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