Public Education Pamphlets
The SOGC provides the following public education pamphlets designed for patients, clinics and health-care facilities. This material has been reviewed and endorsed by the SOGC’s subject matter experts.
Healthy Eating, Exercise and Weight Gain - Before and During Pregnancy
A balanced diet, regular exercise and healthy body weight promote good health, lower your risk of disease and have positive effects on your pregnancy.
How do I prepare for pregnancy?Women with healthy eating and exercise patterns before pregnancy enjoy reduced health risks for both themselves and their babies during pregnancy. By following a balanced diet and participating in regular exercise, you should work towards maintaining a Body Mass Index (BMI) below 30, and ideally between 20 and 25. Women who have BMIs over 30 when they conceive are at increased risk for complications during pregnancy. Eating a balanced diet before you become pregnant will help your body meet the nutritional needs of your developing baby when you become pregnant. Follow Canada’s Food Guide — this promotes eating a variety of healthy foods and has tips and advice for women at all stages of life. As well, scientific evidence shows that women who are physically fit before pregnancy have fewer aches and pains and feel they have more energy during their pregnancies. Aim for at least 30 minutes of moderate exercise (that makes you sweat), five days a week, to enjoy long-term good health. This will also prepare you for the physical challenges of pregnancy and labour, and help you maintain or achieve a healthy BMI for pregnancy.
What is BMI?Body Mass Index (BMI) is used to estimate a healthy weight range for a person over 18, based on his or her height. Keep in mind that this measurement does not take into account factors such as genetics and bone structure, which will also influence a person’s weight. If you have concerns about your weight, speak to your health-care professional. To calculate your BMI and to see ranges for your optimal BMI, visit the Health Canada resource and search for ‘BMI.’ Or, you can use this formula: BMI = weight(kg)/height(m)2 . Example: You are 160 cm tall and weigh 65 kg. BMI = 65 = 65 = 25.4 1.602 2.56
I’m already pregnant: is it too late?It’s never too late to start improving your diet, and many pregnant women can begin participating in light exercise. Speak with your health-care professional before making any changes to your routine.
How much weight should I gain during pregnancy?Weight gain during pregnancy supports the growth of your baby and the placenta, as well as changes in your body (such as an increased volume of blood and fluid, larger breast size, and some storage of fat). Evidence shows that women who gain the recommended amount of weight during pregnancy have fewer complications, such as caesarean section, gestational hypertension, and low or high birth weight. The following guidelines may be useful for you, but keep in mind that weight gain will be different for everybody. Speak with your health-care professional if you are concerned that you are gaining too much or too little weight. BMI before pregnancy Recommended weight gain Less than 18.5..................12.5 to 18 kg (28 to 40 lb) Between 18.5 and 24.9.......11.5 to 16 kg (25 to 35 lb) Between 25 and 29.9.............7 to 11.5 kg (15 to 25 lb) More than 30.......................At least 7 kg (15 lb) Twin pregnancies..............16 to 20.5 kg (35 to 45 lb)
Obesity in pregnancy: what are the risks?Having excess weight before pregnancy, particularly a BMI over 30, can increase your risk of serious health problems and is linked with many complications in pregnancy that affect both you and your baby. Risks for you
• Gestational diabetes
• Gestational hypertension
• Caesarean section (as well as increased risks for complications)
• Increased risk of excess blood loss
• Early labour and birth
• InfertilityRisks for your baby
• Baby growing too big (causing problems during birth for mother and baby)
• Difficulty monitoring fetal heart rate
• Needing to stay in hospital after birth
• Birth defects, including neural tube defects