bulleting board with too many laidies who have eating disorders?
Apr 8, '03
Yanno, I curse ALL OB's who tell patients their weight is inappropriate unless it is a DANGEROUS AMOUNT! (I remember when pg with my son, I had gained NOTHING for 20 weeks and then gained 6 pounds---a total of 28 lb altogether and kept hearing how I was gaining "too fast") UGH!
I discussed this issue somewhat in the breastfeeding thread when talking about patient *education*. Typical OB's don't' spend but 5-10 minutes with patients and NOT TOO TERRIBLY MUCH OF THAT TIME IS SPENT ON EDUCATION--- which is a shame, considering how knowledge is power. CONVERSELY, I find patients who have seen midwives/NP's (early in pregnancy) have a MUCH healthier concept of their pregnancies, deliveries and body images, weight included. If we are to help abate the obsession with weight gain and what is appropriate, we must EDUCATE patients from DAY ONE of prenatal care. WE MUST discuss appropriate NUTRITION and place much less emphasis on NUMBERS. Each person is an individual; she will gain accordingly and if she chooses HEALTHFUL foods and follows good nutritional guidelines, her weight gain will be APPROPRIATE to her body type/pregnancy. A constant or sudden trend of TRULY rapid weight gain is another story, obviously, and must be investigated.
I think ALL pregnant women, especially those seeing busy obstetricians, would benefit from a dietician's/nutritionist's consult, whether "healthy" or not. Midwives/NP's typically include dietary subjects in their prenatal teaching. Simply, We MUST encourage dietary education and diary-keeping in order to see where changes may be needed to ensure optimal nutrition and help moms make appropriate and desireable choices. This would go FAR in ensuring healthy weight/nutritional status in pregnancy.
But I agree, young women already hear enough about weight and see enough in the media that encourages the ultra-thin body type as the ideal. It is not gonna happen overnight; women will continue to obsess about weight, rather than spend time thinking about HEALTH for some time to come. Pregnant women are no different. No surprise here to me. Very sad.
Last edit by SmilingBluEyes on Apr 8, '03