Sjogren's Mom

The Story Mother of Two Living with Sjogren's Syndrome

Weight Management

So I got my monthly call from BCBS's nurses to check in on my pregnancy.  Up until this point I've thought that they've been polite and helpful, so I haven't minded answering their questions or returning their calls.  Having worked in healthcare, I understand that this is a way to "manage" costs by helping members stay on top of their conditions.

Today's call was fairly painless - have I been hospitalized, did I pass my glucose screen, when was my last ultrasound, when was my last appointment, how does the heart look/sound, what was my latest BP and latest weight.  That's where the conversation changed.  When I told her my weight...which is up 3.5 lbs in the past 5 weeks and is noticeably lower than the same time last pregnancy...she recorded my answer...then asked me if my OB had talked with me about my weight gain.  Huh?  They didn't talk to me about my 60 lb weight gain the last time, why would they be concerned with me at 29 weeks and up 32 lbs?

I said no, and she pushed a bit saying that a normal range is 25-35 lbs.  Yup, I know that.  I told her that it wasn't concerning, and that I'm on track to put on less with this pregnancy than I did with the first...and I was able to get all that weight off, which was my OB's primary concern.  Didn't sound like she really liked that answer.  Too bad.  Not like I'm eating crap 24/7.  If anything, I'm eating smaller meals, just snacking a little more...on trail mix, bananas, and cheese.  Cheese has definitely been a clutch food for me this time around.  Think I'm craving the dairy and salt.

Either way, I was happy with my 32 lbs until today.  As long as the baby's healthy, I'm not concerned...and I don't have to worry about the gestational diabetes, so there really isn't a need to change my diet.  Just should probably get out and walk a bit more to ensure I don't gain too much...especially since the swelling at the end can add a chunk by itself.

She also asked if I was counting kicks.  Huh?  He moves non-stop as soon as I'm sitting.  She didn't like that response either.  Said I should feel 10 kicks within a 2 hour period.  I think he kicked 4-5 times while I was on my 5 minute call.  I don't think it's a concern...nor something I need to fret about...unless I haven't felt him move.