Pregorexia: Pregnant AND Skinny

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.
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.
ReplyJust looking for clarification: Are those the additional required calories per day? Per week?
ReplyPer 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.
ReplyConsidering 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.
Replyoh 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 :)
ReplyA 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.
ReplyDuring 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.
ReplyAttempting 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.
ReplySome 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.
ReplyTrying 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.
ReplyI 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
ReplyCongratulations! How's it going for you and dad so far?
ReplyGreat! 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.
ReplyCongratulations, 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.
ReplyYour 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.
ReplyI 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!
ReplyHopefully 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.
ReplyNot 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...
ReplyMore 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.
ReplySuperficial 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.
ReplyIs it any wonder some women develop eating disorders that even threaten the lives of their unborn children?
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.
ReplyI 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.
ReplyThis 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.
ReplyThen 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.
Reply>>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 . . .
ReplyBefore 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.
ReplyI must say, that I only see things like this in hollywood, not where "real" people live. lol.
ReplyI 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.
ReplyModels and women of Hollywood are malnourished anyway...
ReplyKidman, whose tall thin sister had 4 children also did not show much. Kidman is naturally thin and always has been. She has publicly stated her father encouraged family fitness and accompanied her and sister running and doing sit-ups daily since they were small children. The lady is over 5”11 and probably has the abdominal muscles of an Olympic athlete. The fact that she practiced yoga for years right up until the birth is not a symptom of anorexia, it is very healthy lifestyle and eases childbirth. As she did have natural childbirth and was home in 24 hours, it would seem that by eating well and being fit, this particular 41 year old woman had a very easy delivery.
Kidman’s lifelong physical conditioning is why her tummy bounced right back, not anorexia.
I understand that groups need to use any public figure they can to showcase their particular cause, but this is horribly unethical. Kidman is not anorexic and her child (born with a normal birth weight) is healthy and was born to an exceedingly healthy woman.
ReplyNowadays everyone feels the need to keep tabs on other women's weight gain during pregnancy. I gained about 20 lbs. with each of my 2 children and was one of those that did not look pregnant from the back. I was just trying to eat as healthy as possible so it all worked out. Yet, I had a store clerk comment on my size. When I was about 6 1/2 months along right before Christmas, she said "You're going to have a Christmas baby!" and I was like "Uh, no, I'm not due until the end of February". So perfect strangers are judging us on how big we get. Also, my in-laws also made a judgement. They said "You look good, just like a pregnant woman should", implying that my weight gain was "acceptable". So, yes, there is a lot of pressure to not get "too big" (whatever that means) during pregnancy.
ReplyI just have to point out the fact that you CAN lose weight during pregnancy and still be perfectly healthy....I'm pregnant and have done just that. Granted I was on the heavy side when I started and I'm just getting done with the 1st trimester (which means I really couldn't eat a whole lot with the whole being sick thing) but my baby so far is perfectly healthy so far and growing very well.
I also have a co-worker who has only put on 5 pounds (partially due to being very sick most of her pregnancy) and is due in a few weeks. Her baby is measuring great and our dr's haven't been worried at all.
It varies from woman to woman, and for me it's been hard becasue people have noticed I've lost weight, know I'm pregnant and I get scolded a lot....but my thought is the baby is taking what it needs and I got the fat reserves to keep me running when i can't keep the food down.
ReplyYou're 100% correct mindstream! I weighed 115 lbs on the day I gave birth before I gave birth. I was sick throughout the pregancy and could not hold food down. Had to feed myself with Boost drinks. My baby was very healthy though born at 37 weeks. I got extremmely skinny as my baby took the nutrients from me. I was probably 110lbs when I got pregnant. But my skinniness was not my choice and it would have bothered if people assumed it was due to selfish misplaced inappropriate vanity. Everyone's pregnancy and child delivery is different. Let's not be judgemental... The good news? I am one of those despicable women who had painless contractions... Never felt any pain...
ReplyWhoever wrote this article has no clue what they're talking about. Just because a woman is pregnant doesn't mean she's going to get huge and not lose the weight until several months after she's had the baby. I'm naturally thin, I didn't start showing with my son until I was 7 months pregnant and I lost all of my baby weight within a month of having him. My son weighed 8lbs and 9ozs. My doctor was thrilled because she said most women overeat and gain an obscene amount of weight using pregnancy as an excuse. None of the women in my family start showing until after the 6th month because we got lucky and have good genes. Yes, I am glad I don't get big while I'm pregnant because it's hard to move and you're miserable all the time once your belly starts getting big.
ReplyI am currently in my first pregnancy. I eat normally, except I think about what I put into my mouth more frequently. Is this Good for me and the baby? If it is not Good for me or the baby, then I choose it not. I still get the same amount of food, if not more, I don't watch my calories, I understand portion to content ratio I am not concerned with starving myself in the least.
Everybody tells me that I look thinner. I feel that my arm fat, waste, and thigh fat have significantly decreased, I feel more the shape of a woman, more matronly; in my thoughts, actions, words and physicality.
For my experience, I must say that this pregorexia could be a phenomenon natural and each mother differ's with choices and experiences in life, their own; and that is the truth as I know it. So why does society spend so much time dwelling in negativity about minor judgments of ego and appearance.
Pregnancy is an amazing and beautiful experience, why won't people/ experts/ Doctors just let a woman live, love, grow, and be happy during pregnancy?
ReplyA friend of mine isn't supposed to be due until the end of September. She is 5'7 and weighing 110 pounds. She was 100 pounds before pregnancy. She was too skinny to start with and has been told to stay home because they expect her to go early. She is so obsessed with the gym that she ignores the orders of her doctor and the requests of her husband. She prides herself on losing weight when you factor in the baby weight, blood volume, placenta etc. To me, that's a sickness. It's not healthy at all and it's completely selfish. I worry about this baby. I pray every night that her baby will be healthy.
ReplyI am a mother of 3 beautiful, healthy babies. When I was pregnant the first time I had anorexia before I was pregnant and it just turned into pregorexia. I was in the hospital on an IV and they were nearly force feeding me food. But after 20 weeks in the hospital while I was holding my new baby girl I knew things had to be different. Thank god my baby girl was born healty. I breastfed and that made my belly disapper but I forced myself to eat healthy foods and excercise minimally after we brought Selah home. I didn't get anorexic again but I was still about 5 or 10 pounds underweight, but wayyy less than used to be. I got pregnant with twins, boy/girl, the next time and I had a healthy pregnancy, I didn't eat ice cream or lickles or anything, I stuck to organic stuff. I became a vegitarian to help me still have that sense of control, just in a good way. My boy/girl twins were born 4 days overdue at 40 weeks. Mila and Milo were each 7 pounds + and I never lost the pregnancy weight, I turned it into muscle and lost the belly breastfeeding! Good luck to every mother to be and her baby!
ReplyI have to place partial blame on doctors for some women feeling bad about gaining weight. My doctor continually harp on my weight gain (I'm 8 months)insisting that I should only gain around 20 lbs. total (I'm 5'8", was 140 before am nearing 180 now). I'm an incredibly healthy eater and used to run 3 miles a day until I was about 5 months pregnant. Now I get about 45 mins moderate excercise most days. I keep insisting that I eat healthy and am active, keeping to around 1600-1700 calories a day. The doctors told me I must be lying and must be eating sweets, fried foods and fatty foods. My husband was appalled and vouched for me that I don't touch that stuff. My body just happens to want to gain the extra weight.
So, at my doctor's request I began a daily food diary, and found that to maintain the weight gain the doctor wants I have to consume only about 1200-1300 calories a day. I feel like its very unhealthy and that my baby is suffering from it. Plus, I have zero energy to stay active. I think I'm just going to tell my doctor she's crazy and eat what my body tells me to. Who cares if I gain 50 pounds? It can always be worked off later.
ReplyYou should look into getting another doc! :)
ReplyKyra, who is your doctor because telling you that your daily calorie intake should only be 1200-1300 when pregnant is the most ridiculous thing I have ever heard! My daily calorie intake (to maintain my weight) before I was pregnant was 1500 calories and I'm 5'0 and petite. And even then, I thought that was quite small. I've been advised to up my calorie intake to 1800 calories so I think you eating 1600-1700 calories is too little as well. As Katie said, I think you'd better find another doctor. Luckily for me, even though I'm gaining more weight than recommended, my doctor doesn't find it an issue at all as they say it could be other factors such as water retention, etc.
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