A study suggest that about 20% new mothers keep or even gain post partum weight.After giving birth to the baby, losing weight and getting rid to stretch marks is quite a task for some women. But in order to lose post partum belly fat, an overall reduction in body fat is needed and not just the belly. So it is never advised to restrict food intake as it affects both mother and infant’s health during lactation period.
Growth uncertainity earlier in life leaves women permanently at the risk of obesity and its complicaions.
Desirable Weight Gain During Pregnancy
Weight gain during pregnancy varies from women to women and it is important to keep an eye on that. But skipping diets and meals durings pregnancy. Baby grows everyday and thus you need to maintain a healthy balanced diet. Pregnant women need extra food every day and lactating women need an extra meal every day. By eating a proper diet, wait gain can be maintained.
Weight gain recommendations during pregnancy is based on prepregnancy weight and vary according to the women’s height, weight, metabolic rate, BMI.
Pre pregnancy weight
Recommended Total gain
BMI < 19.8 12.5-18.0 28-40
BMI 19.8 to 26.0 11.5-18.0 25-35
BMI >26 to 29 7.0-11.5 15-25
Institute of medicine, nutrition during pregnancy. 1990 BMI (Body mass index)= weight in Kg divided by height in meters squared
Post partum weight loss is not just about regaining body shape as weight gain increases risk of accquiring diabetes and heart disease. Also starting next pregnancy with more weight increase risk for poor pregnancy outcomes. Obesity is also linked with reduced initiation for breastfeeding.
After pregnancy women undergoes various changes like recovery of genital organs, endocrine and nutritional functions.
Weight loss is most evident physical change; 0.6-0.8 Kg/month for first first 6months. However, many women may retain or gain weight on years after pregnancy. Getting rid of maternal weight after delivery depends on:
Balancing energy and nutrient resources
Obesity seems to increase in parallel with reduced sleeping hours which is obvious in taking care of child. Family members and father should take the responsibility to ensure that she is getting sufficient rest to conserve her energy. Lifestyle changes such as regular physical activity (exercise, yoga), healthy eating which are use in traditional weight loss program may be problematic for new mothers because of time restrictins and changes in priorities with the baby. Thus, Routine plan for stratergy to achieve healthy weight should be planned accordingly. Mother’s attitude also plays a significant role in making weight control regime a success. In a study, Manning-Dathen and Allen postulate that in our weight conscious society, women choose to breastfeed in the hope of loosig weight; and if that does not occur as fast as expected, then women might feel frustrated, perhaps resulting in adverse emotional consequences for the baby and mother herself.
Energy rich, low calorie foods to get rid of post partum fats:
Quick tips to get rid of postpartum weight:
eat more colourful vegetables (yellow red bell pepper, spinach, etc)
Drink more water. Never keep your bod dehydrated
Get sufficient sleep
Daily workout for at least 20-30 minutes
Do meditation as mental relaxations is must
Lastly, think positive.
Lactation and Diet
Pregnancy and lactation are the period of nutritional vulnerability. However, the threat of malnutrition begins in the uterus and continues throughout the life cycle. During lactation the energy stores needs to be established, conserved and replenished as the energy and nutrien requiremens comes from mother’s diet or her own body stores (which may lead to maternal depletion).
Defeciency of micronutrients affects the quality of breastmilk. Such defeciencies can be overcomed by improving mother’s diet before, during and between the cycles of pregnancy and lactation.
Breastfeeding has important health benefits for both as it has preventive role in development of obesity. It must last for at least 6 months.
While maintaining nutritional requirements for adequate breastfeeding, mother should lose weight to return to her pre-pregnancy weight.
Regardless of diet composition, the total calories intake plays an important role in retaining weight.
Additional 500Kcal/day is recommended during first 6 months after delivery and 400Kcal/day for following 6 months.
Golden Rules of food safety during pregnancy:
Fridge should be set below 5°C
Don’t eat food that is meant to be in fridge but left out
Defrost and marinate food in fridge especially meat
Cook food to atleast 60°C
Avoid microwaving in plastic containers
Check for no pink left in cooked meat
Reheat frood from fridge until streaming hot
Wash and dry hands thoroughly before starting to prepare or before eating anything
Keep benches, kitchen, tablewares etc clean
Avoid eating food prepared from someone suffering from diarrhoea etc
Separate raw and cooked food
Don’t use food past the ‘use by’ date
Don’t use packed food after expiry date
Follow storage and cooking instructions
Ask for information about unpackaged food
Check ingredients for packaged food items
Diet During Pregnancy
Dietary requirements during pregnancy must include foods rich in:
Folate (vitamin B9)
Caffeine intake should be limited to 200mg per day during pregnancy.
What to Completely Avoid During Pregnancy and Lactation:
Addictive drug(other than prescribed)
Raw meat, fish
unpasteurized dairy products
substances which have contamination risk of listeria and salmonella
Not taking proper nutrients during pregnancy may lead to serious complications like miscarriage, still birth, premature birth, birth defects etc.
Maternal nutrition effects
On maternal health
On foetal and infant health
Increased risk of maternal complications and death
Lethargy, weakness and lower productivity
Increased risk of infections
Acquiring diabetes, hyper/hypo thyroidism etc
Cretinism( stunted physical and mental growth due to congenital thyroid deficiency )
Increased risk of infections
Low birth weight
Premature birth and infant mortality
Brain damage and lower potential
Before planning pregnancy an adequate balanced diet should be consumed to achieve a desirable condition for better outcomes. Overweight and obesity at all ages, present a difficult challenge for maternal and child health.
Weight loss is relavent for women who gained excessive weight during pregnancy and critical in those who were over weight or obese during their pregnancy.
Workload during pregnancy should be reduced and rest should be ensured to conserve her energy. Along with a balanced nutrient rich diet, she should be free from mental and emotional stress.