well-being awareness


ovarian syndrome and increased risk of early miscarriage. Weight loss and consultation with your healthcare provider and, some- times, reproductive or endocrine special-  establishing pregnancy. Once successfully pregnant, women with obesity should meet with their healthcare provider to discuss weight gain and nutrition during pregnancy. Normal-weight women are expected to gain 25 to 35 pounds during a healthy pregnancy, about one pound per week in the second and third trimesters. On the contrary, the recommendation for overweight women is to gain much less: 15 to 25 pounds if overweight, 11 to 20 pounds if obese and generally about 0.5 pounds per week in the second and third trimesters. Sticking to these weight-gain guidelines


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has been shown to improve outcomes for the expectant mom and baby alike. This can generally be accomplished with a healthy diet, nutritional counseling in some cases and a  your provider may also want to get some baseline blood work, including diabetes testing, kidney function tests and others as indicated. If you’ve had bariatric surgery, your provider or nutritionist will assess for nutri-  supplements are needed. In the second trimester you’ll want to


have a thorough anatomy ultrasound as the rate of some congenital anomalies is slightly increased for babies of obese women. The risk of birth defects overall remains low, however. Glucose testing will be done (or repeated if it 


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