wisdom and the first trimester nausea thing - diet rules relaxed?
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Anonymous
| I have never been asked for a food diary. I went to the first appointment with a well-documented 2 day diary, and it was never even mentioned. |
Anonymous
I think I was the person who posted this--the turkey on white bread with a Coke--and yes, it was Whitney who said it. Her theory was that the bread had enough carbs to settle my stomach plus some bland protein that would keep it settled for a little while. Plus Coke syrup has always been used as an anti-nausea treatment; it's basically the same as Emetrol, which you can buy OTC at any pharmacy. And while it might not sound good to you, it may to someone else (and I ate turkey on toast a lot during my first trimester and drank a lot of Coke, too). Whitney did emphasize that I *would* follow their diet once I was feeling better (and I did, sort of), but they are not in the business of making pregnant women utterly miserable. They completely understand first-trimester and longer nausea and how difficult it can be sometimes to keep anything down. |
Anonymous
| My OB told me to eat whatever I could keep down... even if that was rocky road or chips 24/7. |
Anonymous
I basically followed the WISDOM diet before getting pregnant - have always avoided carbs, white stuff, processed foods, etc. - but I was in exactly the same place my first trimester. Nothing except bland, carby things appealed to me, so that's what I ate. (And fruit, at least I was eating fruit.) I'm 39 weeks this Thursday and in all my appointments no one has ever asked me about my diet. Maybe if my weight gain was out of the normal range or something they'd bring it up, but it hasn't been an issue. |
Anonymous
| 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. |
Anonymous
| Eating a high-protein, low-carb (or at least low sugar) diet will reduce your nausea. These are my fav snacks while pregnant: http://healthmeup.com/news-recipes/healthy-coconut-chocolate-balls-recipe/3942 |
Anonymous
Holy crap, the sight of those would have made me puke in my first trimester. It was carbs, cheese, ice cream, and fruit. I'm a huge chocoholic, and the mere thought of chocolate was horrifyingly gross. |
Anonymous
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People need to get over the Wisdom diet already. It's not like this elite club that people will kick you out of if you eat a cupcake. They want you to be healthy. If all you can stomach is Wonderbread fluffernutters, it's better than not eating anything at all.
By excellent health they mean they don't want to start out with having to worry about complications from things like hypertension, diabetes, etc. You can be overweight if you are also healthy. But they will probably tell you to watch it with the weight gain. Because they want you to stay healthy. I've had zero conversations about what I've been eating since I've been with the practice. I'm of average weight, average fitness level, etc. I'm mindful about what I eat generally because junkfood makes me feel like crap even when I'm not pregnant. And I'm even more prone now to the blood sugar swings associated with a high-crap diet. That said, I don't eat "perfectly" because pregnancy, even at 20 weeks, has completely altered what I want to eat and how I eat, and I still don't always relish the idea of a bowl full of broccoli. But I do try to eat it anyhow. Why? Look, if you're pregnant and you want good outcomes, a natural birth, a healthy baby, a springy vagina, etc, you are better off eating food that is nutrient-dense and anti-inflammatory. It's just that simple. Your body is already taxed, immunosupressed, etc. Taxing it more by making it process a bunch of crap, fight inflammation from shitty food is just going to cause you problems, vitamin deficiencies, gestational diabetes, etc. You are what you eat. Your baby is too. So stop whining that Whitney et al tells you to put down the McDonald's. /rant |
jindc
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I can't imagine worrying about this aspect of prenatal care (worrying what my doctor/provider might say about what I ate).
I'm overweight, gained too much during IVF after losing a lot (thanks, Weight Watchers!) and my doc today was like "well, that happens - we just have to watch and probably do an early GD scan....and you'll be able to work out again soon). What a relief to not be lectured, but instead spoken to like a patient who clearly knows right vs wrong (my issue isn't really food, I gain weight very quickly if I'm not working out a lot) If you can't keep anything down, and find that white toast or whatnot is all you can eat, why even worry about what they say? Calories are important, and this isn't the time to worry about good vs bad if you can't keep anything down. I dont have a taste for ANYTHING but have found a toasted bagel and some yogurt for lunch fills me up and is easy to digest. I also have protein smoothies most mornings before I feel gross. Maybe this is something to try? Put some fresh ginger in it? Hope you feel better soon! |
Anonymous
You know what? You need to just chill! This is OP here and what the heck is it about my question that sparked your absurd and misplaced jabs? I didn't criticize the wisdom diet nor did I complain about it, so how in the world do you justify your nasty comment about "whining" about being told to put down the McDonalds? Who said anything about McDonalds? I wouldn't eat that with your mouth. I'm a healthy person and a healthy eater and I said clearly that my prepregnancy diet looked a lot like the wisdom diet anyway, except I don't eat much meat. My question, which has been answered, was how much slack the midwives cut their new patients who are vomiting a lot, and having strong food aversions to the point that a healthy diet is a constant struggle. Man, not sure why I'd let your comment get under my skin but seriously, what is your deal? |
Anonymous
thans, JinDC. As you know from our other conversations, I was undecided about the Wisdom group in part because of this (not that I object to the diet itself, it just seemed bossy to me!) but I actually just talked to someone there about my concern over my diet and they were EXTREMELY kind about it and said if you're vomiting, you basically eat what you can keep down. They had some good suggestions for satisfying cravings for unhealthy foods as healthy as you can, which I'm already doing. (An unholy desire for a donut, for example, gets responded to with a whole wheat bagel with natural peanut butter and a little bit of honey, not a donut, for example). Anyway, I asked the question because I don't want to be stressed and feeling like I needed to justify doing what I can to just get through these few weeks of sickness. For whatever reason, and I know it's crazy, but ginger makes me feel sicker. I definitely do find that adding protein to carbs helps, but having trouble keeping those down. And bland food is actually not so good this time around. Strongly spiced stuff seems more appealing for whatever reason. I made myself homemade hummus this AM and ate that on some whole wheat bread, for breakfast (cannot tolerate anything sweet for breakfast) and managed to throw a few radishes into the mix. I was all about smoothies before the nausea set in but now I can't look at them. The other thing I'm finding is that what works one morning (husband brought me white crackers with slices of cheese before I got out of bed) but DH brought that to me this morning and just looking at it made me gag. I'm definitely sicker with this pregnancy than I was with my first, and it has hit me earlier, too. (Hopefully that means it will move out sooner!). Anyway, I'm doing my best, getting some veggies in, and generally not succumbing to SERIOUSLY unhealthy stuff, but I realize it's not ideal. I have no problem at all getting nutritional guidance, just wanted to make sure I wasn't going to feel like it was a rigid rule to follow. (I'm not so good with that). 
PS. So glad you were told you could work out again soon! That will feel like a fantastic milestone. |
Anonymous
NP, but I agree with the first quoted PP here. OP, you seem very nice, but I'd say it's a bit more important for you to relax than for PP. PP was not ranting at YOU but at the Wisdom-related freakouts that happen on DCUM every few weeks. People are so weird about Wisdom and it is just strange to see. Heck, I was too, it's understandable given the way people talk about them, but if you remember that it is just pregnant women freaking out talking about people who they think will be judging them, it makes sense, of course it's overwrought. If you read the threads you'll see plenty of testimonials from wisdom patients about how the diet is a GUIDELINE and not something they kick you out for "violating." I know because I both read and wrote some of them myself. Believe me, after you meet with them you will wonder what you were spazzing about. My BMI was ~28 pre-preg and they've never once mentioned my weight or weight gain. In five appts they've maybe once asked me what I ate the day before, when it was standard first trimester crap they nodded understandingly and said "try to eat vegetables when you can stomach them again, for the micronutrients." I did not feel smacked down by that. |
Anonymous
| 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. |
Anonymous
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??? |
Anonymous
Turkey-on-white PP here: The comment about McDonalds was uncalled for, but there HAVE been a lot of posts about the diet on here and people freaking out that they were going to be kicked out, or not accepted, if they ate a cookie once in a while. Maybe not recently, but several months ago there was about one per day. And for what it's worth, I also was never asked about my diet, the only time anyone ever said anything was around week 35 when my weight had a pretty big jumped and I told Nora it was because my mom visited and made chocolate chip cookies with my 3-year-old (she only just laughed), AND I gained almost 50lbs, just like with my first where I certainly didn't make nearly as much effort to eat well. |