Q&A: I am concerned I am gaining too much weight with my pregnancy.

by Dr. Gerard M. DiLeo

I'm concerned that I'm gaining too much weight with my pregnancy. At 49-years-old I'm expecting twins. My weight has fluctuated a lot in the past. The heaviest I have been during a prior pregnancy was about 162 pounds. I have been as heavy as 186 pounds, but not while pregnant. I started this pregnancy at about 156 pounds, now barely into my second trimester, I've already gained 10 pounds. It doesn't help my weight gain that with this pregnancy, the only thing I've found that keeps away morning sickness is eating carbs.

How many calories should I be eating and how much more weight should I expect to gain since I'm having twins?

With twins, the usual 25-30 pound pregnancy weight gain is bumped up to about 30-40 pounds, especially with the extra fluid and baby on board. So, yes, you should expect to gain more weight with two babies instead of just one.

But gaining too much weight during your pregnancy is a legitimate concern. Women with excessive weight gain are at risk for gestational diabetes. The American Dietetic Association recommends that pregnant women consume between 2,500 and 2,700 calories a day. So talk to your heath care provider about your weight concerns. He or she should be able to make recommendations about your diet.

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