Short of breath
  Too tired
  The dwindles
  Weight loss
  Mom to be
  Very sociable
   Thanks To
 Mark W. Braun, MD

   Nutrition and Diagnosis-Related Care



Yes, it could be 'morning sickness', but more likely the vomiting is self-induced.
  • There is an uncommon situation known as hyperemesis gravidarum (HG). A debilitating and potentially life-threatening pregnancy disease, HG is marked by rapid weight loss, malnutrition, and dehydration due to unrelenting nausea and/or vomiting with potential adverse consequences for the fetus.
Mrs. Franklin admits she is inducing the vomiting and purging, but is now concerned for the health of her baby.

What is the expected weight gain during a 'singleton' pregnancy for someone of Mrs. Franklin's size?

  • For the duration of the pregnancy, 15-25 pounds
  • Over the last two trimesters she should gain about 2.6 lbs. every 4 weeks.

Mrs. Franklin claims that ever since high school she has been obsessed with her body image.

  • She describes her college sorority as a graduate school for anorectics. They all shared tips.

Let's start with nutrition and pregnancy.



1.33 lbs.
Breasts 0.55
Blood 1.71
Water 2.3
Fat 4.59
Subtotal 10.48
Fetus 7.5
Placenta 0.89
Amniotic Fluid 1.09
Subtotal 9.48
Total 19.96

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