Thoughts on Food and Pregnancy

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As some of you may know, Jonah and I are expecting our first baby (a girl) in June. While we just recently started sharing this news with our patients, we both have been experiencing the myriad of emotions, including excitement, anxiety, and joy, about the major life change that is about to occur. But in addition to this, I have been acutely aware of both my relationship with food and my feelings around my changing body. I had often wondered how my body would react to pregnancy. Would I feel sick as many of my friends and family members did during their first trimesters? Would I be excited as my bump grew and feel a new sense of appreciation and joy for my body and what it is doing? How would my appetite change? So I thought that I would write a two-part newsletter feature on some of my observations around food and body image in relation to my own personal pregnancy experience. This month, I will focus on my observations around food and pregnancy.

Thoughts on Food and Pregnancy

I am sure I am not the only first-time pregnant person to have had preconceived ideas about how my relationship with food would be during pregnancy. We all have heard about the strange cravings (pickles and ice cream, anyone?), insatiable appetites, and odd aversions that pregnant women are supposed to have. Interestingly, almost none of these applied to me! While of course I had to change certain things in my diet, such as cutting down on the caffeine in my morning cup of coffee (I now do ½ caffeinated and ½ decaffeinated.) and avoiding raw fish (i.e., no sushi tuna rolls), I really did not have to change much at all. Most of all, I have noticed that more than anything, I am slightly more conscious about making sure I get enough vegetables into my day. I have always been a reliable veggie eater, but there are days when I only have one serving for whatever reason, so I have been making an effort to make sure I eat at least 2-3 servings per day. Sometimes that is in the form of cooked broccoli or raw snap peas or baby carrots, and sometimes it comes in a smoothie.

While I have noticed that I have days during my pregnancy when I am super hungry, it is not too much different from my appetite fluctuations as a nonpregnant person. As an intuitive eater pre-pregnancy, I knew that there were some days when I felt like a bottomless pit, and then there were some days when I just did not feel that hungry. This pattern has continued throughout my pregnancy. Just to see if what I felt was going on was accurate, I asked Jonah one day if he noticed that I had been eating much more than usual, and he said, “No, not really.” Don’t get me wrong; there have been some days when I have been ravenous, but honestly, it does not feel that much different than my normal (nonpregnant) hunger cues. One interesting observation that Jonah had was that I seemed to be having less dessert than usual. Let’s be clear – I am not consciously trying to eat less dessert! It just seems that these foods have become slightly less appealing to me than usual for whatever reason. Perhaps the developing baby needs more other stuff!

A number of my friends and family members have described how they felt that pregnancy gave them the green light to eat whatever they wanted in unlimited amounts and that they took full advantage of “eating for two.” One woman recounted how she would have an ice cream sundae every night of her pregnancy. My thought on this is that I bet that many of these women prior to pregnancy were eating in a restrained or diet-minded way (as many women in our culture do). As such, they would not allow themselves to eat certain forbidden foods prior to becoming pregnant, or if they did, they had to do so in very limited amounts. I would be willing to bet that much of their overeating during pregnancy was likely a direct reaction to the restriction they had exercised pre-pregnancy. As we have heard time and time again, one of the biggest contributors to binge eating is prior restriction.  Once the constraints are lifted, the body and mind go all in with the previously off-limit foods. Given that I haven’t eaten in a restricted manner in many years, there was no rebound bingeing for me. I have always given myself permission to eat whatever, whenever in any amount that feels good to me. And that has not changed!

I have not had any strange cravings or strong aversions to certain foods or odors. Once I began to be able to feel the baby moving (around week 19), it was interesting to notice that she would be much more active after I had eaten certain foods. To this day, when I eat foods that are more carbohydrate-based, the baby gets busier in my belly! She also seems to really enjoy breakfast, which I guess might be due to the fact that she has not “eaten” since the night before and therefore is hungry. So apparently, she is tuned in to her hunger cues!

I guess the bottom line to all of this is that my relationship with food has not changed markedly since I have become pregnant. I still eat intuitively, and I still eat a wide variety of foods. I feel very lucky to have been an intuitive eater prior to pregnancy because I feel I am much more relaxed around food than many pregnant women I have known. Of course, over the next two months, things might change; but for now, eating in an attuned manner is working for me.

Next month, I will discuss my thoughts around body changes in pregnancy. Stay tuned!

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