to think that the NICE guidelines on obesity and pregnancy are just yet another way of pissing off pregnant women?

[PerfectDromedary]

I'm 9 weeks today, and trying to enjoy a first, very much longed-for pregnancy. But as far as I can work out, NICE is out to get me - and the 40% of pregnant women who are overweight/obese when they conceive.

Am I being unreasonable to think that the medical profession has just put on their judgy pants about yet another aspect of women's behaviour while pregnant? It seems highly unlikely that going on a diet while pregnant is a good idea - plus, if I don't have something in my stomach at all times, I'm quite likely to throw up...

(NB I may also be a little bit hormonal. But seriously, ffs.)

sorry, posted the links wrong

www.kingshealthpartners.org/khp/2009/02/09/pregnancy-risks-for-obese-women/

and

mys.org/Page.aspx?pid=363

for some reason the links aren't posting....last try....

www.tommys.org/Page.aspx?pid=363

sorry

Sometimes weight retention can be due to food intolerences and finding those foods that cause you problems could be the answer.

FWIW, my DSis followed the what to expect when you are expecting eating guidelines (lots of brown cereals, no "empty" calories) while pregnant and lost weight during the first trimester and maintained a lower weight post pregnancy. It suggests you eat a lot but just of certain types of food.

NICE guidelines are what theya re: guidelines. You can choose to ignore them but most of us want / wanted info on best outcomes

It can't always be followed- I sat through a lecture years ago by the man who discovered the Folic Acid / spina bifida link and then couldn't take it dure to hyperemesis- but personally I wanted to where I can.

It's not just rpegnancy anyway, someone I know (a very little bit professionally) is on a NICE committee wrt to diagnostic procedures for ASD to tie up the enormous variability and lottery: and thank goodness for that!

The reason we need NICE is to protect Healthcare professionals from the sort of attitude coming from the OP when it's a message they don't want to hear. Evidence based population guidelines enable us to deliver the best advice available and not rely on anecdote as another poster suggested my comments about the risk to mothers and babies of maternal obesity

ultimately all grown ups have the choice whether to take health advice or not. However doesn't mean doctors and nurses shouldn't do their job properly by providing their patients with the best up to date evidence they can

btw OP I wish you a successful and healthy pregnancy

WRT to the nausea yes, it's common to feel sick if you have an empty stomach

The trick is to eat little and often, and starchy foods

So maybe a mini meal- a small helping of pasta, toast, sandwich- every 3 hours instead of the normal 3 big meals

acidic/ strong smelling foods can be a bad idea but also can very fatty ones- theyc an trigger nausea too. OTOH healthy ones such as melon, lettuce and wholemeal bread can work wonders

WRT to some advice, do your reading and work out what you want to do- peanuts is a case in point, some practitioneres say avoid, some research says (or rather did when I was pg 3 years ago) eating peanuts antenatally is helpful in the long term

But accept risks if you choose the path, and don't imagine anything is targetted at you