Rapid Weight Gain in Early Pregnancy

QUESTION

Dear Midwife,
This is my 4th pregnancy and I know you start to "show" sooner the more pregnancies you have. But I look about 5 months pregnant and I have already gained 8 lbs??? Is that normal? 8lbs in 2 weeks, with my 3rd pregnancy I only gained 18 lbs total. I was never this big this early either.

I do work at a doctors office (not obgyn) but I had 2 blood tests, one at 13 dpo and my hcg level was 96, and one at 15 dpo and my hcg level was 296.

I just want to know if this is normal or is there something wrong, I don't have my first doctor appt. until I am 10 weeks, and that is 4 weeks away. Thank you so much!
Cynthia

ANSWER

I'm not sure why you would go to someone who won't see you until 10 weeks, but I guess that is your choice.

All I can say from what you report is that with increasing age and increasing numbers of prior pregnancies, your risk of twins goes up. If you get morning sickness worse than you did with your other pregnancies, I'd definitely request an ultrasound.

But 8 pounds in 2 weeks would not be normal even with twins. I'd get careful daily weights, and if this abnormal weight gain continues, you should be seen sooner in my opinion. Of course, I think you should be seen sooner anyway, but that's just me. Good luck!

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.