Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
159 Doctors are Online

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 : 2573 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
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor