Tracking Pregnancy Weight Gain and Vaginal Inflammation Concerns - Obstetrics and Gynecology

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When should pregnancy weight be recorded and issues related to vaginal inflammation?


Hello, doctor.
I would like to ask about the recommended weight gain during pregnancy, which is said to be around 8-12 kilograms.
Can I start calculating this from the first prenatal visit at 6 weeks? Since I didn't intentionally track my weight before pregnancy, it would be difficult to use that as a reference.
Additionally, I have been experiencing yellow-green, thick discharge.
Will this resolve on its own if left untreated? Could it affect the fetus?

Ping, 30~39 year old female. Ask Date: 2021/05/13

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
Ping: It's fine to start calculating your weight from the sixth week; there's no need to worry too much about it.
Unless you feel that your current weight is significantly different from what it was six weeks ago.
As for the yellow-green vaginal discharge, if there are no symptoms such as a foul odor, severe itching of the vulva, or an increase in the amount of discharge, it's okay to continue monitoring it.
It won't affect the fetus, so there's no need to be overly anxious.

Reply Date: 2021/05/13

More Info


Tracking weight gain during pregnancy is crucial for both maternal and fetal health. The recommended weight gain during pregnancy typically ranges from 25 to 35 pounds for women with a normal pre-pregnancy weight, while those who are underweight may need to gain more, and overweight women may need to gain less. The guidelines you mentioned—8 to 12 kilograms (approximately 17 to 26 pounds)—are generally in line with these recommendations, depending on the individual's pre-pregnancy weight.

When it comes to tracking weight gain, the starting point is usually the pre-pregnancy weight. However, many women may not have an accurate record of their weight before conception. In such cases, it is acceptable to use the weight recorded at the first prenatal visit as a baseline. This visit typically occurs around 6 to 8 weeks into the pregnancy, and it can provide a reasonable estimate of the woman's weight at the beginning of her pregnancy. It is essential to communicate with your healthcare provider about your weight history and any concerns you have regarding weight gain.

Regarding your concern about vaginal discharge, the presence of yellow-green, thick, and sticky discharge can be indicative of a few different conditions, including bacterial vaginosis or a yeast infection. While some changes in vaginal discharge are normal during pregnancy due to hormonal fluctuations, abnormal discharge can lead to complications if left untreated. Infections can potentially affect the fetus, especially if they lead to conditions such as preterm labor or if the infection ascends to the uterus.

If the discharge is accompanied by other symptoms such as itching, burning, or a foul odor, it is crucial to seek medical attention. Your healthcare provider may recommend a pelvic examination and possibly laboratory tests to determine the cause of the discharge. Treatment options may include antibiotics for bacterial infections or antifungal medications for yeast infections, both of which are generally considered safe during pregnancy.

It is important to note that untreated infections can pose risks not only to the mother but also to the developing fetus. For example, bacterial vaginosis has been associated with an increased risk of preterm birth and low birth weight. Therefore, it is advisable not to wait for the symptoms to resolve on their own, as this could lead to more significant health issues.

In summary, tracking weight gain from the first prenatal visit is acceptable if pre-pregnancy weight is unknown. Maintaining a healthy weight gain throughout pregnancy is vital for both maternal and fetal health. Additionally, any abnormal vaginal discharge should be evaluated by a healthcare provider to rule out infections that could potentially affect the pregnancy. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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