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Pregorexia: Pregnant AND Skinny

pregnant.jpg

Yet another buzzword (file alongside Drunkorexia) has found its way into the papers.

Women with pregorexia, as it has been dubbed, speak proudly of not looking pregnant when viewed from behind - while wearing 'normal' jeans into the second trimester has become something of a badge of honour. (src)

Apparently it's fueled by celebrities like Nicole Kidman, who appear to stay slim during pregnancy, and fall back to a slender shape within weeks of birth.

Pregnancy is the worst time to be embarking on a starvation diet - leaving both mother and baby malnourished.

The considerable tabloid press devoted to celebrity mothers-to-be has no doubt changed attitudes toward pregnancy and body image. However, we need to balance this against health issues related to obesity and pregnancy.

Daily Calorie Needs During Pregnancy:

  • First Trimester - 85 Extra Calories
  • Second Trimester - 285 Extra Calories
  • Third Trimester - 475 Extra Calories

Source - Prentice AM, Spaaij CJ, Goldberg GR et al. ( 1996) Energy requirements of pregnant and lactating women. European Journal of Clinical Nutrition 50 ( Suppl. 1): 82- 110. Photo by mahalie / flickr.


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63 Comments

Yongho Shin

Oh god, this slim diet mentality is getting too far.. pregnant mothers wanting to look slim?! There's nothing wrong with being slim, but I can't help think that some mothers will eat less and malnourish their child just to look thinner.

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s

Just looking for clarification: Are those the additional required calories per day? Per week?

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Mike H.

Per day... I was surprised to see that many for the 3rd trimester... I thought it was closer to 300...

I know for breast-feeding women they say about 500 extra per day... my wife says breast feeding is the best "miracle diet"... she doesn't have time or the appetite to gobble up an extra 500 per day.

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Spectra

Considering that the baby is only about the size of a pea for a good part of the pregnancy, it makes sense that you don't need to "eat for two" until about the 3rd trimester. Some women start eating way too much too early and they wind up gaining 50 or more pounds during the course of their pregnancy.

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Jennifer

oh yes, Breastfeeding is the easiest diet I ever embarked on. With little to no effort I shed 12 lbs past my pre-pregnancy weight.

I highly recommend it :)

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Jim

A number of publications talk about an extra 285 calories per day - over the course of the whole pregnancy. The EJCN article referenced above suggests spreading out the calorie intake so that it is higher during the 3rd trimester - and lowest at the first trimester.

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Gabrielle

During pregnancy is the time when a woman should be most careful that she eats properly. Weight can be managed during pregnancy, but it's better to seek a professional’s help before attempting it. Our clinic deals with just such women, helping them to stay a healthy weight safely. But women aren’t skinny when they’re pregnant, that is a fact that must be accepted first. In that time, the health of the child is the most important thing.

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Mark

Attempting to look slim and trim while being pregnant? You're barely feeding one and you need to feed two?

I think that's just plain selfish and dangerous to the infant's health.

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Ryan

Some women don't look as pregnant as others in the same term or month of pregnancy when they're carrying due to the varying width of their hips and their heights. I'm not surprised Nicole Kidman looked as slim as she did after giving birth. My own mother lost her baby weight rather quickly also without dieting and exercising. Besides, after having their first child, women are more easily able to get back into shape, especially if they exercise while pregnant and value what they are putting into their bodies. I do not see anything selfish about Nicole Kidman's "miraculous" weightloss after the birth of her daughter. It's a typical thing for first-time mothers who watch what they eat and keep a healthy lifestyle.

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summernights21

Ryan, im assuming that you are a guy (ive occasionally met girl Ryans) but if you are a guy, i really think you have no right to be commenting on pregnant women's weight issues. as far as nicole kidman goes--lets be honest, she most likely ate below the reccomended calorie intake and did not gain the reccomended weight of 35 pounds while she was pregnant--i would bet anything on that. its still possible to have a healthy baby while doing that but it does bring many risks along with it. women visibly gain weight while pregnant and there is nothing wrong with that---comments like yours that encourage remaining skinny while pregnant, or make it seem ok, honestly disgust me, esp. if its coming from a guy.

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Daughter of Slender Mom

It's perfectly fine for a woman to want to maintain a slender appearance during pregnancy SO LONG as she is eating the right kinds of portions of the right kinds foods. My mother had six children, and the only weight she gained was directly related to the baby and the womb. Her arms, legs, neck, and face, did not become chubbier. Anything wrong with that? Absolutely not. In fact, she had natural, fast and easy delivers (WITHOUT epidurals), and HEALTHY babies (none of us were EVER admitted to hospitals for any reason even though we lived in a third-world country). Furthermore, I think it's VITAL that a man be directly involved in his wife's health and body weight, pregnancies included. Having a baby is no excuse to become fat. OVER EATING is just as detrimental to the infant than under-eating.

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destinie

i tottally agree

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destinie

every chick in the world who has a child,hopes to be small after a child,sounds a bit like you are hating on someone who snapped back within no time. actually,if you eat veggies fruits,wheat bread 2 percent milk and other healthy choice foods,also with exercise,the weight will easily fall off,sense you ate right and worked out during and after pregnancy. if it was my job to look good,id make sure i did my damn job. dont be jealous of a celebrity who did such.

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Spectra

Trying to stay skinny during pregnancy is like the ultimate "thin goal" for women: it's a subliminal message to other women that they can stay thin during a time that most women get very big. It's not really all that different psychologically from middle-aged women getting super skinny to show the world that they didn't get the "middle age" spread.

That being said, I think it's important to manage your weight well during pregnancy and gain the recommended amount of weight and stay active, but you shouldn't freak out about gaining a little extra...you can lose the extra after you have the baby. It's more important to make sure your baby is getting adequate nutrition even if it means you end up gaining a little extra yourself.

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Heather

I just had my baby and I think what's important is staying active, avoiding junk foods, and eating with an eye towards nutrition. Recommended weight gain ranges are silly because your body knows what it's doing -- some will gain more and be healthy, some will gain less and be healthy.

I gained just above what my doctor recommended for me (25 -35 lb) but I was running until the day before I gave birth and had no pregnancy complications and gave birth to a healthy 8 lb, 10 oz girl--- with a 9 five minute APGAR score! :) The weight will come off. Who cares. I have a healthy child. I will returnt to running when I recover from my c-section and I think I may have already began to lose weight because you can't keep up with the appetite of breastfeeding!!
I've known people who've healthfully gained more and less--- they ones with the best results have nothing to do with weight gain but with activity level during and after pregnancy, and how nutritiously they ate.

Worrying about weight too much (every mom in this culture will worry about it some) and restricting weight gain below what your prepartum weight would indicate purposefully and artifically is not good for the babies... (Nor is loading up on junk food and giving up all physical activity, of course)

That's my 2cents

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Mike H.

Congratulations! How's it going for you and dad so far?

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Heather

Great! She's just amazing and this is such a wonderful time. Am going a bit stir crazy... had to have an emergency c-sec so am on activity restriction... but I don't feel that bad and such a lack of activity feels foreign to me ... can't wait to take my daughter on a walk to show her the great outdoors.

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Spectra

Congratulations, Heather!! I hope you're at least attempting to get some sleep and enjoying your little one. I plan on exercising when I get pregnant to make sure my muscles stay in shape, but I will definitely try not to obsess about how much it is. Another thing people don't realize is that you show more if you're short because there isn't much room in there for the baby to move. If you're tall, a la Nicole Kidman, you don't show as much because you have more room in your abdomen for the baby. My sis is my height and she definitely had a noticeable bump at around 4-5 months.

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lisa

Your height does not determine how much you'll show during your pregnancy. It has to do with a combination of things such as your genes, eating healthy and exercise. I know many women who are short (5'0" to about 5'3")and did not show much while they were pregnant while their taller counterparts showed faster and much more than they did during the same time period and Trimester.At my clinic I see pregnant women everyday and pregnant women all vary in size despite their height during their pregnancies.

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Mae

Spectra - be sure to not start a new exercise regimen when you get pregnant. If you were into fitness exercise before pregnancy -- stick to it as long as your doctor gives you the go ahead. Just remember it is not good to begin a new routine just to keep your muscles in shape during pregnancy.

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Ashley

I exercised and ran (even a 5k race) up until 9 weeks when I had a complication. Then went to power walking until 19 weeks when I was put on bed rest. I am not saying that intense exercise is what caused both issues, but I will say that the first complication happened the day after I pushed myself on a run and went longer than I had ever gone before. The second complication putting me on bed rest occured after an intense powerwalk the day before. I was/am obsessed with staying fit and slender for this pregnancy-but I am doing it by eating properly and allowing myself food splurges once a week. Unfortunately, on bed rest, there is not much else you CAN do! I do not think it is selfish to want to maintain a healthy slender appearance. With the number of women gaining too much weight during pregnancy (myself included for my first pregnancy), that too is selfish and unhealthy for the baby! Everytime I watch a baby show/special delivery show on tv and see an overweight mommy and the effects her eating has had on the baby, all I can think of is how tormented that child will be in school growing up with pudgy face and fingers. THAT is abuse as well. THAT is not taking into consideraton the mental and physical well being of the child growing inside!

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NeoVitin

Hopefully this is not a big trend with expecting mothers, because it seems awful to deprive their bodies and their children from the nutrients they need. Being skinny while pregnant is not something that I would consider important at all.

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B

Not to sound all feminist or anything, but when I'm pregnant I WANT to look pregnant--having a baby would be (for me) a GOOD thing.

That said, I would still try to eat healthfully and exercise--I would want to stay fit so I could keep up with the kid during the toddler years...

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Barry

More proof that you should be required to apply for and be approved for a license to reproduce. Most people have NO BUSINESS passing on their genes.

Some superficial piece of trash more worried about her waist line than the health and well being of her baby should have her uterus removed by force.

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Kira

Superficial peice of trash? And I suppose it's just self-absorbed women who are responsible for society's attude about our bodies? Just look at some of the comments here. It only took four comments to get to the complaint that some women gain too much during pregnancy, a theme that has been repeated often. The truth is that a woman's weight is (in many people's eyes) closely tied to her worth. Too thin and you're a peice of trash. Too fat and you're lazy and pathetic.
Is it any wonder some women develop eating disorders that even threaten the lives of their unborn children?

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cereal

What are you talking about were did he say that self absorbed women were responsible for societies attitude toward body image. I can't speak for the man ,but the way I read it he was merely stating that women who put there beauty before there child's health should not be allowed to have children. A brash statement, and unenforceable I might add, but I'm sure it was an emotional statement.

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Beth

Amen, Barry.

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sparky7

I don't know if this is an old wives tale, but my mom told me that the baby will automatically take any nutrition from the mothers body and that the pre-natal vitamins are mostly for the mothers benefit. My mom had 6 healthy babies despite being really sick with every pregnancy, couldn't keep food down and perhaps as a result in her later years she ended up with bad teeth (even though she took really good care of them) osteoporosis and other health problems.
What a shame that women are doing this to themselves to keep up with celebs.

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ESCloud

This reminds me of my second year in high school. One teacher became pregnant and was very, very slim before hand. When she started getting the normal weight gain and baby belly, all the girls kept asking her if she was having twins or the boys would ask if she was eating too much. It got to the point where she would cry in class if someone brought it up, and even sometimes she would curse herself at her desk when she had to pull her chair out a little more every couple of weeks. She was very emotionally troubled.

After the baby, she dropped all the weight very fast and maintained her skinny frame. It seems none of them knew how large the belly is supposed to become, hence asking if she was having more than one. A year later, one of the gym teachers got pregnant and she didn't show until well into the third trimester. She stayed very thin the entire time and would do the same exercises as us faster than most of the sports teams would. She was back a few weeks after the baby and was exactly the same as before.

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Deirdre

Then there's the issue of the doctors trying to control every calorie you eat and pound you gain while you're pregnant. I know I was not alone in having a doctor who reprimanded me for gaining too much, not eating enough of this, eating too much of that. Just because I had a baby inside me didn't mean I needed to be treated like one myself.

I did gain a lot of weight while I was pregnant and have struggled with weight ever since (despite long-term exclusive breastfeeding), but I never once heard them say "it can be easy to gain too much weight while pregnant, and if you do, you may have to deal with this for years to come -- I can help you if you like." Instead, the implication was always that my weight gain was somehow endangering my baby, which I knew wasn't true, so I didn't take my doctor very seriously.

My mother and my mother-in-law were both unhealthily-skinny while pregnant (back in the 60s), mostly because they were afraid of their doctors.

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Too Late

>>When she started getting the normal weight gain and baby belly, all the girls kept asking her if she was having twins or the boys would ask if she was eating too much. It got to the point where she would cry in class if someone brought it up. . . A year later, one of the gym teachers got pregnant and she didn't show until well into the third trimester. She stayed very thin the entire time and would do the same exercises as us faster than most of the sports teams would.

This country is in big trouble . . .

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Rosemarie

Before you know it, we'll be back to encouraging pregnant women to smoke so that they won't gain so much. This is what my mother-in-law was advised to do in the 60s.

I was one of those lucky ones who gained very little and lost it within a month after the baby was born -- because I was breastfeeding. I had a 2-year-old and a toddler, and I weighed about 105 lbs. because I ran myself ragged. I also got every cold and illness my children got, except I got even sicker, because I was so thin. Yeah, being thin was great .. I could have used those 10 extra lbs.

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Israel

I must say, that I only see things like this in hollywood, not where "real" people live. lol.

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Never teh Bride

I can understand the compulsion, being pregnant myself. I could see the "need" to stay slim during pregnancy being especially prevalent among those who lost a lot of weight before becoming pregnant -- those people might not want to undo all the hard work they did. But the above commenters are right. Babies in utero will sap the nutrients from the mother, making it more likely that she will end up malnourished.

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Ashley

Models and women of Hollywood are malnourished anyway...

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Created / Updated: November 15, 2011

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