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HINT: Mints, chewing gum, frequent small meals and cracker snacks can be helpful.

You Can Expect Some Changes

Weight Gain

Your mother may tell you that her doctor said to gain only 10 pounds, but

times have changed. Today, much more is known about fetal needs and

development. An average weight gain during pregnancy is 25 to 35 pounds

if you were

average weight

before pregnancy. This weight gain seems to

best nurture you and your growing baby.

Mothers who are

underweight

before pregnancy may gain 28 to 40 pounds.

Women carrying twins may gain as much as 45 pounds. Mothers who are

very

overweight

should limit their weight gain to approximately 15 to 25

pounds. Fifteen pounds should be a minimumweight gain for any pregnant

woman. Do not panic! Because many women have problems keeping their

weight down without being pregnant, the thought of gaining 25 pounds

seems horrible. Keep in mind that you will lose most of the weight when the

baby is born or in the postpartum period.

Keep a chart and weigh yourself weekly. You will also be weighed at every

appointment. If you are simply ravenous and start to gain weight quickly, talk

to your healthcare provider. Suggestions can be made for foods that you can

eat in large portions and still not gain those pounds. Refer to the

Diet and

Nutrition

section (pages 33 through 35) of this booklet for a complete outline

of suggestions.

Breast Changes

Right from the beginning, your breasts may be larger, firmer and more tender

than usual. The areola, the dark area around the nipples, may get larger and

grow darker in color. Halfway through your pregnancy, your breasts may start

to secrete fluid

(colostrum)

in small amounts. Be sure to keep themclean. There

are special pads you can purchase if you are leaking colostrum to protect your

clothes. The veins right under your skin may become more noticeable, too.

This is caused by an increased blood supply preparing your breasts for milk

production. If you are planning to breastfeed your infant, no special nipple

preparations are required, although it is recommended that you keep your

nipples dry and wash them only with warm water. Soap is not necessary.

Urination

When your uterus expands, it puts pressure on your bladder. The need to frequently urinate is common in the first

stages of pregnancy and in the last weeks. Do not try to control this issue by drinking fewer fluids. Be sure to stay

hydrated and drink to thirst.

Excessive Salivation

This condition is frequently confused with vomiting in pregnancy. It is caused by excessive secretion of the salivary

glands in the mouth and is quite annoying and difficult to treat. It tends to diminish in the latter half of pregnancy.

Sources of Maternal Weight Gain

(approximate)

Uterus ........................................... 2 lbs.

Blood Volume........................... 4 lbs.

Breasts........................................... 2 lbs.

Body Fluid................................... 4 lbs.

Maternal Stores:

(fat, protein, nutrients)...........7 lbs.

Sources of Fetal Weight Gain

(approximate)

Fetus..................................... 6 to 8 lbs.

Placenta & Membranes....1.5 lbs.

Amniotic Fluid........................... 2 lbs.

7

You Can Expect Some Changes