Managing Weight and Discomfort During Pregnancy: Key Considerations - Obstetrics and Gynecology

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Managing weight and discomfort during pregnancy is a critical concern for many expectant mothers, especially those who are already dealing with pre-existing weight issues or physical demands from their jobs. Based on your situation, let's break down your concerns and provide some guidance.


Weight Gain During Pregnancy
From your description, you started with a pre-pregnancy weight of 48 kg, which dropped to 46-47 kg in the early stages of pregnancy. Now, at 22 weeks, your weight is 51 kg. This indicates a total weight gain of approximately 3-5 kg since conception. For someone of your height (150 cm), this weight gain is relatively modest and may be within the acceptable range, especially if you were overweight before pregnancy.
The general recommendation for weight gain during pregnancy varies based on pre-pregnancy weight. For women with a normal BMI, a weight gain of about 11-16 kg is typical, while those who are overweight may be advised to gain less, around 7-11 kg. Given your situation, it’s essential to consult with your healthcare provider to determine the appropriate weight gain target for you.


Physical Activity and Job Demands
You mentioned that your job requires you to lift 8 kg multiple times a day for long hours. This level of physical exertion can indeed contribute to discomfort, including foot pain and fatigue, especially as your pregnancy progresses. Lifting heavy objects during pregnancy is generally discouraged, particularly in the later stages, as it can lead to complications such as premature labor or musculoskeletal issues.

To mitigate discomfort and potential risks, consider the following strategies:
1. Modify Your Workload: If possible, discuss with your employer about reducing the physical demands of your job. You might be able to take on less physically taxing tasks or share the workload with colleagues.

2. Take Frequent Breaks: Ensure you are taking regular breaks to rest and elevate your feet. This can help reduce swelling and discomfort.

3. Wear Supportive Footwear: Invest in comfortable, supportive shoes to help alleviate foot pain and provide better stability.

4. Practice Good Posture: Maintain proper posture while lifting to minimize strain on your back and joints.

5. Stay Hydrated and Nourished: Proper nutrition and hydration can help maintain your energy levels and overall health during pregnancy.


Risk of Preterm Labor
Regarding your concern about the risk of preterm labor, heavy lifting and prolonged standing can increase the risk, especially if you experience any signs of discomfort or unusual symptoms. It’s crucial to listen to your body and consult with your healthcare provider if you have any concerns about your physical activity or if you experience symptoms like cramping, bleeding, or unusual pain.


Conclusion
In summary, while managing weight during pregnancy is important, it’s equally vital to prioritize your physical well-being. Your current weight gain appears to be within a reasonable range, but it’s essential to monitor it closely and adjust your activities as needed. Always consult with your healthcare provider for personalized advice tailored to your specific situation. They can provide you with the best guidance on managing your weight, physical activity, and overall health during this critical time.