Eating for two is just a myth, Health Service advises mothers-to-be

By Jenny Hope

RATES of obesity among pregnant women are at an epidemic level, exacerbated by poor awareness of the dangers and myths such as “eating for two”, health experts say.

Almost one in six women are obese at the start of pregnancy, according to the National Institute for Health and Clinical Excellence (Nice), the British NHS watchdog for best practice, which is publishing guidance on weight management before, during and after pregnancy.

Mothers-to-be should be warned that ‘eating for two’ is a myth, according to draft Health Service guidelines.

They do not need to drink full-fat milk or change their diet at all for the first six months of the pregnancy.

Even in the last three months they need just 200 extra calories a day  –  the equivalent of a small sandwich.

New advice on weight management during pregnancy comes as the number of obese mothers is rising, with almost one in four women being obese and a further third overweight.

It says women should be advised that being fat puts their baby at risk, but not told to lose weight.

Instead they should be helped to shed excess pounds before getting pregnant and after they have given birth.

The guidance from the National Institute for Health and Clinical Excellence (NICE) is now out for consultation.

Professor Mike Kelly, Director of the Centre for Public Health Excellence at NICE, said: ‘Women are bombarded by often conflicting advice on what constitutes a healthy diet and how much physical activity they should do during pregnancy and after birth.

‘The aim of developing this new guidance is to provide health professionals with clear recommendations to help them support women prior to and during their pregnancy as well as after they have given birth.

‘Many overweight women have healthy babies, but the evidence suggests that there are more risks associated with pregnancies in women who have a BMI of over 30.’

He said the advice takes into account the demands of looking after a small baby and how tired mothers are. READ MORE

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