Losing weight and body fat in first trimester
Never start an exercise regime without first talking to your healthcare provider. Some women do lose weight during pregnancy if they make healthy diet and lifestyle changes, so be sure to check in with your doctor if this happens to you. Committee opinion Weight gain during pregnancy. American College of Obstetricians and Gynecologists.
Committee opinion Obesity in pregnancy. FAQ Obesity and pregnancy. About BMI for adults.
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Centers for Disease Control and Prevention. Flegal K, at al. Prevalence of obesity and trends in the distribution of body mass index among US adults, Journal of the American Medical Association 5 Weight-control information network. Join now to personalize. By Darienne Hosley Stewart.
Medically reviewed by Prathima Setty, M. Photo credit: Thinkstock. How much weight to gain if you're pregnant and overweight or obese Can I diet to lose weight during pregnancy? Additionally, some alternative therapies may be recommended. Some examples of these are bed rest, herbal treatments, and acupressure. If morning sickness is not to blame, unintentional weight loss during pregnancy, especially sudden weight loss, is a concern and should be evaluated by a medical doctor as soon as possible. Likewise, weight loss due to changes in diet, eating disorders, food insecurity, and intentional dieting are not safe and should be discussed with your care provider.
Some other potential causes of weight loss during pregnancy include:. Losing a few pounds is usually OK at the beginning of pregnancy. According to the Centers for Disease Control and Prevention CDC , preterm birth occurs when a baby is born too early, which is defined as before 37 weeks of pregnancy have been completed. Babies who have low body weight at birth and are pre-term may be susceptible to other health conditions or abnormalities because their bodies have not had the ability to develop fully.
Your physician will monitor your weight closely and you will be weighed at each prenatal appointment in order to prevent complications that could impact your baby, such as:. Unless recommended by your physician, intentional weight loss is not recommended during pregnancy. In some cases, minimal weight loss is advised for some women who have extreme obesity.
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However, this is somewhat controversial as research and experts are divided about the benefits and risks of this approach. Modest weight loss for women who have obesity has been shown to lower the risk of preeclampsia, gestational diabetes, emergency c-section, and having an overly large baby. In cases where a woman is in the highest BMI classification, she may have enough stored fat to safely sustain her baby without gaining as much weight.
Your doctor will be the best person to evaluate whether or not weight loss or minimizing weight gain would be appropriate in your specific case. These optimal weight gain numbers are increased for those carrying twins or other sets of multiples. Eating small, frequent nutrient-dense meals can help you meet your caloric needs even when you feel nauseous and prevent weight loss. When you are not feeling well, it can be difficult to meal prep and plan on your own.
If that's an issue for you, ask a partner, friend, or family member to help prepare or provide your meals. If you continue to have difficulty and are unable to gain enough weight or you continue to lose weight, consider working with a dietitian. A dietitian can provide individualized meal plans based on your nutrient and calorie needs and preferences. In addition, it can be helpful to treat any symptoms that are interfering with eating. Treatments might include taking anti-nausea, anti-depression, or anti-thyroid medications, depending on your particular case.
Han also suggests skipping at-home weigh-ins, which can be inaccurate and stressful. Most women need to increase their calorie intake by about to calories per day in the second and third trimesters for adequate weight gain and nutrition. Also, drink plenty of water, which can be especially helpful for reducing nausea.
Losing Weight While Pregnant: Tips for Safe Weight Loss
Understanding portions and nutritional needs can be complex and many women, particularly those with other medical needs, may benefit from seeing a dietitian who can assist them in this process. Han says, "Nutritional recommendations should always be individualized and take into consideration, physical activity, age, weight, and health conditions. Weight loss during early pregnancy can be common, but in general, is not recommended. Aside from minor weight loss due to regular morning sickness, unintentional weight loss and inability to gain weight require a medical evaluation.
If your weight loss is being caused by an underlying condition, your physician can treat it to prevent future weight loss and protect your health and that of your baby. Evaluation by a dietitian can help with nutritional guidance and individualized meal planning. Get diet and wellness tips to help your kids stay healthy and happy. Lee NM, Saha S.
Nausea and vomiting of pregnancy. Food and drinks that list sugar or corn syrup as one of the first ingredients are not good choices. Many sweetened drinks are high in calories. Read the label and watch out for drinks that are high in sugar. Substitute water for sodas and fruit drinks. Avoid junk-food snacks, such as chips, candy, cake, cookies, and ice cream. The best way to keep from eating junk food or other unhealthy snacks is to not have these foods in your house. Go light on fats. Fats include cooking oils, margarine, butter, gravy, sauces, mayonnaise, regular salad dressings, lard, sour cream, and cream cheese.
Try the lower-fat versions of these foods.
Eating out: Knowing the amount of calories, fat, and salt in your food can help you eat healthier. Most restaurants have menus and nutrition facts on their websites. Use these to plan ahead.
Dieting Dangers
In general, eat at places that offer salads, soups, and vegetables. Avoid fast food. Cooking at home: Prepare meals using low-fat cooking methods. Avoid fried foods. Frying foods in oil or butter will increase the calories and fat of the meal. Baking, broiling, grilling, and boiling are healthier, lower-fat methods of cooking. Exercise: Moderate exercise, as recommended by your provider, can help burn extra calories. Walking and swimming are generally safe, effective exercises for pregnant women. Be sure to talk to your provider before starting an exercise program. Body Image During Pregnancy.
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