ketosis during pregnancy?

[Guest guest]

Okay My docs were concerned with several things going on. I am 17-18

weeks along (I keep redoing the math and getting different dates each

time, I blame the pregnancy brain drift effect!) and have been on

bedrest since week 15 or so for bleeding. red blood at first but all

ultrasounds came back okay, some old blood off and on ever since. So

I am on bedrest at least til sep 13th when I see doc next, but in the

meantime I had a cough/cold, and root canal just last week so between

all the stress and toothache and illness I lost 14 lbs in 16 days or

so. Doc sent me to the dietician and we determined I am back in

ketosis something they don't want to see during pregnancy apparently.

They think I may have placenta previa, which could just fix itself in

time, but in the meantime they don't want me to lose anymore weight

and in fact want me to put back 10-13 lbs in the next 3 weeks. My

appetite has been almost zero so on a good day I was getting 500-700

calories no matter how hard I tried. now they have me trying harder

and the goal is 2100 calories (yeah right!) but I will definitely

try. the impression doc and dietician gave me is that in ketosis the

baby just cannot pull proteins from the stored fat being burned.

Obviously I am doing everything doc and dietician are telling me and I

have a consult called in for my surgical group to hear their take on

the ketosis factor, but I was wondering if anyone else had any

experience with this happening to them.

Emotionally this has been so difficult. it's bad enough to be unable

to exercise even gently, or just walk around the house much, but now

they are having me try to eat between meals, drink after meals when

full to make more room in my pouch to try and get enough calories esp.

proteins in. part of me is feeling like this will undo all my hard

work of the last 15 months and undo all my retraining to learn to eat

wisely after bypass. The baby is more important than my weight loss

efforts, there's no doubt of that. But I know I will have to work so

hard to relearn my habits and I have to live in this body long after

the baby is delivered. it is just hard to reconcile all this is my

head. my daily food plan even includes " 2 cookies " on the premise

that even bad calories are better than too few calories. I suppose

that's true because the last 2 months if I couldn't get my proteins

down I wouldn't allow myself any good carbs even, thinking I'd try a

little later for more cheese or meat or whatever, so obviously my own

food plan was NOT working out. I'll still grab fruit over cookies

anyday, and my idea of a cookie is graham cracker or melba toast, but

this is just so against everythign we have taught ourselves to try and

succeed after WLS.

anyway I welcome any insights. It's been pretty tough on bedrest. the

brain never shuts off and the stress just keeps climbing.

thanks folks.

Colleen

open RNY 5-9-03

361/219/160

EDD 1-23-05