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Friday, 18/7/2025 | 11:01 GMT+7

Weight loss challenges after childbirth

Thi, 30, gained 25 kg during pregnancy and couldn't diet while breastfeeding. After weaning, she found herself struggling with obesity.

When her child turned two, Thi weighed 75 kg at a height of 1.55 m. Comprehensive tests, including an ultrasound and InBody assessment at Tam Anh General Hospital in Ho Chi Minh City, revealed that 44.7% of her body weight was fat, with a visceral fat area of 147.1 cm2 and a BMI of 31.2 kg/m2, classifying her as obese (class two). Doctors at the hospital's Weight Control and Obesity Treatment Center created a treatment plan involving medication, a balanced diet to maintain her health, and manageable exercises.

Thi began by adjusting her eating habits. She replaced high-fat foods with lean protein sources like fish, chicken breast, eggs, fruits, and vegetables. She also ate smaller, more frequent meals, gradually reducing her portions from her breastfeeding days. After three months, Thi lost 15 kg. Her waist, arms, legs, and thighs became slimmer, and her sleep quality improved. She continues the weight loss program, aiming to reach 50-55 kg.

Doctor Duy discusses a weight loss plan with Thi. Photo: Tam Anh General Hospital

Doctor Duy discusses a weight loss plan with Thi. Photo: Tam Anh General Hospital

Doctor Vo Tran Nguyen Duy from the Weight Control and Obesity Treatment Center at Tam Anh General Hospital explains that weight gain during pregnancy typically averages 12-15 kg, though some women may gain 30-40 kg depending on their individual factors. Hormonal changes during pregnancy affect metabolism, increasing appetite and encouraging higher food intake for fetal development. Postpartum weight loss can be difficult due to lingering hormonal effects. Even 6-12 months after childbirth, and after weaning their babies, many mothers still struggle to lose weight due to factors like lack of exercise, stress, sleep deprivation, and postpartum depression. Stress hormones can further promote weight gain and metabolic disorders.

Doctor Duy advises pregnant women to manage their weight gain, avoiding rapid increases during pregnancy to reduce risks related to cardiovascular health, metabolic syndrome, preeclampsia, and long-term obesity. He recommends light exercise and regular physical activity after childbirth to burn calories and aid in weight loss. Breastfeeding is also an effective way to burn calories. Additionally, adequate rest and stress management are crucial.

Duc Hanh

*The patient's name has been changed.

Readers can submit questions about endocrine diseases here for doctors to answer.
By VnExpress: https://vnexpress.net/kho-giam-can-sau-sinh-4915821.html
Tags: postpartum weight gain weight loss obesity Ho Chi Minh City

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