Maintain a Normal Weight Gain During Pregnancy
The National Academy of Science’s Institute of Medicine makes the following recommendations regarding weight gain during pregnancy:
|Weight classification before pregnancy*||Institute of Medicine recommended gestational weight gain|
|Underweight (BMI 19.7 and under)||28 to 40 lb|
|Normal (BMI 19.8-24.9)||25 to 35 lb|
|Overweight (BMI 25-29.9)||15 to 25 lb|
|Obese (BMI 30 or greater)||15 to 25 lb|
*These values are based on
body mass index
(BMI)—the ratio of your weight in kilograms to your height in meters squared. Recognize that these values are for Caucasians, which may not apply to Asians who have smaller body frames and different percentage of body fat.
Besides increasing your risk for gestational diabetes, excessive weight gain during pregnancy is also a risk factor for
post-pregnancy. It should be noted that the subject of recommended pregnancy weight gain remains somewhat controversial and that some feel that the above guidelines are too high. Talk with your doctor about what range of weight gain is right for you.
Eat a Healthy Diet
Even before pregnancy begins, nutrition is a primary factor in the health of the mother and the baby. Besides lowering your risk of
, eating a healthy diet lowers your and your baby’s risk of serious complications during and after pregnancy. A healthy diet is one that is low in saturated fat and rich in fruits, vegetables, and whole grains.
Talk to your doctor about whether you should take probiotic supplements to reduce your risk of gestational diabetes.
Participating in a regular exercise program can lower your risk of developing gestational diabetes by helping you maintain a healthy weight. But, it is very important that you discuss exercise with your doctor before you begin.
Choose exercises that do not require your body to bear any extra weight. Good examples are:
- Stationary cycling
- Low-impact aerobics
When you are exercising, be sure to stay hydrated. Drink plenty of fluids, even if you are not thirsty. If your body temperature goes up too high, it can be dangerous for your baby.
Avoid contact sports or vigorous sports. Also, avoid any exercises that increase your risk of falls or injury.
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Chung S, Song MY, et al. Korean and Caucasian overweight premenopausal women have different relationship of body mass index to percent body fat with age.
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Mottola MF. The role of exercise in the prevention and treatment of gestational diabetes mellitus.
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MyPyramid for Pregnancy and Breastfeeding website. Available at:
http://www.mypyramid.gov/mypyramidmoms/index.html. Accessed October 30, 2007.
Standards of Medical Care in Diabetes 2006 III. Detection and diagnosis of gestational diabetes mellitus.
Tieu J, Crowther CA, et al. Dietary advice in pregnancy for preventing gestational diabetes mellitus.
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