Normal in Pregnancy


Normal Labs

Labs

Normal Weight Gain

  • Approximately 25 - 35 lbs for an average-weight woman with a BMI of 19.8 - 26.0 (less for obese women and
    more for thin women).
    • Excessive gain: > 1 .5 kg/mo.
    • Inadequate gain: < 1 .0 kg/mo.
  • Guidelines according to prepregnancy body mass index (BMI):
    • Underweight (BMI < 1 9.8) : 1 2- 1 8 kg.
    • Acceptable (BMI 1 9.8-26.0): 1 1 - 1 6 kg.
    • Overweight (BMI 26.1 -29.0): 7-1 1 kg.
    • Severely overweight (BMI > 29.0): 7 kg.
  • An additional 100 - 300 kcal/day is needed during pregnancy and 500 kcal/day during breast-feeding

Nutrition

  • Guidelines for nutritional supplementation:
    • An additional 1 00-300 kcal/day; 500 kcal/day during breastfeeding.
    • Folic acid supplements (-1. neural tube defects for all reproductive-age women) : 0.4 mg/day, or 4 mg/day for women with a history of neural tube defects in prior pregnancies.
    • Iron: Starting at the first visit, 30 mg/day of elemental iron (or 150 mg of iron sulfate).
    • Calcium:
      • 1,300 mg qd for < 19 years of age;
      • 1,000 mg qd for > 19 years of age.
  • Additional guidelines for complete vegetarians:
    • Vitamin D: 400 IU/day.
    • Vitamin B12: 2 mcg/day.

Exercise

  • Thirty minutes of moderate exercise daily is recommended.