7 Nov 2008

Set the weight during pregnancy

Overall health is very important during pregnancy. "Pregnancy is very healthy will affect the quality of birth and the baby was born," said dr. Hasnal Siregar, Sp.OG from RSAB Harapan Kita, Jakarta.

One of the factors that are not less important during pregnancy is the weight. In Indonesia, the ideal weight for prospective mothers during pregnancy start (the start pregnant) is between 45 to 65 kg. If less than 45 kg, a weight increased until it reached more than 45 kg before pregnancy. "Similarly, the weight when the prospective mother more than 65 kg, a weight lowered to below 65 kg before pregnancy," he continued.

Unfortunately, very few women who plan weight before the start of pregnancy. "Actually, the weight of prospective mothers less than 45 kg or more than 65 kg, will create a risk of pregnancy (low risk)," Hasnal information. Weight prospective mothers less (underweight) or excess (overweight), the risk of babies with birth weight less or low birth weight babies (BBLR). "Infants with BBLR will be subject to development and kecerdasannya, in addition to physical health are also less good."

For the mother did not lose berisikonya. "If the excess weight, he can experience bleeding or poisoning pregnancy. First overweight, and tension rising, swollen feet, kidney problematic, eventually poisoning pregnant," said the Hasnal. When the birth, usually always occur complications.

Be careful Pre-Eklampsia
How many actually increase the ideal body weight during pregnancy? The formula, each month, the weight should be increased up to 1 kg over 20 weeks gestation. Then, up 2 kg per month of pregnancy after 20 weeks. "So, if women begin pregnancy with a weight of 45-65 kg, the ideal increase during pregnancy is between 12-14 kg. Meanwhile, if the weight when pregnant start in the 45 kg weight, which is recommended between 12,5-18 kg, and if the increase 7-11,5 kg body weight when pregnant start more than 65 kg, "Hasnal information.

Increase the weight that is not in accordance with the formula was not ideally good and risk. For example, the increase of excess or very fast. "If this happens, you should be careful, because it could be an early indication of poisoning the occurrence of pregnancy (pre-eklampsia) or diabetes," said Hasnal.

Not only that, the body of the pregnant mothers can be swelling, either in the legs and stomach. In addition, can also hinder the growth of the fetus. "The delivery of food to the fetus be reduced because of a blood vessel constriction. Now, if the blood vessel constriction of this increase in intensity, could be fatal to the fetus," Hasnal information. Excessive weight can also affect the process of childbirth. For example, is not strong mengejan.

Generally, the increase in weight that occur quickly at the end of pregnancy. Usually, if there is excessive increase during certain months, up to 5 kg for example, doctors will recommend for the diet. The next two months, the weight of prospective mother must be stable (can not be increased and decreased). "This can be done to set back the list of the food. Normally Feed by reducing fat and carbohydrates, such as sugar, rice, cheese, gorengan, and enhance the consumption of protein, such as fish, meat, eggs, nuts, and fruits, because is necessary for the growth of the fetus in the womb. "

Clever choose food
What if the weight of unremitting rise or even fall during pregnancy? "Mother pregnant should eat more fatty foods that contain carbohydrates and high, such as ice cream, alpokat, cakes, until the weight is increased, but still limit the increase in the ideal," said Hasnal.

Usually, the difficulty of body weight rise occurred in the months early pregnancy. "In the first trimester pregnancy, pregnant women are often nausea or vomiting, loss of appetite, so. Actually, in this trimester, the brain, senses and genitals formed fetus," said Hasnal. If this continues until the next trimester, may not Feed nutrition fetus will be disrupted, so that the growth of the fetus to become obstructed.

Therefore, the prospective mother must be clever-clever choose food that you eat appetite remains intact. "To avoid nausea, should avoid fatty food, cold food, or food that is too sour," Hasnal suggestions.

In addition, psychological factors also affect the appetite of prospective mothers. For example, if indeed he expects her pregnancy or not. "There are pretty women who have not actually pregnant, sensitive, but then pregnant. This certainly must be considered can affect psikisnya because," saying Hasnal further asserts that in the first trimester pregnancy, weight should be increased, although feel nausea or vomiting. "The weight of the body based only baseball can be increased greatly, especially down."

Usually, in the second trimester pregnancy, the mother is calm, then appetite is also recovered. In this trimester, have lost a sense of nausea. "But, still must be careful also to avoid excessive weight increased," anjur Hasnal.

Formula increases the weight of the ideal must be correct. For example, this month should be raised by 2 kilos, but it increase of 2 kilos already occurred in the first 2 weeks. "So, the next 2 weeks he should diet." Or, the first 2 weeks, body weight has not increased, then the prospective mother must pursue ketingalan in the next 2 weeks.

The ideal weight is reached, the birth will be running easily, without complications. Or, if any, only a few (low risk). "Childbed will also soon be over, in addition to not damage the body shape." Yes, the ideal body weight during pregnancy will soon return to the form of body weight after giving birth. "Mother will be beautiful again, without the need to take pains to manage weight."

Diligent, industrious control
What must be done so that the ideal body weight can be achieved?
• We recommend that before pregnancy, consultation to the doctor about the factors that disrupt the disease pregnancy, including BB (more or less).
• Turuti doctors advice about BB month per month. Ask a diet that matches your situation. For example, if excessive, some diet, and so forth.
• Every control to the doctor. If the charming doctor and patient and diligent control does not have penyulit during pregnancy, it either diabetes or goiter, usually the standard weight is reached.
Damaged teeth can be problematic
Less or even decrease the weight not only occur in pregnant women who lost their appetite. "There are also prospective mothers eat more, but weight is not up-and-ride. If this occurs, the composition of the food must be checked. Do not feed the dikonsumsinya not nutritious, replete origin only," said Hasnal.

If the quality of food consumed is good, but he still thin, must be checked, is there something wrong in the digestive equipment or teeth. "Gigi is damaged to make the food was sometimes can not be chewed well, so it can not be digested and absorbed by the body perfectly. As a result, the fetus not get better with the food supply, so that growth is obstructed," said Hasnal.

What is clear, any weight when pregnant start, the increase should be increased according to the formula of body weight. After the pregnancy weight should also be increased according to increase always ideal. "Do not get pregnant and then after I eat because it is fat. If this is done, Feed nutrition for the fetus will be disrupted."

Ideal weight babies
How many actually a normal fetal weight for age appropriate? At the age of 20 weeks gestation, the fetus weight of approximately 0.5 kg. At the age of 36 weeks gestation, it should reach 2.5 kg. Furthermore, close to birth, the weight should reach 3 kg. "Ideal body weight baby is between Indonesia 3-3,5 kg. If the growth of the fetus is not in accordance with the formula above, should be examined salvo. Is there a difference of the body, such as the aberration that causes kidney hidramnion, or how the system pencernaannya," Hasnal said.

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