Can pregnant women lose weight after childbirth?

Can I "lose weight" during pregnancy? For pregnant women with simple overweight, obesity and gestational diabetes, they can really lose weight during pregnancy. We can calculate carefully. A mother's pre-pregnancy body mass index (BMI) is 32, her pre-pregnancy weight is 82.5kg, her weight at delivery is 85kg, her weight is increased by 2.5kg, her newborn weight is 3.8kg, her placenta weight is 600g, and her postpartum weight is 82.3kg. Weight loss during pregnancy is less effective. "Weight loss" during pregnancy is very important for pregnant women who are overweight and obese. Only by "traveling lightly" and relaxing their mentality can the pregnant woman's own physical damage can the mother and child win.

1. Reasons for overweight and obese pregnant women to "lose weight"

Supported by the following "valid" reasons:

The "vomiting" reaction in early pregnancy can "lose weight" by 1-2.5kg. Pregnancy reactions during early pregnancy are physiological. As blood HCG values rise, most pregnant women begin to have normal physiological vomiting, eat less, and taste changes. As a result, most pregnant women who usually like meat begin to prefer vegetarian food. Those who like sweets may change their previous dietary preferences from the taste point, and often eat less vegetarian food, less sweets or even semi-liquid food, in order to reshape the diet structure, adjust the new healthy eating structure and open up new horizons. At this time, pregnant women relax and accept changes, which is the ideal start of "weight loss". As long as they eat a small amount, they can ensure that urine ketone bodies are negative, ensure the intake of folic acid and multiple vitamins, prevent electrolyte disorders caused by severe vomiting, and ensure normal levels of potassium, sodium and chlorine. Such a diet does not affect fetal development in early pregnancy.

Gastrointestinal peristalsis slows down during pregnancy, making it more comfortable to eat less and more meals. Beginning in the second trimester, with the large amount of progesterone secreted, gastrointestinal peristalsis slows down and gastric emptying time is prolonged. Over-eating can easily cause gastroesophageal reflux,"heartburn" and a feeling of fullness in the upper abdomen, which suggests that pregnant women should have three meals. 6-7 points full, coupled with three small additional meals, can make the pregnant woman's stomach more comfortable and at the same time more comprehensive nutrition. Pregnant women chew slowly and swallow less and more meals will make it easier to digest. Due to the influence of a large amount of progesterone, gastrointestinal peristalsis slows down, food stays in the intestines is prolonged, and water is reduced. Most pregnant women may develop constipation symptoms. Eat more vegetables, coarse grains, etc., increase the intake of dietary fiber and exercise appropriately,"Heartburn", feeling of upper abdominal fullness, constipation, etc. can be improved. Pregnant women can be "forced" to adjust their diet structure, making a balanced diet healthier during pregnancy.

In the third trimester of pregnancy, gastric volume "decreases" and the stomach resists "oversatiety." In the third trimester of pregnancy, as the uterus grows, the diaphragm rises, the stomach is compressed, and the gastric volume "decreases." Pregnant women have more obvious upper abdominal fullness and "indigestion". Eating fewer meals and more exercise can improve these symptoms. As long as pregnant women respect the choice of the "stomach" and do not deliberately disobey the needs of the "stomach", they can eat reasonably and reasonably control the weight during pregnancy.

A "low-fat, high-protein diet" increases the feeling of satiety and corrects the imbalance of high fat and low protein during pregnancy. Normal pregnant women often have physiological phenomena such as hypercholesterolemia, hyperlipidemia, and hypoalbuminemia in their blood during the second and third trimester of pregnancy. For this reason, some pregnant women develop lower limbs and even systemic edema. The main reason for this is the physiological dilution of plasma albumin due to the increase of 1500ml of blood during pregnancy. The osmotic pressure of plasma colloid decreases, and water in the blood vessels flows to the tissue spaces, which can seriously reduce the effective circulating blood volume in the blood vessels, reduce blood perfusion in the placenta and various organs of pregnant women, and the fetus is prone to intrauterine hypoxia and nutrient deficiency, which is prone to fetal intrauterine growth. Limited; pregnant women can develop edema, blood hypercoagulability and even thromboembolic disease. In order to correct this balance, pregnant women can eat a high-protein, low-fat diet. High-protein foods include fish, shrimp, eggs, skinless chicken, etc., which not only have a high feeling of satiety and are not easy to gain weight, making it possible to "lose weight".

2. The benefits of "weight loss" for overweight and obese pregnant women

It is of great significance for overweight and obese pregnant women to "lose weight". Wise pregnant women can aim to "lose weight" to reduce the incidence of the following diseases:

Can reduce the incidence of gestational diabetes. During pregnancy, the placenta secretes a large amount of insulin-resistant hormones such as estrogen and progesterone, which makes pregnant women prone to glucose metabolism disorders and elevated blood sugar. Overnutrition during pregnancy is prone to gestational diabetes or potential gestational diabetes, which mainly endangers the near and long-term health of the fetus and pregnant women, increases the risk of cardiovascular and cerebrovascular accidents in pregnant women, and increases the risk of postpartum type 2 diabetes and hypertension in pregnant women.

Can reduce the incidence of macrosomia. Excess glucose in pregnant women will enter the fetal blood through the placenta. Long-term fetal hyperglycemia in the middle and late pregnancy can easily lead to premature development and overutilization of insulin in the fetus, resulting in a large or huge newborn. After the neonatal reactive hypoglycemia, pregnant women withdraw from hyperglycemia, the effect of high insulin in the fetus, the accumulation of fat on the shoulder of the fetus causes mismatch between the shoulder and the head during childbirth, clavicle fractures in the newborn, and poor movement of the upper limbs on one side of the neonatal brachial plexus nerve injury. At the same time, it increases the risk of hypertension, diabetes, hyperlipidemia, obesity, etc. in infants and young children. Pregnant women who give birth to a giant baby have the risk of vaginal wall laceration and postpartum hemorrhage, and may have the risk of pelvic floor dysfunction, bladder, rectocele, and uterine prolapse in the long term.

It can reduce the incidence of hypertensive pregnancy. Once hypertensive pregnancy occurs, it is difficult to control and can easily develop into preeclampsia. Pregnant women's systemic blood vessels spasm, and a large amount of albumin leaks out from the kidneys, further reducing plasma albumin. Pregnant women's effective circulating blood volume is insufficient and placental perfusion is poor, which can seriously affect the intrauterine development of the fetus. Clinical manifestations are often increased umbilical blood flow resistance, intrauterine fetal growth is limited, severe fetal death may occur, etc.,"forced" to induce labor or cesarean section, resulting in iatrogenic premature delivery, increased neonatal complications, and reduced neonatal survival rate. Pregnant women can develop hypertensive crises, eclampsia, convulsions, impaired heart, liver and kidney functions, cardiovascular and cerebrovascular accidents, placental abruption and even DIC, etc., which seriously endanger the safety of the mother and the fetus.

It can reduce the incidence of gestational diabetes complicated by preeclampsia. Some patients with gestational diabetes who rely on insulin treatment in the second trimester will have preeclampsia, and most often suffer from intrauterine malnutrition and intrauterine growth restriction.

It can reduce the incidence of polyhydramnios and threatened premature labor.

Can reduce the incidence of sleep apnea syndrome. Under the influence of a large amount of progesterone, smooth muscles relax. Most pregnant women are prone to tongue recession, respiratory obstruction, snoring during sleep during pregnancy. Obese pregnant women may develop sleep apnea syndrome. Pregnant women may suffer from hypoxemia during sleep. Severe cases can cause fetal hypoxia in intrauterine, fetal death in intrauterine, etc. Pregnant women are prone to hypoxia in important organs such as the heart and brain, and even sudden death.

It can reduce the damage to the pregnant woman's own body. Excessive weight during pregnancy may easily cause adverse cardiovascular events and even sudden death in pregnant women. Excessive weight may easily lead to lumbar disc herniation and knee joint damage in pregnant women.

3. Methods for overweight and obese pregnant women to "lose weight" during pregnancy

1. Eat reasonable meals, mix thick and thin, and balance nutrition.

2. Eat less and more meals to reduce total calorie intake.

3. Eat a high-protein, low-fat diet to reduce hunger and reduce fat intake.

4. Change your eating habits and encourage "Mediterranean diet" or "Japanese diet".

5. Exercise properly, it is best to develop good habits of exercise. Walking, swimming, yoga, aerobic exercise, etc.

6. Go to bed early and get up early, do not stay up late, and develop good living habits.

7. Eat and eat regularly and defecate regularly. Enhance dietary self-discipline.

4. Standard Guidelines for Dietary Standards during Pregnancy

Recommended diet for six meals a day:

Get up at 7:00 in the morning and defecate regularly.

At 7:30 for breakfast, a cup of soy milk, two slices of whole-wheat bread, and a boiled egg. Pregnant women with constipation can add a banana or probiotics. Activity for half an hour.

9:30-10:00 Add food, 1 walnut, half apple, 1 piece of whole wheat bread, 250ml of low-fat milk. Exercise appropriately.

11:30-12:00 Chinese food, palm-sized white meat and fish meat are the best, about a pound and a half of green vegetables, and a fist-sized staple food. Activity for half an hour.

Add food from 15:00 to 16:00, one walnut size nuts, one kiwi fruit, one piece of coarse grain bread, and 250ml of low-fat milk. Exercise appropriately.

At 18:00, dinner, a boiled egg, three or four prawns, a pound of green leafy vegetables, and a fist-sized staple food. Appropriate activities.

Add food at 20:00, ten cherry fruits and a piece of whole wheat bread.

21:00 Go to sleep.

5."Don't eat" during pregnancy

Diets are not recommended during pregnancy: Kung Pao chicken diced, grilled meat, boiled fish, grilled fish, spicy fragrant pot.

Reason: Too much oil is too irritating.

6. Pregnancy control

Control your mouth, open your legs, exercise more, and have more outdoor activities during pregnancy not only supplement calcium and promote calcium absorption, but also consume excess calories and promote metabolism.

Supplementing nutritional elements such as folic acid, multivitamins and minerals, iron, and calcium during pregnancy does not care about the amount of food, but about the essence of food. Rich nutrition is not overnutrition.

Control reasonable weight gain during pregnancy, improve physical fitness, enhance cardiovascular function and promote postpartum body shape recovery. The recommended form of exercise during pregnancy is walking.