Appropriate Weight Gain in Pregnancy

This project is supported in part
by funds received from the Cali-
fornia Department of Public
Health, Maternal, Child, and
Adolescent Health Program.
Continued on Page 2
SWEET SUCCESS:
D
IABETES AND PREGNANCY NEWSLETTER
F
ROM CDAPP REGIONAL PROGRAMS
Appropriate Weight Gain in Pregnancy
(Excerpts from proposed Nutrition Chapter of CDAPP Guidelines for Care, 2010
revisions)
Cathy Fagen, RD, MA, Region 6.1
The revisions of the CDAPP Guidelines
for Care are in the final stages of review
and approval with the California
Department of Public Health. We have
obtained permission to print excerpts
from the proposed nutrition chapter to
answer burning questions raised with the
2009 release of the revised Institute of
Medicine (IOM) weight gain guidelines.
Weight gain charts to accommodate
these proposed guidelines are in the
review approval stages as well and will
be released with the 2010 CDAPP
Guidelines for Care.
The nutrition chapter will include
sections on the different stages of the
reproductive cycle: preconception and
interconception, pregnancy, postpartum
and lactation. This excerpt will only
cover certain aspects of the pregnancy
section.
Energy Needs During Pregnancy
Energy needs for a woman with
preexisting diabetes increase during
pregnancy. However, during the first
trimester the woman's energy and
nutrient needs remain the same as
during the preconception period, unless
there are complications of nausea,
vomiting or hypoglycemia. Major
changes in diet composition may disturb
glycemic control and are not
recommended in the first trimester. In the
second and third trimesters, daily energy
requirements gradually increase. See
Table 1 to calculate energy needs in
pregnancy.
At this time there is no consensus on
determining energy requirements for
overweight and obese pregnant women.
A registered dietitian should evaluate
each individual's case and provide the
necessary education and monitoring to
achieve weight gain goals. Some
women, especially those who are
sedentary and/or live in developed
countries, may not need the
recommended additional kilocalories.
Kilocalorie needs for a pregnant woman
with diabetes vary depending on her
Inside this issue:
Nutrition and Diabetes in
Pregnancy Care
1-3;
8
Sweet Success Post
Bariatric Surgery
Guidelines
3-5
Every Woman California 5-6
Individual and Group
Psychotherapy for
Pregnant Women with
6-7
CDAPP Regional
Programs
8
Upcoming Educational 8
2010
Volume 8, Issue 1
Table 1: ENERGY NEEDS FOR PREGNANCY BASED ON
GESTATIONAL AGE—
Estimated Energy Requirements (EER)
The Institute of Medicine formulas for estimating the energy requirements for
pregnant women who have
normal weight
are as follows:
 1st trimester = Adult EER + 0
 2nd trimester = Adult EER + 160 kcal (8 kcal/wk x 20 wk) + 180 kcal
 3rd trimester = Adult EER + 272 kcal (8 kcal/wk x 34 wk) +180 kcal
Page 1/9
Free Download

Appropriate Weight Gain in Pregnancy PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 589 Views | 8 Downloads
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 755 Views | 13 Downloads
  •  
  •  
  •  
  •  
  •  
3 Page(s) | 1043 Views | 2 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 1180 Views | 16 Downloads
  •  
  •  
  •  
  •  
  •  
3 Page(s) | 938 Views | 1 Downloads