Articles on human pregnancy

Tips for a Safe Pregnancy and Post Pregnancy Care

Dr. Sonica Chugh, Gynecologist/Obstetrician
Carrying your baby in your womb is the most beautiful experience and a precious period that a mother can enjoy in her life time. Concern for your baby’s health, well being and one’s own health is key to have a safe and healthy pregnancy.Diet during Pregnancy:Good nutrition during pregnancy ensures your baby gets the right start. Small, frequent and healthy meals containing folate, iron, calcium, zinc and omega-3 fatty acid should be taken. Plenty of water in between the meals is good for you and your baby. You don’t need to eat for two, rather your calorie intake during first six months should be more or less the same (pre pregnancy state), while increase in only 200 calorie/day during the last three months is recommended.Working women can take nuts and fruit salads as mid meal snacks and homemade lunch instead of going out to the mall or restaurant for lunch. Road travel of any kind is safe, provided, you are careful of bumpy roads and unruly traffic. You have to be more careful if there is associated high blood pressure, diabetes or history of previous premature delivery.Exercise, Meditation and Yoga:Pregnancy is not a time to start a rigorous regime or to gain or lose weight. A normal walk of 20-30 minutes without getting exhausted will help. Deep breathing exercises in fresh air are recommended. Yoga should also be a part of your life as it relaxes and calms you and your baby throughout the pregnancy. This also relieves tension and also builds up stamina by increasing circulation which enhances immunity and health. Light kegels exercises (Pelvic floor exercises) prepare you for easy child birth and labour management. Post Pregnancy Care: First 40 days are meant for you to recuperate, gain strength and bond with your baby. Resting and eating well is important during this time. Although rest may not be easy for you and with the newborn baby as you have to feed every two hours and change diapers frequently. Your mum, mum-in-law or trained maids can be of help during this period.Breastfeed exclusively for six months. You need to have a good diet during pregnancy (calories intake would increase to 330 calories/day). Therefore immediate and fast weight reduction should not be targeted. Eating healthy food will only reduce weight sensibly.Opt for moderate intensity physical activity, walk for 25-30 minutes, do abs exercise, pelvic floor exercise and stretching without resuming high impact activity post delivery. If your delivery has been uncomplicated it will help your body regain its normal strength. Gentle body massage will also help you and your baby. Do not resume your normal working routine or a heavy gym schedule immediately after delivery.

3 Simple Ways to to Avoid Unwanted Pregnancy

Dr. Himani Gupta, Gynecologist/Obstetrician
1. Use protection - Prevention is always better than cureIndian social scenario is changing - Pre- marital, extramarital and living in relationships are on a riseAt times these relationships are casual and will lead to unwanted pregnancyAt the end of it, it is the female's body which will bear the brunt of physical discomfort of abortionThere are many myths in people's minds regarding use of regular contraceptive methods like oral contraceptive pills, condoms or Copper - TWhether a couple is married or unmarried when these regular contraceptive methods are used, unwanted pregnancy can be avoidedA consultation with the Gynaecologist for check up and to understand their correct use is a must and will allay your anxieties and concernsA word of caution here about Emergency Contraceptive Pill It is clear that these pills are for emergency situationsCouples in steady relationship should adopt regular contraceptive methodThese emergency pills have very high content of hormonesUsing them can make your next menses irregular, delayed and heavyThey should be taken ONLY on advice of a Gynaecologist2. Be alert - For early diagnosis of unwanted pregnancyAs soon as you have missed your periods, check yourself for pregnancyEasiest method is to do a urine pregnancy test done at home in a kit easily available at ChemistThe instructions to do the tests are also clearly written on packet Advanced tests for diagnosis of pregnancy can be done on your Gynaecologist 's advice like a test in blood known as Serum Beta HCG and sonography3. Timely treatment - See a Gynaecologist at earliestWhen we talk about unwanted pregnancy, it is clear that couple wants terminationGovernment of India has made guidelines to offer safe abortion to all who seek it, regardless of marital statusThere are two ways of undergoing abortion:A. Surgical D&C - This is traditional way and will require a day's time hospitalization.- If done in Govt approved MTP (Medical Termination of Pregnancy) center, it is safe B. Abortion by pills- If clinical situation is of early pregnancy and within the limit set by Govt of India, oral abortion pills  can be taken on advice of a Gynaecologist- There are no risks of anesthesia and surgical instrumentation in this method and no hospitalization is required

Vegetarian Pregnancy Diet

Ms. Swati Kapoor, Dietitian/Nutritionist
What’s that on the telly? It’s an angel sent from GodGrowing in my belly…!!Like a sweet pea in a pod(Malissa  Hatcher)Even though everyone will advise you to eat for two, the average woman does not need any extra calories during the first six months of pregnancy. Your body actually becomes more efficient at extracting the required energy and nutrients from your diet when you're expecting a baby. Even in the last few months, you only need about 200 extra calories per day.Many vegetarian pregnant women worry about the effect their diet may have on their developing baby during pregnancy. However, with careful meal planning, there may be no need for concern."Vegetarian pregnancy diet can provide the mother and baby with all the proper nutrients they need," says Rachele Dependahl, RD, a dietitian at Cedars-Sinai Medical Group in Beverly Hills, Calif.These nine months may be the most challenging months of your life. With your body undergoing a number of changes, you need to be extra careful about yourself as well as your surroundings. And watching your vegetarian pregnancy diet should be on top of your top list.The Pros of  Vegetarian Pregnancy Diet -There are many positive aspects to maintaining a vegetarian diet during pregnancy. For instance, vegetarian sources of protein are easier on the kidneys. And being a vegetarian can help keep tooth decay — a common problem during pregnancy — at bay. In addition, vegetarian eating, in general, lowers the risk of the following conditions:- Obesity- Hypertension- Constipation- Heart disease- Type 2 diabetes- Cancer- GallstonesAnother plus to being a vegetarian, says Martha K. Grodrian, RD, a nutrition therapist at Good Samaritan Hospital in Dayton, Ohio, is that "most vegetarian women eat fewer junk foods and a more nutritious diet."The Cons Vegetarian Pregnancy Diet -A vegetarian diet during pregnancy can be a healthy option, though it requires a little more effort."It may take more work and effective meal planning to follow a vegetarian diet that is healthy during pregnancy," says Grodrian. In general, the more foods a vegetarian omits from the diet, the more difficult it is to meet nutrient needs." However, dietary supplements may be able to fill the void.A lacto-ovo vegetarian (one who also eats dairy and eggs) can get all the nutrients she needs for a healthy pregnancy through diet and a multivitamin/mineral supplements. A vegan, on the other hand, who avoids all animal products, will need to take supplements of vitamin B12 and iron and might want to take calcium, zinc, and vitamin D, too.Vegetarian Pregnancy Diet - Nutritional GuidelinesNutritional guidelines for pregnant vegetarians are the same as for non-vegetarian women who are expecting. "All pregnant women need additional iron, calcium, folate, essential fatty acids such as DHA (which can be obtained in a vegetarian form), zinc, protein, and 200 to 300 calories more than pre-pregnancy," says Grodrian.Specifically, vegetarian pregnancy diet should include  the following:- Six to eleven  servings per day of bread, cereal, rice, and pasta (choosing whole grain when possible)- Four to five servings per day of vegetables. Four or more servings of fruits- Eight servings of milk and milk alternatives (one cup of cooked kidney beans as a milk alternative, for instance).- Three to four servings of beans and bean alternatives.- Two servings of omega-3 fats for DHA (found in flax-seed oil, walnuts, tofu, and omega-3 fortified eggs, among other places).- Fats, sweets, and junk food should be eaten sparinglyPregnant women should be careful to avoid the following foods:- Unpasteurized soft cheeses (such as brie, Camembert, and feta) and unpasteurized milk, because they carry the risk of listeriosis (a food-borne illness caused by bacteria).- Raw vegetable sprouts and fresh unpasteurized fruit and vegetable juices, which can contain bacteria like E. coli and salmonella.

Pregnancy Diet

Ms. Swati Kapoor, Dietitian/Nutritionist
Pregnancy is the most beautiful phase in a woman's life. It brings both emotional and physiological changes as well as it also poses extra demands on the body. In this phase the body needs extra nutrition for the developing fetus, for pregnant woman herself and also the lactation period to follow. Pregnancy Diet must be full of nutrition and healthy also.Importance of Nutrition in The Diet in PregnancyThese nutritional demands have to be met for a healthy child and mother because as the week progresses the organs and other system of the fetus start developing in mother’s womb and thus the energy used to create these systems (which actually comes from the energy and nutrients in the mother's circulation, and around the lining of the womb) also starts to increase. The table below highlights the nutrients, its importance and food sources which should be included in a women's pregnancy diet -NUTRIENTSIMPORTANCEFOOD SOURCES Protein cell growth and blood productionlean meat, fish, poultry, egg whites, beans, tofuCarbohydrates daily energy productionbreads, cereals, rice, fruits, vegetablesCalcium strong bones and teeth, muscle contraction, nerve function milk, cheese, yogurt, spinachIronred blood cell production (to prevent anemia)All green leafy vegetables e.g. spinach, methi and whole-grain cerealsVitamin A healthy skin, good eyesight, growing bonescarrots, dark leafy greens, sweet potatoesVitamin C healthy gums, teeth, and bones; assistance with iron absorption citrus fruit, broccoli, tomatoes, amla, guavasVitamin B6 red blood cell formation; effective use of protein, fat, and carbohydratespork, ham, whole-grain cereals, bananasVitamin B12 formation of red blood cells, maintaining nervous system healthmeat, fish, poultry, milk(Note: vegetarians who don't eat dairy products need supplemental B12)Vitamin D healthy bones and teeth; aids absorption of calcium fortified milk, dairy products, cereals, and breadsFolic acid blood and protein production, effective enzyme function green leafy vegetables, dark yellow fruits and vegetables, beans, peas, nutsFatbody energy stores meat, whole-milk dairy products, nuts, peanut butter, margarine, vegetable oils(Note: limit fat intake to 30% or less of your total daily calorie intakeRecommended Nutrients in The Diet in PregnancyNutrientRecommendation (Extra = Above RDA)EnergyIncrease by 300 kcal (840 kJ) per day. Certain guidelines according to trimester.1st trimester (1 to 12 weeks) - 10 kcals/day 2nd trimester (13 to 27 weeks) - 90 kcals/day 3rd trimester (27 to 40 weeks) - 200 kcals /day.ProteinsExtra 15 gms per dayThiaminIncrease in line with energy; increase by 0.1 mg per dayRiboflavinNeeded for tissue growth; extra 0.3 mg per dayNiacinRegular supplementation/diet of substance. No increase required.FolateMaintain plasma levels; extra 100 µg per dayVitamin CReplenish drained maternal stores; extra 120 mg per dayVitamin DReplenish plasma levels of vitamin 10 µg per day.CalciumNeeds no increaseIronExtra 3 mg per day neededMagnesium, zinc, and copperNormal supplementation or consumption.IodineExtra 100 µg per day.Foods To Avoid During Pregnancy- Skip aerated or caffeine based beverages like coffee, tea and colas. Too much caffeine may affect the growth of baby. A recent study said that pregnant women who consume even about a cup of coffee everyday are at a higher risk of giving birth to an underweight baby.- Avoid eating foods that have been prepared with maida.- Try and cut down on eating foods that are high in sugar content.- Sea-food that is high in mercury should be strictly avoided. Swordfish, shark and king mackerel are among these. Raw fish may contain listeria, a bacteria that can cause food poisoning. While canned seafood is considered safe, skip smoked or frozen seafood like oysters, sushi, sashimi, and smoked salmon.- Unpasteurized milk may contain listeria, which can cross the placenta and lead to infection or blood poisoning in the baby. Ensure that the milk you drink is pasteurized.- Stay away from mould-ripened cheese (cheese that has a blue vein in it) like brie or camembert. Make sure you cook raw eggs. When the eggs are cooked, see that the yolk and white are firm.- Avoid the consumption of smoking and drinking in day to day routine.Healthy Pregnancy Diet Tips:-- Have a piece of fresh fruit for a mid-morning or afternoon snack, instead of reaching for chocolates or biscuits.- By carrying a small bottle of water when you are out ensures you are well hydrated, and not tempted by sugary soft drinks.- Each week, prepare a couple of meals using beans, lentils and pulses.- Add in your diet different healthy grains, such as barley, couscous or brown rice, in order to give variety to your favorite recipes.- Choose low-fat dairy productsIt is important to note that being pregnant doesn't indicate that the mother to be has to consume food for two individuals, as she is supporting a life within her. The key to a healthy pregnancy is to consume a balanced diet with light and frequent meals throughout, and to regularly take the supplements or medicines prescribed by the doctor. One should also try, and be active, for e.g., go for walks or light swimming or do pregnancy specific yoga [under supervision].

Effects of Smoking in Pregnancy: A Serious Threat

Dr. Sujoy Dasgupta, Gynecologist/Obstetrician
You all know that tobacco causes cancer - cancers in almost all the organs of our body.But what else? can it affect your sexual and reproductive life?In females - it causes problems in menstruation, irregular periods and abnormal amount of bleeding. In addition, it causes difficulty in having baby - by interfering with normal hormone release. Even if pregnancy occurs, the ending may not be a happy one. It is responsible for repeated pregnancy loss (repeated miscarriages), ectopic pregnancy (pregnancy outside the uterus - that cannot survive, on the other hand it can endanger the mother's life). It also causes abnormal bleeding in pregnancy by early separation of placenta (the flower) and thus endangering life of both mother and baby. It is also responsible for inadequate growth of baby inside the uterus. This can result in early delivery (premature baby), low birth weight, permanent damage to baby's brain (mental retardation) and other organs, even death of the baby before or soon after birth. Tobacco also causes early rupture of membranes during pregnancy ("breaking of water") causing preterm delivery and infection. As a result of hormonal deficiency caused by tobacco, there may be infertility and other hormonal problems like sexual dysfunction (dryness especially), discomfort in passing urine and bone pain (all due to hormone deficiency). In older women it can cause prolapse (coming down of uterus outside).In males- tobacco is responsible for low sperm count, low motility and abnormalities in sperms. The result is male infertility.It can also cause hormonal problems in males leading to sexual dysfunction and bone loss.It is responsible for erectile dysfunction and also premature ejaculation. So, the decision is yours whether to choose tobacco or to choose life.

Post Pregnancy Weight Loss Plan

Ms. Swati Kapoor, Dietitian/Nutritionist
Weight Gain during pregnancy is absolutely normal . On an average a woman gains 10–12 kg during the entire span of pregnancy. Although the weight gain varies from woman-to-woman depending upon body type, eating pattern and severity of nausea and vomiting. A slow and steady rate of weight gain is considered ideal.While its natural to put on weight during pregnancy it becomes really difficult for most to lose weight after it. Post pregnancy weight gain is a cause of concern and depression among many women but according to experts a woman should concentrate on eating healthy food for the first three months instead of weight loss. This is to ensure that new born gets complete nutrition and also to avoid nutrient depletion from the mother’s body which might lead to other complications later like osteoporosis, caused by deficiencies.Here are some tips to get post pregnancy weight loss in a gradual but healthy way after you & your body are ready to get started:Breast Feeding: Breast feeding is great not just to provide nutrition to your baby, but also for you to lose weight. Breast feeding is the reason why fat is accumulated in the mammary glads. As the mother uses stored nutrition from her body in the form of milk to feed the child not only does it is very extremely healthy for the baby but she also uses up the fat cells during this process burning calories & working towards getting back to the pre-pregnancy weight. So remember the more you prolong your baby's dependency on the formula the better it will be for both you & your child.Post Pregnancy Diet Plan: The body needs time to recover from the stresses of labor, delivery and the hormonal changes in the body. Dieting soon after giving birth can delay the recovery and make one feel more tired, low in energy and some cases also lead to deficiencies in the body. It can also have adverse effect on milk production thus affecting the baby’s health. During breast feeding the mother’s nutritional demands are higher not only in terms of calories but also minerals like calcium, so diet except for that prescribed by the doctor is not at all recommended.Post 8-12 months of pregnancy you can look at losing the extra weight you might have gained. Losing weight post pregnancy does not mean restricting your calories. It means ensuring that you are getting your adequate supply of nutrition based on daily dietary requirement and avoiding extra rich food that might have been prescribed to you during breastfeeding.Post Pregnancy Exercise Plan: It is advisable to start with the exercise routine only after 6 months of delivery. You need to consult your doctor before you get on any routine. Apart from helping to accelerate weight reduction, exercises can help tackle post-partum depression, improve the mood, reduce stress and boost the confidence. Finding time to exercise is one of the biggest issues women face when losing weight after childbirth. The one and only solution to this problem is finding a perfect workout plan that suits your schedule and personality. For a post pregnancy weight loss plan a few recommended post natal workouts include:• Yoga and Pilates.• Swimming and Aqua aerobics.• Cycling.• Strength training – under the guidance of qualified health professional is recommended.• Low impact aerobic workouts.Having a baby not only changes your life but also bring about many changes in your body including the weight gain. First of all, the woman should have realistic goal about how long it takes to lose weight. From the moment you give birth, your body starts working to shrink your belly back to its pre-pregnancy state, but it's a slow process. So be patient and consult experts to get a customized diet and exercise plan. 

Common Problems in Pregnancy and How to Tackle Them

Ms. Raminder Kaur Deshmukh, Dietitian/Nutritionist
Pregnancy doesn't treat everyone equally while some women might face severe pregnancy symptoms like nausea, backache, and constipation, others may be lucky and have a cake walk like pregnancy.Some of the common problems are:1. MORNING SICKNESSThere is no denying that nausea or morning sickness can haunt you throughout the day, so be prepared to visit restroom during the 1st trimester. It is your hormones that are creating havoc. Also, pregnancy increases sensitivity in the area of the brain which triggers nausea.HOW TO TACKLE IT:Stay in bed for few minutes after you wake up.Do not have fluids like fruit juices first thing in the morning. Start your day with biscuit or toast instead.Keep yourself hydrated throughout the day.Avoid overeating and have six small meals throughout the day.Avoid your triggers. Every pregnant woman suffering from morning sickness becomes arise to certain odors like that of onion, garlic or other fragrances. If you know to stay away from them.Ask for modification from your doctor if it becomes difficult to ignore.One can have ginger flavored candyInhale fresh air Remember not to stop eating as it will worsen the sickness.2. CONSTIPATIONBowel movement slows down during pregnancy. this happens due to increased level of progesterone in the body. Also, iron supplements taken during pregnancy can lead to constipation with fatigue, nausea, backaches,constipation would be the last thing yo want to deal with.HOW TO TACKLE IT:Increase fiber intake. ask your doctor for modification and don't reach out of laxatives on your own.Don't miss your 8 glasses of water and keep sipping other fluids also.Pick your plate with fruits and vegetables.Walk, light exercise can help to aid digestion and relieve constipation symptom.Avoid refined flour and it's products.3. HEARTBURN AND INDIGESTIONDuring pregnancy as your belly bulges out your stomach is pushed upward and this aggravates heartburn. Also going empty stomach for too long can increase acid levels and cause heartburn, indigestion and slows down your bowel movements too.HOW TO TACKLE IT:Eat small and frequent meals.Avoid spicy or fried food as that can aggravate acidity.Do not lie down for at least half an hour after your meal.Avoid tea/coffee/aerated drinks and too much of fruit juices.An occasional ice cream or cold milk can work as an antacid.

Oral Health Complications During Pregnancy

Dr. B.N. Prasad, Dentist
Recent findings have reported that oral bacteria and their by-products can possibly pass the placental barrier keeping oral health at prime importance during pregnancy. An awareness related to oral health during pregnancy cannot be neglected or avoided in order to minimize the complications.This article focuses on few points related to the necessity of oral health during pregnancy. Pregnancy comes with many responsibilities making expecting mothers more concerned about their health. However, many pregnant women may not be aware of oral health and its effect on the developing child.  Negligence of oral health is quite common during pregnancy due to lack of alertness of oral hygiene and its effect on systemic health.Moreover, pregnancy discomforts like frequent bouts of nausea, increased physical demands, weight gain or certain dental problems like pregnancy gingivitis or inflammation of gums may be dangerous to developing fetus.  Risk of oral problems during pregnancy:-Few common oral problems associated with pregnancy are as follows. Pregnancy Gingivitis: Hormonal changes during pregnancy leads to pregnancy gingivitis. It is a condition of bleeding gums, redness. Moreover inflammation, swelling and tenderness are also observed. Ignorance of such problems may lead to serious gum disease.  Frequent cleaning can avoid such dental issues. Progesterone levels are elevated during pregnancy which stimulates the production of prostaglandins and leads to inflammation of blood vessels in gums.Tooth Decay:Diet during pregnancy is of high importance. It is designed to nourish both mother and unborn baby. Diet rich in carbohydrates actually increases the risk of tooth decay. The morning sickness increases acid secretion in the mouth which is harmful to enamel. Pregnancy tumors: Overgrowth of tissue on gums in pregnant women are called as pregnancy tumors. They are noncancerous and generally observed in the second trimester of the gestation period. It is nothing but swollen gums between teeth. The bleeding and reddening of gums observed in such conditions.  Periodontal disease and preterm birth:untreated gum disease or periodontal problems can development periodontitis characterized by inflammation and infection of the gums and supporting structures of the teeth. This ultimately leads to loss of supporting material and finally the teeth themselves. A study result has revealed that there is a relation between preterm birth and presence of gum diseases in the pregnant women. The reason is not yet known. However, research study findings have evidence that oral bacteria or their byproducts can pass placental barrier. This initiate inflammatory response leading to preterm birth. Another correlation exists between the gum disease and the increased rate of pre-eclampsia, a condition of high blood pressure during pregnancy. The positive correlation suggests that gum disease may cause stress to the blood vessels of the mother, placenta and the fetus.The basic periodontal therapies like oral hygiene instructions, scaling, root planing and prophylaxis can substantially decrease the level of prostaglandin responsible for inflammatory response. The regular treatment and follow-up in pregnant women can maintain good oral health and minimize the risk of preterm birth. Dental treatment during pregnancy: The dental procedures mostly include the use of X-rays and use of anesthesia. In the case of pregnancy, these procedures can be used with precaution. Therefore, before sitting on dental chair patient should declare her pregnancy to the physician. Untreated dental infections can harm fetus as well as the mother. The emergency situations request use of dental radiographs which can’t wait. The radiation of dental x-ray is generally very low and precaution is always taken for lowest radiation exposure. A leaded apron including collar, shields can be used to prevent abdominal exposure to the x-ray radiation. Use of dental X-ray is not at all contraindicated in pregnancy when used with precaution. The use of local anesthesia is also not contraindicated in the pregnancy. A clinical trial result showed that there is no harm in the use of local anesthetics during pregnancy. It is not linked with increased risk for major medical problems like cerebral palsy, cleft lip and heart defect in newborns. The medication prescribed during dental treatment mainly includes local anesthetics, analgesics, and antibiotics. Most of them can be used with safety precautions. Each drug has its own pregnancy category which should be considered during its use. The antibiotic like tetracycline can permanently cause discoloration of developing teeth.  Prevention: Dentists can educate patients with following points to avoid problems associated with oral hygiene. The patient should declare the pregnancy to  the Dentist Follow routine oral checkup. Undergo all elective and emergency procedures. Follow good oral hygiene practice ask for a better toothpaste.In the case of morning sickness avoid sweets and snacks which increase the risk of tooth decay. Have healthy and balanced diet. Awareness of oral health during pregnancy is a must to avoid complications.

How Can I Lose Post Pregnancy Weight?

Ms. Farzana Chauhan, Dietitian/Nutritionist
Have you gained tons of weight post pregnancy?Does it seems, you can never become stunning like you were in your wedding pics?Relax there is a definite way out for you weight gain issues!I know you got lot of pampering post pregnancy by your mother, in laws and by your other half. Believe me! They did right, as they were concerned about you and your little one’s health.It’s true that the nutritional demand increases post pregnancy as you feed your baby and also there are blood losses. A lactating mother require 350-550 extra calories and 20-25g of additional protein per day to ensure proper nourishment of new born and heavy nutrient demands of mother.But normally we eat way lot more than what is advisable, and on top of that inactivity cause a lot of weight gain!What’s the right thing to do?Remember it took you 9 months to get there so the weight loss is going to be a gradual process. If you lose weight too soon after childbirth you are going to take time to recover and end up feeling tired. And yes, you need a lot more energy so that you can muster to the life of your newborn. If you are breast feeding wait until your baby is 4 months old. An important post natal concern is increased hair fall which happens as hormones balance out after delivery. Eating foods high in protein, iron, zinc, flavonoids are beneficial nutrients for healthy scalp and hair. As a result to maintain optimal health aim to loose between 0.5kg and1kg (1lb to 2lb) a week which will not affect the quality or supply of your milk, or your baby's growth. Losing weight gradually will also make it more likely to stay off in the long run.Breastfeeding and weight loss are closely related. It meets the caloric requirement of the infant. As well lactation is often suggested by researchers as an efficient means of postpartum weight loss due to its high energy cost. But its important to shed those kilos which is safe for you and your baby. You’ll need around an extra 330 calories a day to have the energy to produce milk. However, some of these additional energy needs will be met from your body’s existing fat stores. Exclusive breastfeeding promotes greater weight loss than mixed feeding among mothers even in the early postpartum period. This suggests that there is the need to encourage mothers to exclusively breastfeed as a means of overweight and obesity prevention.But yes don't going for extravagant fat laden products as lactation may not facilitate weight loss, especially if the patient consumes a high-calorie diet and does not routinely exercise for an adequate amount of time can help with your post pregnancy weight loss.Chances are that physical changes you notice after pregnancy may become so dramatic that many people refer this as fourth trimesterYou desperately want to look like your old self again. However there is no magical way to take off baby weight gain. Here is as an simple and easy way to trim down all while taking care of your bundle of joy• Eating for two during pregnancy - Cause of obesity in some women• Follow a balanced diet. It’s always recommended to consult a dietician to provide you with an individualized diet.• Post pregnancy cravings continue - Opt for right choices.Perform some kind of physical activity regularly such as walking briskly atleast 3 times per weekPost natal weight loss can be your short term goal. But Choosing wisely can go long way in cultivating  healthy eating habits for your entire life• Ditch all the junk food from your kitchen • Make time for breakfast - eating breakfast can help keep you from feeling famished and tired later in the morning, and it can give you the energy to be more active• Trim the extra fat - Fat has twice as many calories as carbohydrates or proteins, so trimming the extra fat from your diet is probably the easiest way to cut calories • Complex carbs like whole grains, cereals will keep you full for longer • Get adequate sleep - One study found that mums who slept five or less hours per night were more likely to hold onto their extra baby weight. This is because when you're sleep deprived, your body releases the stress hormone - cortisol, which can promote weight gain around your belly