Your Pregnancy - - Month By Month -

In the first trimester, phys­i­o­log­i­cal changes in the body may cause weight gain. These in­clude blood vol­ume changes, swelling of the feet and en­gorge­ment of the breasts. “This, how­ever, should not be very sig­nif­i­cant. Be­fore 20 weeks, the rec­om­mended weight gain is 4.5kg,” says Dr Ros­souw. As­sum­ing you’re tar­get­ing the rec­om­mended weight gain of 12.5kg, your weight gain af­ter 20 weeks should be around 8kg – about 0.5kg per week. For women who started their preg­nancy at a “nor­mal” weight, your healthcare provider may only weigh you once a trimester, but for women who started their preg­nancy over­weight or obese, you’re likely to be mea­sured at ev­ery visit.

Healthcare providers have be­come less in­clined to weigh women at ev­ery visit, be­cause it can cause anx­i­ety over “too much” or “too lit­tle” weight gain. How­ever, this isn’t an ex­cuse to head to the cho­co­late aisle. “Pa­tients who gain more than 15kg dur­ing their preg­nancy have a higher chance of strug­gling to lose the weight af­ter preg­nancy,” cau­tions Dr Ros­souw.


You’ve heard it be­fore, be­cause it’s true. Don’t make the mis­take of “eat­ing for two” dur­ing your preg­nancy. Tempt­ing as it is to eat any­thing that comes your way, preg­nant women are en­cour­aged to make healthy food choices and com­bine it with reg­u­lar ex­er­cise through­out preg­nancy.

“This will aid you in feel­ing more en­er­getic, sleep­ing bet­ter and cop­ing bet­ter with the preg­nancy and labour it­self,” says Dr Ros­souw. “Ex­ces­sive weight gain can lead to the de­vel­op­ment of ges­ta­tional di­a­betes (preg­nancy as­so­ci­ated di­a­betes),” she cau­tions.

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