wisdom and the first trimester nausea thing - diet rules relaxed?

[Anonymous]

Anonymous wrote:

Anonymous wrote:13:51, I just reread my question and I don't see where I'm "spazzing out." I asked a question of those who had experience with Wisdom about how understanding or not they were about the first trimester difficulties with a good diet. My diet is important to me, so yes, I do lament the fact that I can't eat the best way I want to eat. But specifically, I asked if the diet was a guideline or strict. So what, exactly is wrong with posting a question about it? Also, PP said "quit whining about being asked to put down the mcdonalds" and lectured about diet. Why unload that on me or give me the you are what you eat lecture as if I'm complaining about it? That criticism was misplaced, and I don't think I'm spazzing. But hey, whatever. It probably is getting spazzy to keep responding to nitpickers here, so carry on and I'll do the same.

Uh, you said you were a little bit afraid of an appointment and were considering lying to your care providers and wondering if you'd be kicked out for, basically, having first trimester nausea. Don't get me wrong, I think Wisdom brings some of the paranoia on themselves, but come on, do you really think that medical providers who work specifically with pregnant women would act that way? Can you imagine expecting that sort of treatment from any other medical provider???

Oy. I didn't say I was going to lie, I believe I said "I wouldn't want to have to lie." And I"m not fretting that I'll get kicked out for having nausea, that's ridiculous. Their website presents the diet as "eat this, do not eat that" not, here's some advice to take or leave. So yes, I've seen some of the reports of women being scolded for their diets, and it was something I was thinking about leading up to my first appointment because my diet does not look like their recommended diet, at all, right now, although it does generally. Anyway, I called and asked someone there and am very satisfied with the response I got. And no, PP, I do not believe that medical providers working with pregnant women *should* act that way, but that's not the same thing as knowing if they would act that way. Anyway, the first few responses and the answer from Wisdom is just fine for me. I think people are reacting more to all the other posts about wisdom and getting all defensive on their behalf when there wasn't even any criticism of it by me. Sorry if it's annoying that people ask questions on a board for questions.

[Anonymous]

Anonymous wrote:Those of you who are Wisdom patients, are you all average body types? I'd be afraid of being rejected although I am an extremely healthy eater. I'm a few pounds overweight and a year+ of fertility treatments (and ensuing no-high-impact restrictions) is the basic cause of that.

9:54 again: I'm 5-2 and weighed almost 140 when I got pregnant, so that's a BMI of 25.6, barely into "overweight" territory (BMI range of 25-29). I had just lost about 6 lbs when I got pregnant but I doubt those extra 6 lbs would've kept me out of the practice. They didn't ask for my weight before accepting me. I'm generally healthy and didn't think twice about my weight.

That said, obesity is one of the things listed in the screening form they sent me (along with things like anorexia, high blood pressure, epilepsy....) but I don't think having these means they won't take you. They request more details about your medical history and, according to what I was told, Whitney reviews that history and responds.

If people are interested maybe someone can start a spinoff thread to hear from people who WERE rejected by WISDOM and why. I've never spoken to anyone who was but there must be some out there.

[Anonymous]

The baby's nutritional needs in the first trimester are very minimal. The baby will also take what it needs first and then leave the rest for you. Eat whatever you can stomach in the first tri. The sight of any veggie literally made me run to the bathroom to throw up.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:13:51, I just reread my question and I don't see where I'm "spazzing out." I asked a question of those who had experience with Wisdom about how understanding or not they were about the first trimester difficulties with a good diet. My diet is important to me, so yes, I do lament the fact that I can't eat the best way I want to eat. But specifically, I asked if the diet was a guideline or strict. So what, exactly is wrong with posting a question about it? Also, PP said "quit whining about being asked to put down the mcdonalds" and lectured about diet. Why unload that on me or give me the you are what you eat lecture as if I'm complaining about it? That criticism was misplaced, and I don't think I'm spazzing. But hey, whatever. It probably is getting spazzy to keep responding to nitpickers here, so carry on and I'll do the same.

Uh, you said you were a little bit afraid of an appointment and were considering lying to your care providers and wondering if you'd be kicked out for, basically, having first trimester nausea. Don't get me wrong, I think Wisdom brings some of the paranoia on themselves, but come on, do you really think that medical providers who work specifically with pregnant women would act that way? Can you imagine expecting that sort of treatment from any other medical provider???

Oy. I didn't say I was going to lie, I believe I said "I wouldn't want to have to lie." And I"m not fretting that I'll get kicked out for having nausea, that's ridiculous. Their website presents the diet as "eat this, do not eat that" not, here's some advice to take or leave. So yes, I've seen some of the reports of women being scolded for their diets, and it was something I was thinking about leading up to my first appointment because my diet does not look like their recommended diet, at all, right now, although it does generally. Anyway, I called and asked someone there and am very satisfied with the response I got. And no, PP, I do not believe that medical providers working with pregnant women *should* act that way, but that's not the same thing as knowing if they would act that way. Anyway, the first few responses and the answer from Wisdom is just fine for me. I think people are reacting more to all the other posts about wisdom and getting all defensive on their behalf when there wasn't even any criticism of it by me. Sorry if it's annoying that people ask questions on a board for questions.

This is a total dead horse and I don't really care as much as my replying woul dindicate...but hon, re the bolded, I do feel the need to point out that you DID IN FACT say:

Will I get kicked out because I can't keep the "good" food down?

If that's not fretting it's a pretty fine line.

What's ironic is I think it's Wisdom's fault for creating this dynamic at all and I don't fault you or anyone else for it--as I said I went through the exact same uncertainty about how to take them. It was actually all the DCUM threads saying "nah they just say that, it's a guideline" that put me at ease enough to go with them anyway.

[Anonymous]

I delivered 18 month ago with them, so things may have changed, but I had awful nausea in the first tri, and Whitney told me to eat whatever I could, even if it was bad for me. I pretty much survived on saltines, lost 10 lbs, and then was okay starting in the middle of the 2nd tri. Good luck OP. Hope you feel better.

[Anonymous]

Boy, PP, you sure are drawing a fine line there and if you want to beat the dead horse, I'll give her a good kick too. Saying "Will I get kicked out because I can't keep the "good" food down" was pretty obvious shorthand, not really intended to be taken out of context of the larger post. I don't think I could have been any more clear that I was just looking for some guidance from current wisdom patients on how "strict" (for lack of better word, because I don't think it's fully apt) wisdom is about the diet, and voicing my concerns that due to nausea I haven't been able to stick to it. I'm not suggesting that I have been literally trying to force down the diet, puking it back up, and worried they'll boot me for the latter.

To be honest, the Wisdom webpage suggests that their diet will reduce nausea. That just made me a bit concerned, by the way it's written, that they expect even nauseated women to at least try to stick to it. Anyway, I got the feedback I needed, and I really don't think just asking a question is spazzing out.

Anyway, if we basically agree, I'm not sure why we're doing this back and forth? The poster who really aggravated me was the one who took the odd McDonalds shot. You (or someone?) seemed to think that was a general shot at Wisdom's critics but it seemed nasty and out of place. Then you jumped on board and agreed with her, which is what I had a problem with. Ay yi yi, I'm now past where I think it's reasonable to keep responding, but I hate to be misunderstood so here I am, 'splainin away.

[Anonymous]

I was never asked about the diet at Wisdom and honestly ate whatever I wanted to including a TON of simple carbs in the first trimester when anything else made me puke. Daily diet coke throughout most of the pregnancy. Lots of white food. Started out at 5'6" 130 and gained 28 pounds.

Had a lovely medication free easy VBAC with them (first was a c/s for twins at another practice).

[Anonymous]

You people are so ridiculous.

No midwifery practice would kick you out of their practice for eating saltines and cookies during your first trimester. These are medical people, and they make decisions for medical reasons. It's not a sorority for goodnessakes.

And if it were, and you had to consider lying to your caregiver about what you're eating and how you're feeling, why on earth would you want to continue to be a patient there?