There's nothing wrong with encouraging healthy habits before pregnancy, and this can be an important part of pre-conception care ─ but the emphasis on weight loss before pregnancy at all costs may be counter-productive. Heery E, Wall PG, Kelleher CC, McAuliffe FM. The aim of this study was to examine the impact of dietary restraint and attitudes to
weight gain on gestational weight gain. This is a prospective cohort study of 799 women recruited at their first antenatal care visit. They provided information on pre-pregnancy dietary restraint behaviours (weight cycling, dieting and restrained eating) and attitudes to weight gain during pregnancy at a mean of 15 weeks' gestation. We examined the relationship of these variables with absolute gestational weight gain and both insufficient and excessive gestational weight gain, as defined by the Institute of Medicine recommendations. Multivariable analysis revealed that restrained eating, weight cycling and dieting were associated with higher absolute weight gain, whilst weight cycling only was associated with excessive weight gain. There was no evidence that the relationships between the dietary restraint measures and the weight gain outcomes were mediated by pregnancy-associated change in food intake.
On the other hand, women whose HG is worse than mine would need to be much more vigilant than I am, and ideally seek to eradicate the h. For these moms, any grains that have not been properly prepared (3 S's) as well as simple carbs are totally off-limits. Only you will know what works best for you in your exact case. If you are not currently pregnant, and typically suffer from HG, make an aggressive effort to kill off or at least greatly reduce the h. 3 x day on an empty stomach, coupled with turmeric and/or ginger capsules, for 10 days while cutting out all simple carbs, and incorporating as many fermented foods and beverages as you can handle. Try to start this regimen on a weekend or when your spouse will be around to help, in case you get severe die-off symptoms. If/when you do get pregnant, follow the point below.
While we were there, I ate many, many more fermented foods than I ever did at that time here in the States. By contrast, those pregnancies that were the worst as far as morning sickness, were also the babies who struggled most with thrush (candida) as babies, as evidenced by white flecks in their mouth. John even had eczema from it. Candida thrives in the same conditions as h. I was a bit anxious to try the cure on an actual pregnancy, with all the extreme hormonal swings that being pregnant entails. It has been a very interesting experiment! I wouldn't say that I am having no nausea. About 50% of the time I feel normal, and the rest of the time I feel slightly green, but functional (though more tired and less energetic than usual). I also must add that I believe my nausea would be eradicated completely if I were vigilant in combating it 100% of the time.
Women were randomly assigned (1:1) via a computer-generated schedule to receive either metformin (to a maximum dose of 2000 mg per day) or matching placebo. FINDINGS: Of 524 women who were randomly assigned between May, 28 2013 and April 26, 2016, 514 were included in outcome analyses (256 in the metformin group and 258 in the placebo group). Median gestational age at trial entry was 16·29 weeks (IQR 14·43-18·00) and median BMI was 32·32 kg/m2 (28·90-37·10); 167 (32%) participants were overweight and 347 (68%) were obese. INTERPRETATION: For pregnant women who are overweight or obese, metformin given in addition to dietary and lifestyle advice initiated at 10-20 weeks' gestation does not improve pregnancy and birth outcomes. N Engl J Med. 2016 Feb 4;374(5):434-43.doi: 10.1056/NEJMoa1509819. Metformin versus Placebo in Obese Pregnant Women without Diabetes Mellitus. ] Randomized double-blind, placebo controlled trial. Limited to those with BMI over 35 and upped the metformin dosage. Less preeclampsia and less weight gain in metformin group but no difference in birth weight. Lancet Diabetes Endocrinol. 2015 Oct;3(10):778-86. Chiswick C, Reynolds RM, Denison F, Drake AJ, Forbes S, Newby DE, Walker BR, Quenby S, Wray S, Weeks A, Lashen H, Rodriguez A, Murray G, Whyte S, Norman JE. PMID: 26165398 Free full text here. ] Randomized placebo-controlled, double-blind study in 15 hospitals in the U.K. J Matern Fetal Neonatal Med. ] Metformin-treated-GDM has lower risk of macrosomia compared to diet-treated GDM- A retrospective cohort study. Bashir M, Aboulfotouh M, Dabbous Z, Mokhtar M, Siddique M, Wahba R, Ibrahim A, Al-Houda Brich S, Konje JC, Abou-Samra AB. This is a retrospective cohort study that included GDM women compared to normoglycaemic controls between March 2015-December 2016 in the Women's Hospital, Qatar If you adored this article and you also would like to be given more info concerning
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