Post pregnancy weight loss: losing too much nor not enough can pose problems for future pregnancies

Women, who go on a dramatic weight-loss programme after the birth of their first child, are far more likely to have a pre-term birth the second time around, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

The greatest risk is among those whose body mass index (BMI) falls by five points or more between pregnancies, researchers have discovered.

By far the healthiest option – for mother and baby – is for the woman to get back to her weight before she first became pregnant, says UrBod Nutritionist Melody Mackeown.

However, researchers warn mothers who keep on the pounds between pregnancies that they greatly increase their chances of complications second time around.

Even an increase of just one or two extra units on the BMI scale significantly increases the risk of pre-eclampsia, gestational diabetes, and gestational hypertension with the second pregnancy. A weight gain of more than three on the BMI scale heightens the chances of a stillbirth.

Excess weight is also a factor in infertility and a number of mothers who try for a second baby find it much harder to fall pregnant than the first time round. Excess weight can cause hormone imbalances in the main fertility hormones (oestrogen and progesterone), says UrBod Nutritionist Melody Mackeown which may in part explain this phenomenon.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Pregnancy: how exercise is an effective as medication in treating gestational diabetes

As many as one in eight women will develop gestational diabetes sometime during their pregnancies, increasing health risks for themselves and their babies says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. According to Dr Green (please see his excellent website www.drgreene.com) researchers at the University of Southern California School of Medicine studied a group of women who had already developed gestational diabetes and who had fasting blood glucose levels high enough to require insulin. Half of the women in the study received the recommended insulin. The other half got personal trainers instead. The trainers supervised the women while they did simple twenty-minute stints on exercise bikes.

The results, says Dr. Green, were startling: moderate aerobic exercise was equally effective to insulin! Blood glucose levels were statistically the same in both groups.

Studies have already shown that exercise can improve insulin sensitivity and help to manage Type II diabetes, says UrBod Nutritionist Melody Mackeown, This adds to the weight of evidence that exercise is important during pregnancy and if you undertake moderate exercise during your pregnancy, you may avoid gestational diabetes in the first place.

A number of nutrients can also help prevent and alleviate gestational diabetes says UrBod Nutritionist Melody Mackeown as they are important in blood sugar regulation. They include: Magnesium, Chromium, Vanadium, Vitamin E, Vitamin C Zinc, Selenium and other anti-oxidants.

Making the correct food choices can ensure you include foods with the above nutrients which will in turn help you alleviate gestational diabetes or help you avoid this pregnancy health issue in the first place, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

NB. Please talk to your midwife or GP before embarking on an exercise programme during your pregnancy (especially if you did not exercise regularly beforehand). Two useful websites regarding exercise include: www.lifestylexperts.com and www.newbornfitness.co.uk which supply pregnancy exercise balls/birthing balls.

Now I’m pregnant why am I sleeping so badly?

One of the reasons for fatigue and sleep problems during pregnancy are changing hormone levels, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. For example, rising progesterone levels may partly explain excessive daytime sleepiness, especially in the first trimester.

However, according to the National Sleep Foundation, several sleep disorders can be caused or made worse by pregnancy. In a study of over 600 pregnant women, 26% reported symptoms of restless legs syndrome (RLS), a condition characterized by unpleasant feelings in the legs that worsen at night and that are relieved by movement.

The exact cause of RLS is unknown. However, evidence suggests that it is related to an imbalance of a brain chemical called dopamine. Dopamine is a naturally occurring substance which affects movement. In the evening, dopamine levels fall, and this may explain why the symptoms of RLS are often worse in the evening and at night.

Another cause of RLS is a lack of iron which is essential for the production of dopamine. Other nutrients are also involved in neurotransmitter regulation such as B6, B12 and folic acid.

Pregnant women are also at risk for developing sleep apnea, a disorder in which breathing is repeatedly interrupted during sleep. This is particularly true of women who are overweight when they become pregnant. Sleep apnea may also be associated with complications during pregnancy such as gestational hypertension, preeclampsia, or low birth weight.

Consequently, it is important to ensure that you are eating well in order to ensure you are consuming enough nutrients to sleep well, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.