Weight Gain During Pregnancy

Weight and fundal (abdominal) measurements are usually recorded at prenatal appointments. However avoiding weight gain is a concern for many women, even during pregnancy. If the number on the scale is an issue or trigger, people can ask their doctor or midwife to record the number in their chart without telling them. Another option is to decline being weighed; many other things are measured throughout a pregnancy that can provide information about pregnancy health and fetal growth.

There used to be strict guidelines for weight-gain ranges, but an increasing body of research indicates it’s most important to focus on good nutrition and a healthy maternal patient, rather than an exact number of kilos gained through pregnancy. 

There are too many variables to pick an ideal number. Factors include height, pre-pregnancy body composition, bone structure, carrying a single fetus or multiples, genetics, metabolism, health of the pregnancy, diet, activity level, pre-existing health conditions, cultural considerations, age, and pregnancy-related health issues.

Someone who eats well will almost always gain exactly what they need for a healthy pregnancy. 

Where does the weight come from and where does it go?

Many postpartum women are surprised to find they don’t return to their pre-pregnancy weight immediately after birth. Less than half of the weight gained makes up the baby, placenta, and amniotic fluid!

Here’s a list of approximate weight distribution for a healthy pregnant woman of an “average-size” with a single fetus:

  • Baby at birth – average of 6-8.5lbs / 2700-3900g
  • Uterus* expands during pregnancy – 2lbs / 900g
  • Placenta – 1.5lbs / 680g
  • Breasts* – may increase by up to 1-2lbs / 450-900g (total, not each)
  • Blood volume* increases by 150% during pregnancy – 4lbs / 1800g
  • Fluid* will be retained by pregnant woman – up to 4lbs / 1800g
  • Amniotic fluid surrounds the baby – 2lbs / 900g
  • Maternal fat & nutrients stores, muscle development* – 7lbs / 3175g (3.175kg)

* These things do not magically disappear through the birth but rather will take some time to resolve. Good thing! It takes months to grow all the extra blood volume and other elements and it would feel quite terrible to undo all of it in a few hours. These things are a normal part of pregnancy. Some people return to their pre-pregnancy shape and weight while others do not.

How to Celebrate your Amazing Placenta

There are many ways to celebrate your amazing placenta! 

  • Simply tell it, “thank-you for nourishing my baby” after your birth
  • Ask your doula or medical staff for a “placenta tour” – take pics or video if you like
  • Plant a tree over it
  • Placenta prints
  • Bury it in the earth and do a little ceremony to honour it
  • Cord keep-sake
  • Placenta capsules
  • Tinctures 
  • Smoothie cubes

It’s easy to take it home from the hospital. Just bring a labelled container, ask your nurse to put the placenta in said container, and then keep it cold. If it won’t be used within 3 days then put it in the freezer. The hospital may ask you to sign a “Release of Live Tissue” form.   

Contact me for more information about our placenta services.

Placenta Capsules FAQs

What qualifies you to provide this service?
Proper training and a lot of experience:  We’ve offered this service since 2009 and between us have done 500+ placentas, making us the most experienced encapsulators in Saskatchewan.  We are both OSHA certified and trained in Universal Precautions, food science and preservation.  We train placenta encapsulators through Birth Ways International.

How long does it take?  The capsules are ready in 1-2 days from when we get the placenta.

How many capsules will I get?
That depends on the size of your placenta.  Most women get over 100 capsules.  The average is around 115.  Bigger placentas can fill close to 140 capsules.

What’s the difference between gel and veg caps?
Gel caps are made from animal gelatin and veg caps are vegan, made from plant materials.  See a detailed ingredients list for our high quality capsules.

How do you clean and care for your equipment?
The processing is done using OSHA Blood Borne Pathogen Standards. All surfaces and equipment are cleaned, then disinfected, then twice-sterilized using chemical methods. (This is “over-kill” but is reassuring to us and our clients!)  We use high quality equipment that can be properly sterilized and is kept in like-new working order.

Can I keep my placenta if I have a caesarean birth?
Yes.  The steps are exactly the same.  Simply ensure your O.R. nurse knows you wish to keep it.

Am I “allowed” to keep my placenta?  Do I need permission from my doctor?
It’s yours to keep.  Simply write in your birth plan or tell your care-provider, “I’m keeping my placenta.”  Other details are for you to share or not as you choose.  Obstetrical staff at Regina General Hospital and nearby rural hospitals are quite used to women keeping their placenta.  If you’re at another hospital that has concerns, then you can sign their Release of Live Tissue waiver.  Remind the people attending your birth that you wish to keep it.

Can you make capsules from my placenta if I choose to use epidural or other medications in labour?  Yes.

Is my placenta safe to encapsulate if there’s meconium (baby poops inside) during the birth?
Yes.  The initial cleaning process and proper dehydration takes care of this.

Are there any cases where my placenta can’t be encapsulated?
In the rare case of uterine or placental infection during labour, your placenta will be taken away to the pathology department for analysis.  We’ve processed well over 500 placentas and have never received one that was infected (we do watch for it though).  All placentas are inspected after birth by midwives/doctors, who do not send infected placentas (or anything else) home with patients.

If your placenta is left at room temperature for too long then we are unable to process it.

Do you serve out-of-town clients?
Yes.  We have systems in place to make this easy for you.  We provide detailed, easy-to-follow instructions.

How do I package the placenta for you?
At Regina General Hospital, the placenta is usually put into a square plastic container; you can use that for storage and transport.  We provide detailed instructions to bring your own container as a back-up.  You can ask your nurse to get it ready.  While it’s not her “job”, most are happy to help.  At home births or other hospitals you’ll need to provide your own container (we provide detailed instructions).  If you have your baby at night or are shipping the placenta, then you’ll keep it cold (detailed instructions provided) until the morning when it’s picked up.

How do I get the placenta to you?
One of us picks it up at Regina General Hospital or at your home in Regina city limits, depending where you give birth.  If you have your baby out of town then you can have it delivered to us.  We provide detailed instructions.

How do you ensure the capsules are returned to the right person?
This is one of the most important parts of the process!  One of several advantages to working in partnership is that we can process two placentas at the same time in two separate locations. We have a triple labeling system in place to ensure 100% accuracy; your placenta is attached to a label at every stage of processing, from placenta pick-up through to delivery of capsules.  These are a matter of routine, and are followed with every client’s placenta, even though we rarely have 2 placentas in the same building at the same time.

How do I get the capsules back?
We deliver the capsules anywhere within Regina city limits.  If you live out of town then we can ship them or send them with someone going your way (we can drop the package off anywhere in Regina to that person).

How long do the capsules last?
They’re best used within 1 year, stored at room temperature in an airtight container (glass jar).  After that they don’t necessarily go “bad”, but the nutrients start to diminish.  If you wish to keep them longer, then the freezer can extend that for up to another year if they go in within the first few months.  (We don’t recommend this because we hear from so many women who put them in the freezer and promptly forgot about them.)

How do I store the capsules?
Just keep them in the glass jar.  There’s no need to refrigerate them.  They’re good for up to a year at room temperature in a cupboard.  If you wish to keep them longer, then store in a deep-freeze for up to two years.

Can you make capsules out of my frozen placenta?  Yes.

How do we proceed? 
Please follow the steps on our encapsulation page.  There’s a form for you to complete and all the information you need is there too.  We need your estimated due date and contact info.  You can send an e-transfer, post-dated cheque or provide cash with the placenta.

What if I Haven’t Made Arrangements Yet?  We can usually accommodate you.  In an ideal world everything will be set up ahead of time.  However if you just decided to do this while you’re in labour – or even after your birth – and need to make quick arrangements, please text during normal “awake” hours.  (If you have your baby after 9am or before 8am, please put your placenta in fridge or on ice and get in touch in the morning.)  Please follow the steps on our encapsulation page.

Do you buy or sell placentas, or placenta products?
We do not!  This is not only unethical and unsafe, but is illegal in Canada.  (If anyone offers to do this, please report them to the Public Health Department.)  We provide the service of turning your own placenta into capsules for your own use.

Here We Go Again: Facts vs Fear-Mongering in Placenta Encapsulation

Placenta capsulesYesterday the CBC posted another article on placenta encapsulation.  The article is low on fact and filled with fear-mongering.  Certainly an article like this should lead service-providers to pay attention to their practices, ask questions, and re-evaluate protocols to ensure safe services are being offered.  An article of this nature should also lead clients to ask questions of their encapsulators.  Unfortunately, when a big media company publishes an article with an inflammatory headline, most people don’t read through, and of those that do, few know how to evaluate the information presented.

Let’s get to the facts.

Inaccurate Reporting on Encapsulation and GBS

The report alleging an infant being infected with Group-B Strep bacteria from placenta capsules is completely inaccurate. In reading through the details (summarized below), you’ll see that it’s impossible that the placenta capsules were the source of infection. This is not a study, but rather a media article.  One story is never a scientific study.  As is often the case in anything birth-related, the headline is misleading.