How much weight should I put on during my pregnancy?

You may be worried about gaining weight during pregnancy, or you may have started the pregnancy with more weight than you would have liked says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy..

However, under no circumstances should you diet while you are pregnant as you may deprive yourself and your baby of important nutrients, says UrBod Nutritionist Melody Mackeown. Further, your body may start to detoxify (losing toxins stored in fat throughout your body) and these toxins may pass through your baby before being excreted.

If you eat a healthy, nutritious diet you will not put on any more weight than is necessary – so avoid the temptation to ‘pig-out’ as it will be harder to lose weight once your baby is born. As a rule of thumb, a healthy weight gain during pregnancy is considered to be no more than 33lb (15kg) and also not less than 11lb (5kg). Women who are underweight prior to pregnancy should gain a little more, and overweight women, a little less.

Women who do not gain enough weight have an increased risk for delivering babies with low birth weight (less than 2500 gm, or 5.52 pounds).

And babies who are underweight are at risk for physical and psychological childhood disorders, says UrBod Nutritionist Melody Mackeown:
· They are more likely to experience asthma, respiratory tract infections, and ear infections.
· Babies who are born weighing less than 1000 gm (2.2 lbs), are at greater risk for cerebral palsy (a neurological abnormality).
· They are more likely to score low on intelligence tests and are more likely to have delayed development.

Conversely though, gaining too much weight can also be a problem. It can make pregnancy an unpleasant experience, causing
· Backache;
· Leg pain;
· Varicose veins; and
· Fatigue.

It may also lead to hypertension and diabetes. Excess weight may also be difficult to lose after delivery.

Excessive weight gain may also cause problems for the baby. Technically, an overweight baby is one who weighs more than 4500 gm, or 9.9 lbs. Large babies make vaginal deliveries more difficult, increasing the risk for cesarean section. Overweight babies may have an increased risk for health problems later in life, such as
· Obesity;
· Adult rheumatoid arthritis; and
· Diabetes.

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.

IVF may pass on genetic reasons for infertility

According to Professor Jens Peter Ellekilde Bonde, a professor of occupational medicine at Aarhus University in Denmark, and Professor Jørn Olsen, a professor of epidemiology at the University of California, countries using IVF such as Britain is facing an infertility timebomb because the increasing use of IVF means that couples with inherited fertility problems are able to have children and pass the condition on to the next generation.

Around one per cent of all births in Britain are the result of IVF or donor insemination, which means that around 11,000 babies are born annually after fertility treatment, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Each cycle of IVF costs between £4,000 and £8,000 and success rates are almost 30 per cent for women under the age of 35.

However, there are many other non-genetic reasons why you may not be able to conceive – such as anovulation (irregular or lack of ovulation) or poor sperm quality, says UrBod Nutritionist Melody Mackeown. Furthermore, there any many nutritional steps you can take to improve your chances of conception and much research to prove it. Just one example is a study at the University of Surrey consisting of several hundred would-be parents with a history of fertility problems. They were put on tailor-made holistic pre-conceptual care programmes focussing principally on diet, vitamin and mineral supplementation and avoidance of environmental toxins. A stunning 81% of those who took part went on to produce healthy babies. This make the holistic approach 2 ½ times more effective than IVF!

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Lack of adequate ovulation may be responsible for up to 40% of women with infertility

Ovulation occurs on a regular basis in women that menstruate at intervals between twenty-three and thirty-four days, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Any menstrual cycle length below or above this range is frequently associated with anovulation (i.e lack of ovulation). There are various conditions that can result in anovulation in women including polycystic ovarian disease (PCOS), advanced reproductive age, hypo or hyperthyroidism, elevated levels of the hormone prolactin production, physical and emotional stress, the use of certain medications, in particular medications associated with an increase in Prolactin production and neurotransmitter alteration.

Altering your diet can help with anovulation in many cases by balancing hormone levels, says UrBod Nutritionist Melody Mackeown, and by reducing internal stressors on the body. For example, stress can contribute to high prolactin levels and certain foods or drinks can increase stress such as caffeinated products – coffee, tea, chocolate – eating unrefined carbohydrates such as white rice and bread and insufficient fruit and vegetables (which is very low according to the Foods Standards agency with the vast majority of us not meeting the basic 5 a day principle).

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Obstetric Cholestasis may be helped with nutritional intervention

Obstetric cholestasis is an uncommon complication of pregnancy and is thought to affect 1% of all pregnant women. It is a condition which causes a build up of bile acids in the bloodstream and consequently lower levels of bile acids in the gut. The main symptom is persistent itch in the later third of pregnancy, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

The main complications appear to be a lack of vitamin K, which is essential for the blood clotting mechanism to work (thereby increasing the risk of hemorrhaging) and potentially a reduction in the absorption of fat soluble vitamins (such as vitamin D). There is also some controversy over whether the risk of still births is increased as a result of this condition.

The most common medical intervention is to give a drug which promotes liver function, as well as frequent ante-natal check-ups to ensure the foetus is not in any distress.

As there are many foods which can support liver function, says UrBod Nutritionist Melody Mackeown and supplements such as digestive enzymes which can be taken to help breakdown fats in your diet, one option would be to seek nutritional advice to optimise your liver function and support digestion during your pregnancy.

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.

Why might maternal stress affect your unborn baby?

The answer says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy is the communication of the blood of the mother and your baby via the umbilical cord.

A baby gets both the good (e.g. nutrients and oxygen) and the bad from the mother’s blood. The bad components of the blood can include alcohol, nicotine, illicit drugs, prescription drugs, and stress chemicals, such as cortisol and noradrenaline.

Animal and human studies appear to indicate that stress leads to depression. In other words, chronic stress in the mother's womb (in utero) or early deprivation (separation from the mother by putting a baby into another room and leaving them to cry) can predispose a person to developing clinical depression in later life. Furthermore, stress hormones can actually decrease brain connections and even the number of brain cells in crucial areas, such as the limbic system, which are in part responsible for emotion, behaviour and long-term memory. This loss of brain connections and cells can then lead to further maladaptive (inadequate adjustment) responses to stress. In other words, the stress response is inappropriate and a person may not learn as easily to cope with stressors (which are normal and are part and parcel of growing up) and successfully adapt to them.

Making the correct food choices can also reduce the amount of stress you and your baby will experience says UrBod Nutritionist Melody Mackeown, as it provides you with the correct nutrients to deal with stress more effectively. For example, many people become more irritable and feel low or depressed as a result of having a blood sugar imbalance. Further, an estimated 1 in 10 mothers experience some form of post-natal depression and how you feel directly impacts on how your baby may feel. This can be helped or possibly avoided by making the best dietary choices for you. This is especially important when you are about to have a baby. I know from experience that sleep deprivation is a huge stressor!

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.

Vegan diet poses greater risk of birth defects

Research published in the American Journal of Obstetrics and Gynecology has indicated that sufficient B12 in addition to folic acid is needed in your diet in order to prevent spina bifida says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Researcher discovered that mothers with the lowest levels of B12 tripled the risk of spina bifida in their babies.

Vitamin B12 is necessary for the synthesis of red blood cells, the maintenance of the nervous system, and growth and development in children. Deficiency can cause anaemia, Vitamin B12 neuropathy, involving the degeneration of nerve fibres and irreversible neurological damage, can also occur.

This research is especially important for vegans and to a lesser extent vegetarians as they are particularly at risk of a B12 deficiency, as it is exclusively synthesised by bacteria and is found primarily in meat, eggs and dairy products.

According to the Vegan Society, the present consensus is that any B12 present in plant foods is likely to be unavailable to humans and so these foods should not be relied upon as safe sources.

Consequently, I would recommend that anyone following a vegan diet includes foods fortified with vitamin B12, such as breafast cereals and taking a supplement with B12 suitabable for vegetarians and vegans, says 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.

Taking a vitamin supplement can significantly reduce your chances of having a premature baby

More evidence has come to light regarding the importance of ensuring your diet has sufficient foods containing B vitamins before and during your pregnancy says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Research has shown that if you consume sufficient folic acid for a year before becoming pregnant it can cut your risk of having a premature baby. This is important as being born too early is the most common reason for mortality in babies. UrBod Nutritionist Melody Mackeown always recommends a supplement containing 400mcg (micrograms) of folic acid daily and health care professionals have long recommended it to mums because it can reduce the risk of birth defects.

As many women do not know they are pregnant for some weeks it is essential that folic acid is taken all the time and especially if you know that you are trying to have a baby.

Folic acid is in most pre-natal and multi-vitamins. It can also be found in foods like fortified cereal, leafy green vegetables and orange juice. While folic acid is widely accepted by health experts worldwide, says UrBod Nutritionist Melody Mackeown, there are a number of other nutrients that would hugely benefit both mums and babies, especially where there is a risk of allergies (such as eczema, asthma and hayfever) in families. Furthermore, nutrients like folic acid work better if taken with other members of the B vitamin family.

Consequently, seeking pre-conceptual care advice may help considerably to avoid having a premature baby, says UrBod Nutritionist Melody Mackeown.