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23 weeks pregnant, reduced weight gain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2294 Questions
Doctor :   Hi
User :   I am pregnant ( 23 weeks) and I have gained very little weight in the past 4 weeks
User :   oly about 500 gms
User :   is that a cause for concern?
Doctor :   Weight gain in pregnancy is an indicator of how well the fetus is developing.
Doctor :   Normally weight gain is not very much during the first 12 weeks of pregnancy,
Doctor :   the weight gained is about 0.5 kgs to 2 kgs.
Doctor :   After the completion of 12 weeks, one expects to gain about 400 to 500 grams per week.
Doctor :   Hence 500grams at 23 weeks is concerning.
Doctor :   You need to consult your obstetrician for evaluation.
Doctor :   Have you followed what I have suggested?
User :   I have already consulted my gyn , she says the growth of the uterus looks fine, however i need to gain more weight
User :   i have been eatign regularly adn fairly healthily
User :   what could be the cause on my not gainign enough
Doctor :   The additional weight gained during pregnancy is mainly due to the effects of pregnancy hormones, the growth of fetus.
Doctor :   If physical examination and ultrasound scan reveal that fetus is developing very well
Doctor :   then it is fine.
User :   i"ve had only a physical exam recently, not an ultrsound scan
User :   Do you have any suggestions on how i can put on soem weight healthily?
User :   Also, my gyn has suggested an ultrasound scan at 30 weeks, do you suggest i have one before?
Doctor :   You need scans in every 3 months interval.
Doctor :   So the scan planned at 30 weeks is good and appropriate.
Doctor :   If physical examination revealed normal development, then it is not of concern.
Doctor :   You will have to look out
Doctor :   I mean the other cause
Doctor :   for reduced weight gain could be
Doctor :   1. Improper nutrition
Doctor :   2. Anaemia
Doctor :   3. Endocrine disturbances such as thyroid hormone dysfunctions
Doctor :   They may need to be ruled out.
Doctor :   This along with a healthy diet will help in improving your weight.
Doctor :   To summarize
Doctor :   1. Make sure, pregnancy is progressing well by regular checkups
Doctor :   2. Ultrasound scans as suggested by your doctor
Doctor :   3. Rule out anemia and endocrine dysfunctions.
Doctor :   4. Proper and healthy nutrition - Ideally your diet should contain 500kcal more than your body requirement every day.
Doctor :   Have you followed what I have suggested?
User :   I have got tests done for endocrine & anemia, which were fine
User :   i am also taking iron supplements, as suggested by my doctor
Doctor :   That is good.
User :   do you think i shoudl be speaking to a nutritionist ?
Doctor :   May I know your weight before pregnancy and your current weight now?
User :   my weight before pregnancy was about 73 kgs, and now its at 75
User :   my height is 174 cms
Doctor :   Weight gain during pregnancy is associated with the pre-pregnancy
Doctor :   Since your pregnancy weight was 73 kgs
Doctor :   the expected weight at 23 weeks is between 78.5 kgs to 82 kgs.
Doctor :   You are hence short of few kgs, probably due to nutritional problems.
Doctor :   You could discuss this with a nutritionist
Doctor :   who can prepare a personalised diet making sure that you have those additional 500 kcal every day.
Doctor :   They will help you in preventing further weight loss.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Do you have any other query?
User :   no this is fine
User :   thanks a lot for your time
Doctor :   My pleasure.
Doctor :   Wishing you a healthy pregnancy and normal delivery.
Doctor :   Thanks for consulting me.
Doctor :   Have a nice evening!!
Doctor :   Bye for now.
User :   you haev a nice evening too ! , thanks again
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