RE: 1st Dr. Appt Today..Need your Thoughts???

[Guest guest]

Perhaps you want to find a an OB who is more familiar with the surgery. It

doesn't sound like this one is.

Lenore

1st Dr. Appt Today..Need your Thoughts???

Hi all,

I had my first appt this morning with my family doctor (who delivered

my 2 yr old). First of all, he wants me to see an OB (not him) to

deliver this baby at a hospital that houses a NICU becasue my

daughter was 15 weeks early. I'm okay with that, but it will be

another month before I can get in to see the ONLY ob in our town that

meets that requirement..(

Next he told me I absolutely could not lose any weight during this

pregnancy...Is that normal for prego post-ops? He said I shoul

dshoot for gaining 5-10lbs. His biggest concern was that I wasn't

getting enough calories and nutrition for the baby. He told me I

should eat at least 1800-2200 calories a day...IKES! I have NO idea

how to even come close to that without just stuffing myself with

junkfood. Anyone else told to consume such large amts? What did you

do?

He also put me on chewable prenatal vitamins and told me to take

liquid iron..OMG..I have no idea how bad that might be!!! I am

worried that it might be dangerous..anyone else take liquid

vitamins? Anyone take prenatals in the pill form??

Lastly, since I will be almost 3 months out before I can get in to an

OB, I am wondering if I should try to go to a nutritionist on my

own. Anyone here go to a nutritionist? Is it a must do? How did it

help you, etc??

Sorry this is soo long, but I am getting frustrated after two

different doctors and still not getting the info I feel I need. No

one seems to have a clue about RNY and what my body can and can not

do anymore. I am so looking to you gals for some information to get

me pointed in the right direction.

Thanks so much!!!

Marrika

mom to Jake (12), Chloe Beth (2) and Lil Bean (EDD 9-12-03)

LAP RNY 5-1-02

317/198/160(after the baby is born)

Children are a blessing, and a gift from the Lord. -Psalm 127:3

[Guest guest]

I think it is wise for you to be seen by a doc that delivers with a NICU

in-house. If I had been in your situation and delivered any of my children so

early I'm sure the knowledge that I was being seen by a doc with access to the

NICU would be calming.

Regarding weight gain and caloric intake. When I first got pregnant (I'm 25

weeks along now) I saw a nutritionist the week I found out about the pregnancy.

I was told to increase my current intake by 300 calories....which at that point

would have made my intake about 1100 calories a day. I was able to do that by

adding a few snacks throughout the day. Now I have no problem getting in 1800

because I actually feel hungry for the first time since surgery. It is almost

scary having hunger pangs again but I know that my slow gain is good for the

baby. I lost 11 in the first trimester (even after adding the extra 300

calories) and now I have gained all of that back. I figure by the time I

deliver I will have gained about 15-20 pounds. I definitely have a " hearty

appetite " although my friends would say that I still eat like a bird. I just

eat all day long. If nothing else my nutritionist gave me good ideas to

increase the caloric intake in a healthy manner. For example, I eat lots of

cheeses and nuts now. Carbs seem to go down easier for me than protein so I

tend to graze on crackers or something on a day when food isn't appealing.

I don't take liquid vitamins so I can't help you there, but I do take a prenatal

every night. I think if you are worried about the vitamins you might call your

surgeon and see what he/she suggests.

Regarding seeing a nutritionist ... I didn't get much info out of mine EXCEPT

she gave me a plan to add the extra calories in. I work well with plans or

goals ... so that helped. I don't know what others would advise. If your town

doesn't have people that know much about RNYs then I wouldn't bother. If

someone is familiar with the requirements of both situations then I'd see that

person.

Hope this helps.

1st Dr. Appt Today..Need your Thoughts???

I'm okay with that, but it will be

another month before I can get in to see the ONLY ob in our town that

meets that requirement..(

He told me I

should eat at least 1800-2200 calories a day...IKES! I have NO idea

how to even come close to that without just stuffing myself with

junkfood. Anyone else told to consume such large amts? What did you

do?

He also put me on chewable prenatal vitamins and told me to take

liquid iron..OMG..I have no idea how bad that might be!!! I am

worried that it might be dangerous..anyone else take liquid

vitamins? Anyone take prenatals in the pill form??

Anyone here go to a nutritionist? Is it a must do? How did it

help you, etc??

[Guest guest]

Marrika,

Don't worry about seeing an OB, just a precaution and a good one to take at

that. As far as losing weight, I just totally stressed about it and have lost

50 lbs so far w/ this pregnancy...I have tried not to lose, but honestly I'm

not sure if there is anything you can do about it..I've stopped stressing

over it..I was told I should be eating about 2500 calories a day..yeah

right!! It's impossible with us!!! I eat about 1000-1200 and baby is growing

just fine!! I take prenatals in pill form, don't have any trouble w/ them.

I also take Chromagen which is a liquid iron and do ok with that as well. I

do see a nutritionist..her goal at first was for me not to lose any

weight..well my wt loss has slowed down..she gave me all sorts of ideas for

high-calorie foods and that sort of thing..but my main goal is to not have

any ketones in my urine(I found out a few months ago that ketonic urine can

cause mental retardation in unborn babies)..so in order to do that, just make

sure you eat something every few hours and honestly, I'm hungry every few

hours, so it's not a problem for me!!! Sorry this is so long, just wanted to

address your questions..I totally understand your anxiety..

Jana

RNY 04/02/02

EDD 04/04/03 Isaiah Riley

Pre-op wt 258

Current wt 155